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.

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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.