Journal of Korean Academy of Nursing

Original Articles

Assessment of Appetite and Nutritional Status in Cancer Patients Undergoing Radiation Therapy: A Prospective Study: Hyang Sook So; Journal of Korean Academy of Nursing 1999;29(6):1179-1191. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.6.1179

This study was conducted to identify appetite and nutritional status of 48 cancer patients who have been irradiated over 150 cm2 on chest or pelvic area over the three-month period. The data were gathered 3 phases, Each from initiation to completion of radiotherapy through the questionnaires of anorexia, the anthropometric and biochemical measures were used such as weight, TSF, MAC, MAMC, serum albumin and hemoglobin, TLC. Using SAS program, data were analyzed by percentage, Mean+/-SD, and two-way repeated measures ANOVA. The results were summarized as follows: 1. Eighty five percent(85%) of the subjects were aged from fifties to sixties. Cancers in the chest area occurred in 100% of men, 56% of the all subjects. The other 44% were pelvic cancer and 71% of the pelvic cancer occurred in women. 2. There were no significant differences in the appetite scores by all groups(characteristics). Changes of the appetite score over time were statistically significant by age, sex, cancer areas staging, treatment modality, and radiation dosage (F=4.0, p=.022; t=6.09, p=.003; t=4.90, p=.009; F=3.28, p=.042; t=5.04, p=.0084; t=4.76, p=.011). The appetite score on the 2nd phase (4 weeks after initiating radiotherapy) decreased from the 1st phase (initiating irradiation), and then increased on the 3rd phase (completing irradiation). 3. There were no significant differences in the body weight and MAMC by all characteristics, and no changes in the body weight and MAMC over time. However there were significant differences of TSF, MAC, level of hemoglobin, level of albumin, and TLC by all characteristics during the three phases. TSF of the men and the chest cancer were lower than those of the women and the pelvic cancer (t=73.20, p=.0001; t=22.91, p=.0001). And there was significant difference by cancer staging(F=3.19, p=.050). But there was no change in TSF over time. MAC of the men and the chest cancer were lower than those of the women and the pelvic cancer each(t=9.23, p=.004; t=17.85, p=.0001). But no change in MAC over time. Levels of hemoglobin had significant differences by age, sex and cancer areas; levels of hemoglobin of older than the fifties, men, and chest area were higher than those on the others(F=3.82, p=.029; t=21.75, p=.0001; t=8.71, p=.005). Levels of albumin were significant differences by sex and cancer areas; levels of albumin on women, and pelvic area were higher than those on the others(t=6.34, p=.015; t=15.23, p=.0003). While the levels of hemoglobin were changed over time, levels of albumin were not changed and within normal limit. TLC of the men was higher than women(t=5.05, p=.029). Changes in the level of hemoglobin over time were statistically significant according to sex, cancer areas, and radiation dosage(t=3.49, p=.035; t=3.36, p=.039; t=4.04, p=.021).

Citations

Citations to this article as recorded by

Pre- and Post-Transplant Nutritional Assessment in Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplantation
Mi Young Park, Jeong Yun Park
Asian Oncology Nursing.2012; 12(1): 110. CrossRef
The Effect of Continuous Nutritional Education and Oral Mucositis Management on Nutritional Status of Patients Undergoing Hematopoietic Stem Cell Transplantation
Kyoung Soon Park, Byung Hwa Lee, Ho Ran Park
Journal of Korean Oncology Nursing.2010; 10(2): 119. CrossRef

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Trajectory of Fatigue, Quality of Life and Physical Symptoms in Cancer Patients Receiving Radiotherapy: Young Hee Yang; Journal of Korean Academy of Nursing 2003;33(5):562-569. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.5.562

Abstract PDF

Purpose

The purpose of this longitudinal prospective study was to assess changes in fatigue and quality of life for a 6-week course of radiotherapy.

Method

A descriptive and longitudinal design was used to this study. Twenty-three subjects receiving radiotherapy from a radiotherapy clinic of a general hospital completed the questionnaires. Fatigue was measured using Lee's scale(1999) and quality of life using Yang's scale(2002) weekly for 6 weeks.

Result

Fatigue significantly increased(F=6.043, p=.000), and quality of life significantly decreased(F=3.938, p=.003) and physical symptoms also significantly increased(F=2.432, p=.039) during a 6-week radiotherapy. Multiple regression analysis revealed that fatigue at the first week and physical symptoms at the 6th week were the significant affecting variables(60.1% of the variance) on fatigue. And 63.2% of the variance in quality of life was explained by quality of life and fatigue at the first week and body weight change for 6 weeks radiotherapy.

Conclusion

Based on these results, the fatigue and quality of life at the beginning time of radiotherapy have a lasting impact throughout the course of treatment. It suggests that nurses provide patients with information about the occurrence of fatigue during radiotherapy and the practical methods of intervening physical symptoms.

