Korean J Women Health Nurs.  2014 Jun;20(2):117-125. 10.4069/kjwhn.2014.20.2.117.

Relationships among Malnutrition, Depression and Quality of Life in Patients with Gynecologic Cancer receiving Chemotherapy

Affiliations
  • 1Department of Nursing, University of Ulsan, Ulsan, Korea.
  • 2College of Nursing, Chonbuk National University, Jeonju, Korea. srkim@jbnu.ac.kr
  • 3Ulsan University Hospital, Ulsan, Korea.
  • 4College of Medicine, University of Ulsan, Ulsan, Korea.
  • 5Department of Obstetrics and Gynecology, Ulsan University Hospital, Ulsan, Korea.

Abstract

PURPOSE
The purpose of this study was to identify nutritional status, and relationships among malnutrition, depression and quality of life in patients with gynecologic cancer who were receiving chemotherapy.
METHODS
For this study a descriptive cross-sectional design was used. Participants were 111 women who were enrolled and agreed to undergo a face-to-face interviews including administration of the structured questionnaires: Patient-Generated Subjective Global Assessment (PG-SGA), Beck Depression Inventory (BDI), Simplified Nutritional Appetite Questionnaire (SNAQ), and Functional Assessment of Cancer Therapy-General (FACT-G).
RESULTS
Mean body mass index was 23.3 and mean body weight was 56.5 kg. Sixty-three (57%) of the 111 patients were malnourished according to the PG-SGA. The malnourished patients showed higher levels of depression and lower quality of life compared to the non-malnourished patients. In addition, malnutrition was associated with BMI level, depression, appetite and quality of life.
CONCLUSION
The findings indicate that the prevalence of malnutrition is high and malnutrition in patients with gynecologic cancer influences depression and adversely affects the quality of life of these women. To improve the patient's quality of life, nutritional assessment and appropriate management is important to decrease malnutrition in patients with gynecologic cancer.

Keyword

Chemotherapy; Gynecologic neoplasm; Malnutrition; Depression; Quality of life

MeSH Terms

Appetite
Body Mass Index
Body Weight
Depression*
Drug Therapy*
Female
Genital Neoplasms, Female
Humans
Malnutrition*
Nutrition Assessment
Nutritional Status
Prevalence
Quality of Life*
Questionnaires

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