Asian Oncol Nurs.  2018 Jun;18(2):75-85. 10.5388/aon.2018.18.2.75.

Knowledge of and Compliance with Neutropenic Diet in Patients with Hematologic Malignancy undergoing Chemotherapy

Affiliations
  • 1Department of Nursing, Pusan National University Hospital, Busan, Korea.
  • 2Department of Nursing, Dong-Eui University, Busan, Korea. vandi@deu.ac.kr
  • 3College of Nursing, Pusan National University, Yangsan, Korea.

Abstract

PURPOSE
This study aimed to investigate knowledge of and compliance with the neutropenic diet in hemato-oncology patients undergoing chemotherapy.
METHODS
123 hemato-oncology patients who had more than one chemotherapy participated in this study. Data were collected with a self-administered questionnaire from July 21 to September 26, 2014, and analyzed with SPSS 21.0 program using descriptive statistics, t-test, ANOVA and Pearson's correlation.
RESULTS
The average of score for the neutropenic diet was 60.9 out of 100 points and mean compliance score was 69.5 out of 100 percent scale. For preventing infection, patients were found to be stricter in their intake of restricted foods than acceptable foods during neutropenia. There were significant correlations between the knowledge of and compliance with the neutropenic diet in patients receiving chemotherapy (r=.53, p<.001).
CONCLUSION
It is necessary to nursing assessment and education should include a periodic assessment of nutritional status and risk evaluation of neutropenia and bacterial infections. This study recommended nursing research to establish a recommendation criterion for a restrictive neutropenic diet and less restrictive food safety education programs for cancer patients.

Keyword

Drug Therapy; Compliance; Diet; Knowledge; Neutropenia

MeSH Terms

Bacterial Infections
Compliance*
Diet*
Drug Therapy*
Education
Food Safety
Hematologic Neoplasms*
Humans
Neutropenia
Nursing Assessment
Nursing Research
Nutritional Status

