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Cancer Nursing:
doi: 10.1097/NCC.0b013e31829193c8
Articles: Online Only

The Effects of Patient Participation–Based Dietary Intervention on Nutritional and Functional Status for Patients With Gastrectomy: A Randomized Controlled Trial

Kim, Hyunsun MSN, RN; Suh, Eunyoung E. PhD, FNP, RN; Lee, Hyuk-Joon MD, PhD; Yang, Han-Kwang MD, PhD

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Abstract

Background:

Patients undergoing gastrectomy because of stomach cancer often face weight loss in the perioperational period, which can lead to malnutrition and negative treatment outcomes.

Objective:

The purpose of this study was to develop a patient participation–based dietary intervention (PPDI) and evaluate its effects on patient outcomes.

Interventions/Methods:

This was a prospective, randomized controlled trial in which the patients were recruited in a cancer center in South Korea. The participants (N = 56), who underwent gastrectomy with stomach cancer stage I to III, were randomly assigned into either the experimental or the control group. The PPDI, which was given on the day before the hospital discharge, comprised 2 face-to-face and 2 telephone interventions. The outcome variables included body weight, body mass index, muscle mass, the Patient-Generated Subjective Global Assessment, Dietary Symptom Scale, Functional Assessment Cancer Therapy–General, Karnofsky Performance Status, Adherence to Dietary Guidelines Scale, Scale of Dietary Knowledge, Patient Satisfaction Scale, and a 3-day food diary.

Results:

Participants in the PPDI intervention demonstrated significant (P < .05) reductions in adverse dietary symptoms and significant improvements (P < .05) in functional status, performance status, dietary intake, adherence to dietary guidelines, dietary knowledge, and satisfaction with the intervention as compared with the control group over time.

Conclusion:

The PPDI was an effective dietary intervention for patients undergoing a gastrectomy for gastric cancer and deserves additional study in other populations of patients.

Implications for Practice:

Incorporating patients’ perspectives into a dietary intervention after gastrectomy for gastric cancer may contribute to improved patient outcomes and quality care.

Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

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