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Relationship between Fatigue and Nutritional status in Patents with Gastric Cancer

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KMID : 1150520030020010043
¼Õ¼ö°æ ( Son Su-Kyung ) - °í½Å´ëÇб³ °£È£´ëÇÐ

ÇÑ¿µÀΠ( Han Young-In ) - °í½Å´ëÇб³ ´ëÇпø °£È£Çаú
±è°æÈñ ( Kim Kyoung-Hee ) - °í½Å´ëÇб³ ´ëÇпø °£È£Çаú

Abstract

Purpose: The purpose of this study was to identify the relationship between fatigue and nutritional status in patients with gastric cancer.

Design: A correlational and crossectional study design was used
Method: The data was collected from July to August 2002. 59 subjects with gastric cancer were recruited K university hospital in Busan, Korea. Fatigue was measured using the Revised Piper Fatigue Scale developed by Piper et. al(1998). The parameters for nutritional status included body weight, body mass index, hemoglobin, Hct, total protein, albumin and lymphocyte count.

Result: 1)The fatigue score was mean 94.31÷Ï22.08(mean average 4.48÷Ï1.00) the subdimension that showed behavior/severity score at 34.15¡¾8.76, cognitive/mood score at 22.00÷Ï7.93,sensory score at 21.67¡¾5.56, and affective score at 20.81¡¾6.69. And among the parameters for nutritional starus, BMI, Hb, Hct were not included normal rage. 2)There was a significant difference in present diet(F=3.343, P=.026) according to general characteristics in the fatigue in patients with gastric cancer. 3) The disease-related characteristics such as Age, treatment type, after period diagnosis, care giver, payment were frequently related to poorer nutritional status. Subjects received chemotherapy showed lower lymphocyte level than subjects received operation, and the subjects were diagnosis less than 1 month, were showed lower Hematocrete level. 4) There was a significant negative correlation between fatigue and nutritional status(r= -.371,
P=.004).

Conclusion: Patients with gastric cancer experience in fatigue. 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
KeyWords
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Fatigue, Nutritional status, Patients with gastric cancer
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