Improvement of Meals for Patients Undergoing Chemotherapy
	    		
	    			
	    			
		        		
			        		
		        		
			        
		   		
		   		
		   			
		   		
	    	
    	 
    	10.2185/jjrm.62.106
   		
        
        	
        		- VernacularTitle:化学療法食の改善の取り組み
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Chinatsu YAMADA
			        		
			        		;
		        		
		        		
		        		
			        		Tetsuaki SHUMIYA
			        		
			        		;
		        		
		        		
		        		
			        		Tsuyosi YAMAGUCHI
			        		
			        		;
		        		
		        		
		        		
			        		Shingo YAMADA
			        		
			        		;
		        		
		        		
		        		
			        		Mayumi SHIRAISHI
			        		
			        		;
		        		
		        		
		        		
			        		Katsuyasu YANAGIDA
			        		
			        		;
		        		
		        		
		        		
			        		Takahito NAKAMURA
			        		
			        		;
		        		
		        		
		        		
			        		Takumi UMEDA
			        		
			        		;
		        		
		        		
		        		
			        		Mikari ITO
			        		
			        		;
		        		
		        		
		        		
			        		Takao OZAKI
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
            
            
            	- From:Journal of the Japanese Association of Rural Medicine
	            		
	            		 2013;62(2):106-111
	            	
            	
 
            
            
            	- CountryJapan
 
            
            
            	- Language:Japanese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	In 2010, we at Konan Kosei Hospital introduced a menu with 8 days set as a cycle for inpatients undergoing chemotherapy. We have thus far used it for 258 patients. Over the 6-month period extending from October 2011 and March 2012, we performed a questionnaire survey on 23 patients (8 with lung cancer, 5 with acute myeloid leukemia and 3 with lymphoma) about their meals. On the basis of the findings, we have made a number of improvements in the menu.  To the question of ease with which to eat, 96% of patients responded the meals were “easy to eat.” When it came to the volume of meals, 29% replied that breakfast was “small,” whereas 83% said lunch and dinner were “just right.” Cold chawan-mushi (custard-like egg and vegetable dish steamed in a cup) was difficult to eat for 7 patients, whereas there were indications that fish meals were also hard to eat.  Based on this survey, we have increased the volume of breakfast, and replaced cold chawan- mushi with hot chawan-mushi. Furthermore, in order to reduce the smell peculiar to fish, we substituted kaba-yaki (spitchcocks) and ankake (food dressed with a thick, starchy sauce) fish- cooking styles for nitsuke (fish boiled and seasoned with sugar and soy sauce) and mushizakana (steamed fish) styles. Further surveys are necessary to produce a menu suitable for as many patients undergoing chemotherapy as possible.