J Korean Acad Nurs.  2015 Dec;45(6):812-822. 10.4040/jkan.2015.45.6.812.

Effects of Lifestyle Intervention on Fatigue, Nutritional Status and Quality of Life in Patients with Gynecologic Cancer

Affiliations
  • 1Department of Nursing, Asan Medical Center, Seoul, Korea.
  • 2College of Nursing, Chonnam National University, Gwangju, Korea. jhnho@jnu.ac.kr

Abstract

PURPOSE
The purpose of this study was to examine the effect of lifestyle intervention on the development of fatigue, nutritional status and quality of life of patients with gynecologic cancer.
METHODS
A nonequivalent control group quasi-experimental design was used. Participants were 49 patients with gynecologic cancer. They were assigned to the experiment group (n=24) or the control group (n=25). The lifestyle intervention for this study consisted of physical activity, nutritional education, telephone call counseling, health counseling, monitoring for lifestyle, and affective support based on Cox's Interaction Model of Client Health Behavior and was implemented for six weeks.
RESULTS
Significant group differences were found for fatigue (p =.037), nutritional status (p =.034) and social/family well-being (p =.035) in these patients with gynecologic cancer.
CONCLUSION
Results indicate that this lifestyle intervention is effective in lessening fatigue, and improving nutritional status and social/family well-being. Therefore, nurses in hospitals should develop strategies to expand and provide lifestyle interventions for patients with cancer.

Keyword

Gynecologic neoplasm; Lifestyle; Fatigue; Nutrition; Quality of life

MeSH Terms

Adult
Aged
Antineoplastic Agents/therapeutic use
*Fatigue
Female
Genital Neoplasms, Female/drug therapy/*psychology
Health Behavior
Health Education
Humans
*Life Style
Middle Aged
*Nutritional Status
Proportional Hazards Models
*Quality of Life
Surveys and Questionnaires
Antineoplastic Agents

Figure

  • Figure 1. Conceptual framework of the study.

  • Figure 2. Research design.


