Asian Oncol Nurs.  2015 Dec;15(4):219-227. 10.5388/aon.2015.15.4.219.

Factors Associated with Early Nutritional Status after Radical Gastrectomy in Patients with Gastric Cancer

Affiliations
  • 1Department of Nursing, Chonnam National University Hwasun Hospital, Hwasun, Korea.
  • 2College of Nursing, Chonnam National University, Gwangju, Korea. choijy@chonnam.ac.kr
  • 3CRINS, Chonnam National University, Gwangju, Korea.

Abstract

PURPOSE
The aims of this study was to identify factors associated with nutritional status after radical gastrectomy in patients with gastric cancer at the post 1 month and the post 3-6 months independently.
METHODS
Participants consisted of 107 patients at the post 1 month and 131 patients at the post 3-6 months after radical gastrectomy. Data were collected from October 1, 2013 to May 14, 2014 using a Patient-Generated Subjective Global Assessment (PG-SGA), the Hospital Anxiety and Depression Scale (HADS) and the Connor-Davidson Resilience Scale (CD-RISC).
RESULTS
Stepwise multiple regression showed that factors associated with nutritional status at 1 month after radical gastrectomy were age (beta=.55, p<.001), anxiety (beta=.25, p=.007), and depression (beta=.23, p=.017), which explained the 42.6% of total variance of nutritional status. However, factors associated with nutritional status at 3-6 months after radical gastrectomy were depression (beta=.41, p=.017), return to work (beta=.20, p<.001), and age (beta=.29, p=.024), which explained 27.1% of the total variance of nutritional status.
CONCLUSION
In conclusion, oncology nurses should be sensitive to the risk group of aged, depressed, anxious and delayed return to work patients for nutritional status during the early recovery period after radical gastrectomy.

Keyword

Stomach Neoplasms; Gastrectomy; Nutritional Status

MeSH Terms

Anxiety
Depression
Gastrectomy*
Humans
Nutritional Status*
Return to Work
Stomach Neoplasms*

Cited by  1 articles

Effect of Nutrition Education on the Eating Habits and Quality of Life of Gastric Cancer Outpatients Undergoing Gastrectomy
YoonHee Jung, Joomin Lee
Korean J Community Nutr. 2018;23(2):162-173.    doi: 10.5720/kjcn.2018.23.2.162.


