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개별영양교육 프로그램이 고식적 항암화학치료를 받는 대장직장암 환자의 식사섭취량과 영양상태에 미치는 효과

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

Journal of Korean Academy of Nursing 2012년 42권 6호 p.799 ~ 809
KMID : 0806120120420060799
박귀옥 ( Park Kwi-Ock ) - 서울대학교병원 암정보교육센터

최스미 ( Choi-Kwon Smi ) - 서울대학교 간호대학

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
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed