Kwi Ock Park; Smi Choi-Kwon

doi:10.4040/jkan.2012.42.6.799

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Original Article
Effects of Individualized Nutritional Education Programs on the Level of Nutrient Intake and Nutritional Status of Colorectal Cancer Patients Undergoing Palliative Chemotherapy: Kwi Ock Park, Smi Choi-Kwon; Journal of Korean Academy of Nursing 2012;42(6):799-809.
DOI: https://doi.org/10.4040/jkan.2012.42.6.799
Published online: December 31, 2012

¹Center for Cancer Education and Information, Seoul National University Hospital, Seoul, Korea.

²College of Nursing, Seoul National University, The Research Institute of Nursing Science, Seoul, Korea.

Address reprint requests to: Choi-Kwon, Smi. College of Nursing, The Research Institute of Nursing Science, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 110-799, Korea. Tel: +82-2-740-8830, Fax: +82-2-765-4103, smi@snu.ac.kr

• Received: January 4, 2012 • Accepted: November 7, 2012

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to examine the effects of an individualized nutritional education programs on nutrient intake and nutritional status of patients with colorectal cancer who are undergoing palliative chemotherapy.
Methods
Forty patients with colorectal cancer (19 experimental and 21 control patients) were recruited from a chemotherapy ward at S University Hospital in Seoul, Korea. The experimental group received two individualized nutritional counseling sessions and two telephone counseling sessions over 6 weeks. The control group received nutritional counseling after completion of data collection. Nutritional education included general guidelines for food intake while receiving chemotherapy, dietary guidelines for patients with colorectal cancer, daily meal schedules to overcome cancer, and dietary guideline for each chemotherapy side effect. Data were analyzed using χ²-test and t-test with the SPSS program 17.0.
Results
Two group comparison revealed that the experimental group had significantly improved calorie (p=.038) and total protein intake (p=.001), and serum albumin percentage change (p=.040). Body weight did not increase but remained the same as the baseline in both groups.
Conclusion
Study results indicate that this individualized nutritional education programs are effective in enhancing nutrient intake and nutritional status of patients with colorectal cancer who are undergoing palliative chemotherapy.
Keywords: Nutritional status; Dietary records; Nutritional assessment; Colorectal cancer

This article is an addition based on the first author's master's thesis from Seoul National University.

REFERENCES

1. Cho G, Paik HY, Park MS, Lee EK. Effects of nutrition counseling on diet and nutritional status of cancer patients on radiotherapy. Korean J Nutr. 2000;33:193–201.
2. Choi JH, Lim EY, Kwon YH, Park SY, Choi YH, Lee YM. Dish doctor for colon cancer patient. 2008;Seoul, Daga.
3. Do MH, Lee SS, Jung PJ, Lee MH. The effect of individual nutrition counseling on diet and nutrition status of postoperative breast cancer patients. Korean J Nutr. 2004;37:557–565.
4. Finley RS, Balmer C. Concepts in oncology therapeutics. 1998;2nd ed. Bethesda, MD, ASHP Publications Production Center.
5. Jun MH, Kim MJ, Choi KS, Kim DH. The effect factors of quality of life on patients undergoing chemotherapy after stomach cancer surgery. J Korean Oncol Nurs. 2002;2:83–93.
6. Kim AS, Lee ES, Kim SH. Effects of telephone intervention as supportive nursing on self-care practices and quality of life for gynecological cancer patients under chemotherapy. J Korean Acad Nurs. 2007;37:744–753.
7. Kim IK. The use of the functional food in elderly patients with digestive tract cancer. 2009;Seoul, Ewha Womans University. Unpublished master's thesis.
8. Kim PJ. Sumptuous feast for cancer treatment. 2008;Seoul, Woonjin Living House.
9. Kim YH. Clinical nutritional guideline for health care providers. 2000;Seoul, Asan Medical Center Nutrition Team.
10. Kim YS. Presentation of good sales practice from analysis of the distribution structures of health functional foods market. 2010;Chungwon-gun, Korea Food & Drug Administration.
11. Korea National Statistical Office. Death and the cause of death statistics. 2010;Daejeon, Author.
12. Korea Society for the Study of Obesity. Diagnosis of obesity. 2009;Seoul, Author.
13. Korean Nutrition Society. Korea dietary reference intakes for Koreans. 2010;Seoul, Korean Nutrition Society.
14. Lee GS. Two out of every 10 cancer patents, "death by malnutrition". 2006;07 12 Retrieved March 29, 2012. from http://media.daum.net/culture/others/view.html?cateid=1026&newsid=20060712181515675&p=kukminilbo.
15. Malone PE. Implementation of a prechemotherapy educational intervention. Clin J Oncol Nurs. 2007;11:707–710. http://dx.doi.org/doi:10.1188/07.CJON.707-710.PubMed
16. National Cancer Institute. Chemotherapy and you. 2007;Bethesda, MD, National Cancer Institute.
17. Nitenberg G, Raynard B. Nutritional support of the cancer patient: Issues and dilemmas. Crit Rev Oncol Hematol. 2000;34(3):137–168. http://dx.doi.org/doi:10.1016/S1040-8428(00)00048-2.Article PubMed
18. Noh EJ, Seo SM, Kim SK, Kim YS. A study for dietary factors related in colon cancer occur. 1999;In: Nutrition Research and Practice: Spring-Autumn Conference; 654–655.
19. Oh BJ. General oncology nursing. 2005;Seoul, Shin-kwang Press.
20. Ottery FD. Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition. 1996;12:1 Suppl. S15–S19.PubMed
21. Ovesen L, Allingstrup L, Hannibal J, Mortensen EL, Hansen OP. Effect of dietary counseling on food intake, body weight, response rate, survival and quality of life in cancer patients undergoing chemotherapy: A prospective, randomized study. J Clin Oncol. 1993;11:2043–2049.PubMed
22. Park JH. Recent advances of palliative chemotherapy in advanced colorectal cancer. Korean J Med. 2009;77:18–25.
23. Perron M, Endres J. Knowledge, attitudes, and dietary practices of female athletes. J Am Diet Assoc. 1985;85:573–576.PubMed
24. Senesse P, Assenat E, Schneider S, Chargari C, Magné N, Azria D, et al. Nutritional support during oncologic treatment of patients with gastrointestinal cancer: Who could benefit? Cancer Treat Rev. 2008;34:568–575. http://dx.doi.org/10.1016/j.ctrv.2008.03.003.PubMed
25. Seoul National University Hospital. The chemotherapy for cancer patients: please check it out. 2008;Seoul, Seoul National University Hospital.
26. Shim YM. A study on nutrition in elderly hemodialysis patients. 2003;Seoul, Seoul National University. Unpublished master's thesis.
27. Wie KA. Prevalence and risk factors of malnutrition according to tumor location and stage in cancer patients. 2005;Seoul, Seoul National University. Unpublished master's thesis.
28. Yang YH. The comparison of the perceived needs between patients with cancer, their caregivers, and nurses according to the cancer patient's phases of illness. J Nurs Acad Soc. 1997;27:787–795.Article PDF
29. Yang YH, Lee DS. The relationship of anorexia, nausea, vomiting, oral intake and nutritional status in patients receiving chemotherapy. J Korean Acad Nurs. 2000;30:720–730.

Figure 1

Process of the study.

Table 1

Individualized Nutritional Education Programs

Table 2

General and Nutritional Characteristics of Participants (N=40)

Exp.=Experimental group; Cont.=Control group; FOLFOX=Oxaliplantin+Leucovorin+5-Fluorouracil; FOLFIRI=Irinotecan+Leucovorin+5-Fluorouracil.

Table 3

Comparison of Nutrient Intake and Nutritional Status between the Groups (N=40)

Exp.=Experimental group; Cont.=Control group; DRICP (%)=Dietary reference intakes for cancer patient.

Table 4

Analysis of Nutrient Intakes in the Experimental and Control Groups (N=40)

Exp.=Experimental group; Cont.=Control group; FDOTE=Fat distribution of total energy.

Figure & Data

REFERENCES

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Effects of Individualized Nutritional Education Programs on the Level of Nutrient Intake and Nutritional Status of Colorectal Cancer Patients Undergoing Palliative Chemotherapy

J Korean Acad Nurs. 2012;42(6):799-809. Published online December 31, 2012

DOI: https://doi.org/10.4040/jkan.2012.42.6.799

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Effects of Individualized Nutritional Education Programs on the Level of Nutrient Intake and Nutritional Status of Colorectal Cancer Patients Undergoing Palliative Chemotherapy

Figure 1 Process of the study.

Figure 1

Effects of Individualized Nutritional Education Programs on the Level of Nutrient Intake and Nutritional Status of Colorectal Cancer Patients Undergoing Palliative Chemotherapy

Table 1

Individualized Nutritional Education Programs

Table 2

General and Nutritional Characteristics of Participants (N=40)

Exp.=Experimental group; Cont.=Control group; FOLFOX=Oxaliplantin+Leucovorin+5-Fluorouracil; FOLFIRI=Irinotecan+Leucovorin+5-Fluorouracil.

Table 3

Comparison of Nutrient Intake and Nutritional Status between the Groups (N=40)

Exp.=Experimental group; Cont.=Control group; DRICP (%)=Dietary reference intakes for cancer patient.

Table 4

Analysis of Nutrient Intakes in the Experimental and Control Groups (N=40)

Exp.=Experimental group; Cont.=Control group; FDOTE=Fat distribution of total energy.

Table 1 Individualized Nutritional Education Programs

Table 2 General and Nutritional Characteristics of Participants (N=40)

Exp.=Experimental group; Cont.=Control group; FOLFOX=Oxaliplantin+Leucovorin+5-Fluorouracil; FOLFIRI=Irinotecan+Leucovorin+5-Fluorouracil.

Table 3 Comparison of Nutrient Intake and Nutritional Status between the Groups (N=40)

Exp.=Experimental group; Cont.=Control group; DRICP (%)=Dietary reference intakes for cancer patient.

Table 4 Analysis of Nutrient Intakes in the Experimental and Control Groups (N=40)

Exp.=Experimental group; Cont.=Control group; FDOTE=Fat distribution of total energy.