Citations

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A Longitudinal Path Analysis of Symptom, Fatigue and Quality of life in Patients with Colorectal Cancer during Chemotherapy
Eun Hee Kim, Soon Rim Suh
Journal of Health Informatics and Statistics.2018; 43(3): 200. CrossRef
Service improving the subjective happiness in Cancer Patient receiving Radiation Therapy
Mi Soon Song, Hyun Li Kim
Journal of Service Research and Studies.2016; 6(2): 51. CrossRef
A Model on Fatigue of Airline Flight Crew: Focus to Working Condition, Intensity of work, Compensation for Satisfaction, and Organizational Commitment
Yo-Sup Noh
Korean Comparative Government Review.2015; 19(3): 125. CrossRef
Quality of Life of Older Cancer Patients in Comparison with Older Chronic Disease Patients and Middle-Aged Cancer Patients
임연옥, Hyunsook Yoon, KIM, YOJIN
Korean Journal of Social Welfare.2013; 65(4): 367. CrossRef
Effects of a Nurse-Led Cognitive-Behavior Therapy on Fatigue and Quality of Life of Patients With Breast Cancer Undergoing Radiotherapy
Haejung Lee, Yeonjung Lim, Myung-Sook Yoo, Yongsuk Kim
Cancer Nursing.2011; 34(6): E22. CrossRef
Effects of Self-Efficacy Promotion Program on Self-Efficacy, Self-Care Behavior, and Quality of Life in Breast Cancer Patients Receiving Radiotherapy
Hea-Kyoung Ko, Geum Ja Park
Journal of Korean Oncology Nursing.2011; 11(2): 136. CrossRef
Fatigue and Quality of Life of Korean Cancer Inpatients
Hye Sun Byun, Gyung Duck Kim, Bok Yae Chung, Kyung Hye Kim
The Korean Journal of Hospice and Palliative Care.2010; 13(2): 98. CrossRef
Transition of Symptoms and Quality of Life in Cancer Patients on Chemotherapy
Min Young Kim
Journal of Korean Academy of Nursing.2009; 39(3): 433. CrossRef
Effects of a Cognitive-Behavioral Nursing Intervention on Anxiety and Depression in Women with Breast Cancer undergoing Radiotherapy
Myung-Sook Yoo, Haejung Lee, Jung-A Yoon
Journal of Korean Academy of Nursing.2009; 39(2): 157. CrossRef
Validation Study of the Korean Version of the M. D. Anderson Symptom Inventory
Young Ho Yun, Tito R. Mendoza, Im Ok Kang, Chang Hoon You, Ju Won Roh, Chang Geol Lee, Won Sup Lee, Keun Seok Lee, Soo-Mee Bang, Sang Min Park, Charles S. Cleeland, Xin Shelley Wang
Journal of Pain and Symptom Management.2006; 31(4): 345. CrossRef

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Relationship Between Fatigue and Nutritional Status in Patients with Cancer Undergoing Radiotherapy: Young Hee Yang; Journal of Korean Academy of Nursing 2003;33(4):478-487. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.4.478

Abstract PDF

Purpose

The purpose of this study was to identify the relationship between fatigue and nutritional status in patients undergoing radiotherapy.

Design

A correlational and crossectional study design was used.

Method

One-hundred-fifty-one subjects with cancer receiving radiotherapy were recruited from a university hospital in Chonan, Korea. Fatigue was measured using Piper's Fatigue Scale (PFS). The parameters for nutritional status included body weight, body mass index, hemoglobin, and lymphocyte counts. Cancer stage was controlled in analyzing the differences in fatigue, body weight and body mass index.

Results

The patients who experienced most fatigue were in their fifties, employed, had head and neck cancer, received radiotherapy on the head and neck, and had concomitant chemotherapy. Disease-related characteristics such as cancer type, and treatment type were frequently related to poorer nutritional status. Patients who showed poorer nutritional status, such as those with lower body weight, lower body mass index and lower hemoglobin levels were more fatigued than those who did not exhibit such characteristics. Lymphocyte counts did not correlate with fatigue. Conclusion: The findings can be used by nurses who are taking care of patients undergoing radiotherapy. Considering the relationship between fatigue and nutritional status, nurses can identify the risk group most vulnerable to fatigue and malnourishment in order to provide appropriate interventions for them.

Citations

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The associations between dairy product intake, fatigue status, and physical activity among postpartum women in Saudi Arabia: a cross-sectional study
Arwa S. Almasaudi, Shoug Alashmali, Haya S. Zedan, Hebah A. Kutbi, Mutasim D. Alharbi, Baian A. Baattaiah
BMC Public Health.2024;[Epub] CrossRef
Severe Weight Loss and Its Association with Fatigue in Old Patients at Discharge from a Geriatric Hospital
Kristina Franz, Lindsey Otten, Ursula Müller-Werdan, Wolfram Doehner, Kristina Norman
Nutrients.2019; 11(10): 2415. CrossRef

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Effects of a Cognitive-Behavioral Nursing Intervention on Anxiety and Depression in Women with Breast Cancer undergoing Radiotherapy: Myung-Sook Yoo, Haejung Lee, Jung-A Yoon; J Korean Acad Nurs 2009;39(2):157-165. Published online April 28, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.2.157

Abstract PDF

Purpose

The purpose of this study was to analyze the effects of a cognitive-behavioral nursing intervention on anxiety and depression of patients with breast cancer undergoing radiotherapy.

Methods

A nonequivalent control group design was used for the study. The research participants were patients with breast cancer (N=71; experimental group=35, comparison group=36) who received radiotherapy at P university hospital. The experimental group received a 6-week cognitive-behavioral nursing intervention (2 hr/week), which included nursing counseling, education about treatment choices for breast cancer and possible side effects and management strategies during radiotherapy, and rehabilitation exercise.

Results

Following the intervention, the experimental group showed significantly lower levels of anxiety (Experimental group=34.60±6.35, Comparison group=44.63±9.93, t=3.552, p<.001) and depression (Experimental group=10.20±6.61, Comparison group=17.81±10.85, t=3.542, p<.001) than the comparison group.

Conclusion

The findings from this study showed that cognitive-behavioral counseling applied by nurses is very effective to reduce anxiety and depression among patients with breast cancer. Therefore, providing nursing counseling to broader spectrum of patients with cancer should be considered. Further research would warrant future clinical application of nursing counseling.

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