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Reference

References

1. Ministry of Health & Welfare, Korea Central Cancer Registry, Na- tional Cancer Center. Annual report of cancer statistics in Korea in 2009. Seoul: Ministry of Health & Welfare;2010.
2. von Gruenigen VE, Frasure HE, Kavanagh MB, Lerner E, Wag- goner SE, Courneya KS. Feasibility of a lifestyle intervention for ovarian cancer patients receiving adjuvant chemotherapy. Gyneco- logic Oncology. 2011; 122(2):328–333. http://dx.doi.org/10.1016/j.ygyno.2011.04.043.
Article
3. Lawrence DP, Kupelnick B, Miller K, Devine D, Lau J. Evidence report on the occurrence, assessment, and treatment of fatigue in cancer patients. Journal of the National Cancer Institute Mono- graphs. 2004; 32:40–50. http://dx.doi.org/10.1093/jncimonographs/lgh027.
Article
4. Mock V, Pickett M, Ropka ME, Muscari Lin E, Stewart KJ, Rho-des VA, et al. Fatigue and quality of life outcomes of exercise dur-ing cancer treatment. Cancer Practice. 2001; 9(3):119–127.
Article
5. Cramp F, Daniel J. Exercise for the management of cancer-related fatigue in adults. The Cochrane Database of Systematic Reviews. 2008; 2:CD006145.
Article
6. Albrecht TA, Taylor AG. Physical activity in patients with ad- vanced-stage cancer: A systematic review of the literature. Clini- cal Journal of Oncology Nursing. 2012; 16(3):293–300. http://dx.doi.org/10.1188/12.cjon.293-300.
7. Sternfeld B, Weltzien E, Quesenberry CP, Castillo AL, Kwan M, Slattery ML, et al. Physical activity and risk of recurrence and mortality in breast cancer survivors: Findings from the LACE study. Cancer Epidemiology Biomarkers and Prevention. 2009; 18(1):87–95. http://dx.doi.org/10.1158/1055-9965.epi-08-0595.
Article
8. Nho JH. Effect of PLISSIT model sexual health enhancement pro- gram for women with gynecologic cancer and their husbands. Journal of Korean Academy of Nursing. 2013; 43(5):681–689.
9. Nho JH, Kim SR, Kang GS, Kwon YS. Relationships among mal- nutrition, depression and quality of life in patients with gynecologic cancer receiving chemotherapy. Korean Journal of Women Health. http://dx.doi.org/10.4069/kjwhn.2014.20.2.117.
10. Morey MC, Snyder DC, Sloane R, Cohen HJ, Peterson B, Hart- man TJ, et al. Effects of home-based diet and exercise on func- tional outcomes among older, overweight long-term cancer survi- vors: RENEW: A randomized controlled trial. JAMA: Journal of the American Medical Association. 2009; 301(18):1883–1891. http://dx.doi.org/10.1001/jama.2009.643.
11. Egger G, Binns A, Rossner S. Lifestyle medicine: Managing dis- eases of lifestyle in the 21st century. 2nd ed.Research of Lifestyle Medicine, translator. North Ryde, NSW: McGraw-Hill;2011.
12. Doyle C, Kushi LH, Byers T, Courneya KS, Demark-Wahnefried W, Grant B, et al. Nutrition and physical activity during and after cancer treatment: An American Cancer Society guide for informed choices. CA: A Cancer Journal for Clinicians. 2006; 56(6):323–353.
Article
13. The Royal Australian College of General Practitioners. Smoking, nu- trition, alcohol, physical activity (SNAP): A population health guide to behavioural risk factors in general practice [Internet]. Melbourne, AU: Author;2015. [cited 2015 July 10]. Available from:. http://www.racgp.org.au/download/Documents/Guidelines/snap.pdf.
14. Hudon C, Fortin M, Soubhi H. Single risk factor interventions to promote physical activity among patients with chronic diseases: Sys- tematic review. Canadian Family Physician. 2008; 54(8):1130–1137.
15. von Gruenigen VE, Courneya KS, Gibbons HE, Kavanagh MB, Waggoner SE, Lerner E. Feasibility and effectiveness of a lifestyle intervention program in obese endometrial cancer patients: A ran- domized trial. Gynecologic Oncology. 2008; 109(1):19–26. http://dx.doi.org/10.1016/j.ygyno.2007.12.026.
16. Cox CL. An interaction model of client health behavior: Theoreti- cal prescription for nursing. ANS Advances in Nursing Science. 1982; 5(1):41–56.
17. Park MN, Choi SY. Development of reproductive health program and identification of effect for married women immigrants. Journal of Korean Academy of Nursing. 2014; 44(3):248–258. http://dx.doi.org/10.4040/jkan.2014.44.3.248.
Article
18. Van Belle S, Paridaens R, Evers G, Kerger J, Bron D, Foubert J, et al. Comparison of proposed diagnostic criteria with FACT-F and VAS for cancer-related fatigue: Proposal for use as a screening tool. Supportive Care in Cancer. 2005; 13(4):246–254. http://dx.doi.org/10.1007/s00520-004-0734-y.
Article
19. Ottery FD. Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition. 1996; 12(1 Suppl):S15–S19.
Article
20. Bauer J, Capra S, Ferguson M. Use of the scored Patient-Gener- ated Subjective Global Assessment (PG-SGA) as a nutrition as- sessment tool in patients with cancer. European Journal of Clinical Nutrition. 2002; 56(8):779–785. http://dx.doi.org/10.1038/sj.ejcn.1601412.
21. Cella DF. FACIT manual: Manual of the functional assessment of chronic illness therapy (FACIT) measurement system. 4th ed. Ev- anston, IL: Center on Outcomes, Research and Education;1997.
22. Cho MY, Park JY, Lee CE, Song SK, Lee SH, Byun ES, et al. The effect of a video exercise program on cancer-related fatigue, physical function and emotional status in patients with cancer dur- ing chemotherapy. Journal of Korean Clinical Nursing Research. 2012; 18(3):368–380.
23. Vickers AJ, Altman DG. Statistics notes: Analysing controlled tri- als with baseline and follow up measurements. BMJ: British Medi- cal Journal. 2001; 323(7321):1123–1124.
24. Demark-Wahnefried W, Peterson B, McBride C, Lipkus I, Clipp E. Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas. Cancer. 2000; 88(3):674–684.
Article
25. Speck RM, Courneya KS, Masse LC, Duval S, Schmitz KH. An update of controlled physical activity trials in cancer survivors: A systematic review and meta-analysis. Journal of Cancer Survivor- ship. 2010; 4(2):87–100. http://dx.doi.org/10.1007/s11764-009-0110-5.
Article
26. Oldervoll LM, Loge JH, Paltiel H, Asp MB, Vidvei U, Wiken AN, et al. The effect of a physical exercise program in palliative care: A phase II study. Journal of Pain and Symptom Management. 2006; 31(5):421–430. http://dx.doi.org/10.1016/j.jpainsymman.2005.10.004.
Article
27. Alshadwi A, Nadershah M, Carlson ER, Young LS, Burke PA, Daley BJ. Nutritional considerations for head and neck cancer pa- tients: A review of the literature. Journal of Oral and Maxillofacial Surgery. 2013; 71(11):1853–1860. http://dx.doi.org/10.1016/j.joms.2013.04.028.
28. Byun MS, Kim NH. Energy intake and fatigue in patients receiving chemotherapy. The Journal of Korean Biological Nursing Science. 2012; 14(4):258–267. http://dx.doi.org/10.7586/jkbns.2012.14.4.258.
Article
29. Dhillon HM, van der Ploeg HP, Bell ML, Boyer M, Clarke S, Vardy J. The impact of physical activity on fatigue and quality of life in lung cancer patients: A randomised controlled trial protocol. BMC Cancer. 2012; 12:572. http://dx.doi.org/10.1186/1471-2407-12-572.
Article
30. Pierce JP, Faerber S, Wright FA, Rock CL, Newman V, Flatt SW, et al. A randomized trial of the effect of a plant-based dietary pat- tern on additional breast cancer events and survival: The Women’s Healthy Eating and Living (WHEL) study. Controlled Clinical Tri- als. 2002; 23(6):728–756.
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