Ann Surg Treat Res.  2016 Feb;90(2):79-88. 10.4174/astr.2016.90.2.79.

Effects of intensive nutrition education on nutritional status and quality of life among postgastrectomy patients

• Lee HO
• Han SR
• Choi SI
• Lee JJ
• Kim SH
• Ahn HS
• Lim H

• KMID: 2166826
• DOI: http://doi.org/10.4174/astr.2016.90.2.79

Abstract

PURPOSE
We examined the effects of 3 months of intensive education (IE) after hospital discharge compared to conventional education (CE) on nutritional status and quality of diet and life among South Korean gastrectomy patients.
METHODS
The study was conducted among 53 hospitalized gastrectomy in-patients (IE group, n = 28; CE group, n = 25) at Kyung Hee University Hospital at Gangdong. Baseline data were collected from electronic medical records and additional information was gathered via anthropometric measurements, assessment of nutritional status through a patient-generated, subjective global assessment (PG-SGA), diet assessment, and measures of self-efficacy and satisfaction with meals for 3 months following hospital discharge.
RESULTS
Total PG-SGA scores were significantly higher in the CE group than in the IE group at 3-week post-discharge (5.2 in the IE group vs. 10.4 in the CE group, P < 0.001), with higher scores indicating a greater severity of malnutrition. Energy intake over the 3 months increased in both the IE group (from 1,390 to 1,726 kcal/day) and the CE group (from 1,227 to 1,540 kcal/day). At 3-week post-discharge, the IE group had significantly higher daily protein and fat intake (P < 0.05). Self-efficacy improved in each category (P < 0.001), except for 'difficulty eating adequate food'. When assessing satisfaction with meals, there was a difference in the 'satisfaction with the current meal size' (P < 0.001) and 'satisfaction with the menu content' (P < 0.001).
CONCLUSION
Nutritional status among gastrectomy patients in the IE group improved. Relative to the CE control, the IE group demonstrated improved self-efficacy and meal satisfaction 3-week post-discharge.

Keyword

Gastrectomy; Stomach neoplasms; Nutritional status; Nutrition therapy; Nutrition assessment

MeSH Terms

Diet
Eating
Education*
Electronic Health Records
Energy Intake
Gastrectomy
Humans
Malnutrition
Meals
Nutrition Assessment
Nutrition Therapy
Nutritional Status*
Quality of Life*
Stomach Neoplasms

Figure

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  Fig. 1 Participant flowchart of the study.

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  Fig. 2 Comparison of anthropometric parameters between intensive education (IE) and conventional education (CE) groups: (A) weight, (B) midarm circumference (MAC), (C) triceps skinfold thickness (TSF), and (D) midarm muscle circumference (MAMC). *Significantly different at P < 0.05 between group by Mann-Whitney test. a)Significantly different at P < 0.001 within each group using the Friedman test. 0th, at admission (baseline); 3rd, at discharge; 5th, 3 weeks after discharge; 7th, 3 months after discharge.

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