Effects of intensive nutrition education on nutritional status and quality of life among postgastrectomy patients

Hye Ok Lee; So Ra Han; Sung Il Choi; Jung Joo Lee; Sang Hyun Kim; Hong Seok Ahn; Hyunjung Lim

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자료유형: 학술저널

저자정보: Hye Ok Lee (Kyung Hee University Hospital at Gangdong) So Ra Han (Sungshin Women"s University) Sung Il Choi (Kyung Hee University Hospital at Gangdong) Jung Joo Lee (Kyung Hee University Hospital at Gangdong) Sang Hyun Kim (Kyung Hee University Hospital at Gangdong) Hong Seok Ahn (Sungshin Women"s University) Hyunjung Lim (Kyung Hee University)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.90 No.2

발행연도: 2016.1

수록면: 79 - 88 (10page)

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연구배경

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연구방법

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Purpose: We examined the effects of 3 months of intensive education (IE) after hospital discharge compared to conventional education (CE) on nutritional status and quality of diet and life among South Korean gastrectomy patients.
Methods: The study was conducted among 53 hospitalized gastrectomy in-patients (IE group, n = 28; CE group, n = 25) at Kyung Hee University Hospital at Gangdong. Baseline data were collected from electronic medical records and additional information was gathered via anthropometric measurements, assessment of nutritional status through a patientgenerated, subjective global assessment (PG-SGA), diet assessment, and measures of self-efficacy and satisfaction with meals for 3 months following hospital discharge.
Results: Total PG-SGA scores were significantly higher in the CE group than in the IE group at 3-week post-discharge (5.2 in the IE group vs. 10.4 in the CE group, P < 0.001), with higher scores indicating a greater severity of malnutrition. Energy intake over the 3 months increased in both the IE group (from 1,390 to 1,726 kcal/day) and the CE group (from 1,227 to 1,540 kcal/day). At 3-week post-discharge, the IE group had significantly higher daily protein and fat intake (P < 0.05). Selfefficacy improved in each category (P < 0.001), except for ‘difficulty eating adequate food’. When assessing satisfaction with meals, there was a difference in the ‘satisfaction with the current meal size’ (P < 0.001) and ‘satisfaction with the menu content’ (P < 0.001).
Conclusion: Nutritional status among gastrectomy patients in the IE group improved. Relative to the CE control, the IE group demonstrated improved self-efficacy and meal satisfaction 3-week post-discharge.

#Gastrectomy #Stomach neoplasms #Nutritional status #Nutrition therapy #Nutrition assessment

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