Reference

1. Park HJ, Park EH, Jung KW, Kong HJ, Won YJ, Lee JY, et al. Statistics of hematologic malignancies in Korea: incidence, prevalence and survival rates from 1999 to 2008. Korean J Hematol. 2012; 47:28–38.
Article
2. Kuderer NM, Dale DC, Crawford J, Cosler LE, Lyman GH. Mortality, morbidity, and cost associated with febrile neutropenia in adult cancer patients. Cancer. 2006; 106:2258–66.
Article
3. Crawford J, Dale DC, Kuderer NM, Culakova E, Poniewierski MS, Wolff D, et al. Risk and timing of neutropenic events in adult cancer patients receiving chemotherapy: the results of a prospective nation-wide study of oncology practice. J Natl Compr Canc Netw. 2008; 6:109–18.
Article
4. Jubelirer SJ. The benefit of the neutropenic diet: fact or fiction? Oncolo-gist. 2011; 16:704–7.
Article
5. Freifeld AG, Bow EJ, Sepkowitz KA, Boeckh MJ, Ito JI, Mullen CA, et al. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the Infectious Diseases Society of America. Clin Infect Dis. 2011; 52:e56–93.
Article
6. Barber FD. Management of Fever in neutropenic patients with cancer. Nurs Clin North Am. 2001; 36:631–44. v.
7. Nirenberg A, Parry Bush A, Davis A, Friese CR, Wicklin Gillespie T, Rice RD. Neutropenia: state of the knowledge part II. Oncol Nurs Fo-rum. 2006; 33:1202–8.
Article
8. Smith LH, Besser SG. Dietary restrictions for patients with neutropenia: a survey of institutional practices. Oncol Nurs Forum. 2000; 27:515–20.
9. Lund BM, O'Brien SJ. The occurrence and prevention of foodborne disease in vulnerable people. Foodborne Pathog Dis. 2011; 8:961–73.
Article
10. Jeon OK, Yim SE, Jeong IS, Yun EY, Kim MH, Park YS, et al. Survey on dietary restrictions for neutropenic patients. J Korean Oncol Nurs. 2010; 10:210–7.
Article
11. Moody K, Charlson ME, Finlay J. The neutropenic diet: what's the evidence? J Pediatr Hematol Oncol. 2002; 24:717–21.
Article
12. Garófolo A. Neutropenic diet and quality of food: a critical analysis. Rev Bras Hematol Hemoter. 2013; 35:79–80.
Article
13. Kubrak C, Jensen L. Critical evaluation of nutrition screening tools recommended for oncology patients. Cancer Nurs. 2007; 30:E1–6.
Article
14. Leuenberger M, Kurmann S, Stanga Z. Nutritional screening tools in daily clinical practice: the focus on cancer. Support Care Cancer. 2010; 18(Suppl 2):S17–27.
Article
15. Foster M. Reevaluating the neutropenic diet: time to change. Clin J Oncol Nurs. 2014; 18:239–41.
Article
16. van Tiel F, Harbers MM, Terporten PH, van Boxtel RT, Kessels AG, Voss GB, et al. Normal hospital and low-bacterial diet in patients with cytopenia after intensive chemotherapy for hematological malignancy: a study of safety. Ann Oncol. 2007; 18:1080–4.
Article
17. Gardner A, Mattiuzzi G, Faderl S, Borthakur G, Garcia-Manero G, Pierce S, et al. Randomized comparison of cooked and noncooked di-ets in patients undergoing remission induction therapy for acute my-eloid leukemia. J Clin Oncol. 2008; 26:5684–8.
Article
18. Sonbol MB, Firwana B, Diab M, Zarzour A, Witzig TE. The effect of a neutropenic diet on infection and mortality rates in cancer patients: a metaanalysis. Nutr Cancer. 2015; 67:1230–8.
Article
19. Mank AP, Davies M. Research subgroup of the European Group for Blood and Marrow Transplantation Nurses Group (EBMT-NG). Ex-amining low bacterial dietary practice: a survey on low bacterial food. Eur J Oncol Nurs. 2008; 12:342–8.
Article
20. Food and Drug Administration (US). Food safety for people with cancer [Internet]. Available from. https://www.fda.gov/food/foodbor-neillnesscontaminants/peopleatrisk/ucm312565.htm. [Accessed March 14, 2018].
21. Centers for Disease Control and Prevention (US). Preventing infections in cancer patients [Internet]. Available from. https://www.cdc.gov/cancer/preventinfections. [Accessed March 14, 2018].
22. Carr SE, Halliday V. Investigating the use of the neutropenic diet: a survey of U.K. dietitians. J Hum Nutr Diet. 2015; 28:510–5.
Article
23. Kim MA, Jeong IS. Comparison of perception of the neutropenic diet between nurses and patients. Asian Oncol Nurs. 2012; 12:331–8.
Article
24. Shelton BK. Evidence-based care for the neutropenic patient with leukemia. Semin Oncol Nurs. 2003; 19:133–41.
Article
25. Yang YH, Kwon SJ, Kim CI. The nutritional status of the patients with cancer during the chemotherapies. J Korean Acad Nurs. 2001; 31:978–87.
Article
26. Byun MS, Kim NH. Energy intake and fatigue in patients receiving chemotherapy. J Korean Biol Nurs Sci. 2012; 14:258–67.
Article
27. The Korean Dietetic Association. Manual of medical nutrition therapy. 3rd ed.Seoul: The Korean Dietetic Association;2008.
28. Lee JY. A study on effectiveness of dietary self-efficacy, dietary knowledge and social support for exercise-diet compliance of patients on hemodialysis [dissertation]. Seoul: Yonsei Univ.;2007.
29. Na HR. A study of the relationship among dietary knowledge, self-care practice, nutritional status in patients on hemodialysis [dissertation]. Gwangju: Chonnam National Univ.;2009.
30. Moon SH, Lee YW, Ham OK, Kim SH. The effect of the experience of diabetes education on knowledge, self-care behavior and glycosylated hemoglobin in type 2 diabetic patients. J Korean Acad Soc Nurs Educ. 2014; 20:81–92.
Article
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