Bahcecioglu Turan Gülcan, Karaaslan Fatma, Özer Zülfünaz
Department of Nursing, Faculty of Health Sciences, Fırat University, Elazığ, Turkey.
Department of Internal Medicine Nursing, Institute of Health Sciences, Fırat University, Elazig, Turkey.
BMC Cancer. 2025 Aug 22;25(1):1355. doi: 10.1186/s12885-025-14626-7.
The present study aimed to evaluate the effects of nutrition education by using the Pecha Kucha (20*20) presentation method on preventing malnutrition in cancer patients undergoing radiotherapy.
This randomized controlled experimental study. A total of 113 patients were assessed for eligibility. Thirty-three patients declined to participate, and 20 did not meet the inclusion criteria. The final sample consisted of 60 volunteering cancer patients who met the inclusion criteria and agreed to participate. These patients were randomly assigned to either the experimental group (n = 30) or the control group (n = 30). All participants completed the study.The experimental group received nutrition education by using the Pecha Kucha method, while the control group received traditional education. Data were collected by using Personal Information Form, NRS-2002 (Nutritional Risk Screening) Assessment Form and Subjective Global Assessment (SGA).
The first and third month NRS-2002 scores of the experimental group were significantly lower than the control group(better nutritional status) (p < 0.001). After three months, the number of well-nourished individuals decreased in both groups; however, this decline was more pronounced in the control group (p = 0.001). In contrast, the intervention group largely maintained their nutritional status. NRS-2002 (β = -0.683, p < 0.001) and SGA (β = -3.324, p < 0.001) values were lower in the group that received pecha kucha application.
The negative beta coefficient for NRS-2002 suggests that the Pecha Kucha training significantly reduced patients' nutritional risk. Similarly, the reduction in SGA scores reflects improved nutritional status, indicating a meaningful clinical improvement. Nutrition education provided by Pecha Kucha method is effective in preventing malnutrition in cancer patients undergoing radiotherapy. This educational method is considered to be an effective approach with high applicability in clinical settings. It is recommended that innovative and audiovisual presentation techniques such as Pecha Kucha should be utilized to strengthen responsibilities of nurses in patient education and to increase the effectiveness of education processes.
The study has been registered on ClinicalTrials.gov Protocol Registration ( https://register.
gov/prs/app/action/ViewOrUnrelease?uid=U0004RLH&ts=1&sid=S000D85L&cx=bmoiql ) on 5 January 2023 (Trial Registration Number: NCT05852756).
本研究旨在评估采用“20×20”演讲法进行营养教育对预防接受放疗的癌症患者营养不良的效果。
这是一项随机对照实验研究。共评估了113例患者的 eligibility。33例患者拒绝参与，20例不符合纳入标准。最终样本包括60例符合纳入标准并同意参与的志愿癌症患者。这些患者被随机分为实验组（n = 30）或对照组（n = 30）。所有参与者均完成了研究。实验组采用“20×20”方法接受营养教育，而对照组接受传统教育。通过使用个人信息表、NRS - 2002（营养风险筛查）评估表和主观全面评定（SGA）收集数据。
实验组第一个月和第三个月的NRS - 2002评分显著低于对照组（营养状况更好）（p < 0.001）。三个月后，两组营养良好个体的数量均减少；然而，对照组的下降更为明显（p = 0.001）。相比之下，干预组基本维持了其营养状况。接受“20×20”应用的组中NRS - 2002（β = -0.683，p < 0.001）和SGA（β = -3.324，p < 0.001）值更低。
NRS - 2002的负β系数表明“20×20”培训显著降低了患者的营养风险。同样，SGA评分的降低反映了营养状况的改善，表明有意义的临床改善。采用“20×20”方法提供的营养教育对预防接受放疗的癌症患者营养不良有效。这种教育方法被认为是一种在临床环境中具有高适用性的有效方法。建议利用诸如“20×20”等创新的视听展示技术来加强护士在患者教育中的责任，并提高教育过程的有效性。
该研究已于2023年1月5日在ClinicalTrials.gov协议注册（https://register.
gov/prs/app/action/ViewOrUnrelease?uid=U0004RLH&ts=1&sid=S000D85L&cx=bmoiql）上注册（试验注册号：NCT05852756）。