Reference

1. National Cancer Information Center. Accessed September 23, 2015. http://www.ncc.re.kr.
2. Choi HS, Kim KO, Chun HJ, Keum B, Seo YS, Kim YS, et al. The efficacy of transdermal fentanyl for pain relief after endoscopic submucosal dissection: a prospective, randomised controlled trial. Dig Liver Dis. 2012; 44:925–929.
Article
3. Rogers C. Postgastrectomy nutrition. Nutr Clin Pract. 2011; 26(2):126–136.
4. Zhuang CL, Wang SL, Huang DD, Pang WY, Lou N, Chen BC, et al. Risk factors for hospital readmission after radical gastrectomy for gastric cancer: a prospective study. PLoS ONE. 2015; 10(4):e0125572.
Article
5. Terashima M, Tanabe K, Yoshida M, Kawahira H, Inada T, Okabe H, et al. Postgastrectomy syndrome assessment scale (PGSAS)-45 and changes in body weight are useful tools for evaluation of reconstruction methods following distal gastrectomy. Ann Surg Oncol. 2014; 21:S370–S3S8.
Article
6. Kim JH, Choi JY. Postoperative changes in body weight, anxiety, depression, and quality of life after radical gastrectomy among patients with gastric cancer. Asian Oncol Nurs. 2014; 14(3):139–145.
Article
7. Kong H, Oh KK, Yu W. Changes of quality of life after gastric cancer surgery. J Gastric Cancer. 2012; 12(3):194–200.
Article
8. Yu EJ, Kang JH, Yoon S, Chung HK. Changes in nutritional status according to biochemical assay, body weight, and nutrient intake levels in gastrectomy patients. J Korean Diet Assoc. 2012; 18(1):16–29.
Article
9. Oh CA, Choi MG, Noh JH, Sohn TS, Oh SJ, Bae JM, et al. Changes of the preoperative and postoperative nutritional statuses in patients with gastric cancer and assessment of the nutritional factors that are correlated with short-term postoperative complications. J Korean Gastric Cancer Assoc. 2010; 10(1):5–12.
Article
10. Kang SC, Oh ST. The weight changes after gastrectomy in gastric cancer patients. J Korean Surg Soc. 1994; 47(2):209–215.
11. Yu W, Chung HY. Nutritional status after curative surgery in patients with gastric cancer comparison of total versus subtotal gastrectomy. J Korean Surg Soc. 2001; 60(3):297–301.
12. Kim JY, Park MS, Lee YH, Cho SJ, Yang HK. A study of dietary intakes and nutritional status after total gastrectomy of early gastric cancer patients. J Korean Diet Assoc. 2001; 7(1):72–79.
13. Yoon KY, Ahn SM, Lee KS, Choi KH. Nutritional assessment in gastric carcinoma. J Korean Surg Soc. 2005; 68(3):185–193.
14. Park YO, Yoon SY, Kang SS, Han SM, Kang EH. Nutritional status and dietary change after gastrectomy of gastric cancer patients. Nutr Res Pract. 2012; 17(1):101–108.
Article
15. Maeda T, Onuoha FN, Munakata T. The effect of postoperative symptom experience, and personality and psychosocial factors on depression among postgastrectomy patients in Japan. Gastroenterol Nurs. 2006; 29(6):437–444.
Article
16. Lim HS, Cho GS, Park YH, Kim SK. Comparison of quality of life and nutritional status in gastric cancer patients undergoing gastrectomies. Clin Nutr Res. 2015; 4(3):153–159.
Article
17. Min JA, Yoon S, Lee CU, Chae JH, Lee C, Song KY, et al. Psychological resilience contributes to low emotional distress in cancer patients. Support Care Cancer. 2013; 21(9):2469–2476.
Article
18. Lee JS, Cho MR, Lee GJ. Validation of the developed nutritional screening tool for hospital patients. Korean J Nutr. 2010; 43(2):189–196.
Article
19. Bauer J, Capra S, Ferguson M. Use of the scored patient-generated subjective global assessment (PG-SGA) as a nutritional assessment tool in patients with cancer. Eur J Clin Nutr. 2002; 56(8):779–785.
Article
20. Oh SM, Min KJ, Park DB. A study on the standardization of the hospital anxiety and depression scale for Koreans. Psychiatry Investig. 1999; 38(2):289–295.
21. Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the connor-davidson resilience scale. Psychiatry Investig. 2010; 7(2):109–115.
Article
22. Li QW, Li GC, Wang YN, Long ZW, Liu XW, Zhang Z. Association of nutrition with treatment compliance and toxicities in patients undergoing chemoradiation after gastrectomy. Zhonghua Wei Chang Wai Ke Za Zhi. 2013; 16(6):529–533.
23. Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. The mini nutritional assessment. Clin Geriatr Med. 2002; 18(4):737–757.
24. Li H, Han X, Su L, Zhu W, Xu W, Li K, et al. Laparoscopic radical gastrectomy versus traditional open surgery in elderly patients with gastric cancer: benefits and complications. Mol Clin Oncol. 2014; 2(4):530–534.
Article
25. Yang H, Cui M, Xing J, Yao Z, Zhang C, Zhang N, et al. Clinical efficacy of laparoscopy-assisted radical gastrectomy in elderly patients with gastric cancer. Zhonghua Wei Chang Wai Ke Za Zhi. 2015; 18(1):21–25.
26. Britton B, Clover K, Bateman L, Odelli C, Wenham K, Zeman A, et al. Baseline depression predicts malnutrition in head and neck cancer patients undergoing radiotherapy. Support Care Cancer. 2012; 20(2):335–342.
Article
27. Daudt HM, Cosby C, Dennis DL, Payeur N, Nurullah R. Nutritional and psychosocial status of colorectal cancer patients referred to an outpatient oncology clinic. Support Care Cancer. 2012; 20(7):1417–1423.
Article
28. Kirchhoff AC, Leisenring W, Syrjala KL. Prospective predictors of return to work in the 5 years after hematopoietic cell transplantation. J Cancer Surviv. 2010; 4(1):33–44.
Article
29. Lee IK, Choi JY. Relationship of body weight, anxiety depression, and quality of life in patients with radical gastrectomy according to perioperative period. Asian Oncol Nurs. 2014; 14(4):212–220.
Article
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