Effects of intensive nutrition education on nutritional status and quality of life among postgastrectomy patients.
10.4174/astr.2016.90.2.79
- Author:
Hye Ok LEE
1
;
So Ra HAN
;
Sung Il CHOI
;
Jung Joo LEE
;
Sang Hyun KIM
;
Hong Seok AHN
;
Hyunjung LIM
Author Information
1. Nutrition Team, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Gastrectomy;
Stomach neoplasms;
Nutritional status;
Nutrition therapy;
Nutrition assessment
- MeSH:
Diet;
Eating;
Education*;
Electronic Health Records;
Energy Intake;
Gastrectomy;
Humans;
Malnutrition;
Meals;
Nutrition Assessment;
Nutrition Therapy;
Nutritional Status*;
Quality of Life*;
Stomach Neoplasms
- From:Annals of Surgical Treatment and Research
2016;90(2):79-88
- CountryRepublic of Korea
- Language:English
-
Abstract:
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 patient-generated, 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). Self-efficacy 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.
