Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2012 Dec;42(6):799-809. Korean.
    Published online Dec 31, 2012.
    https://doi.org/10.4040/jkan.2012.42.6.799
    © 2012 Korean Society of Nursing Science
    Original Article

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

    Kwi Ock Park,1 and Smi Choi-Kwon2
      • 1Center for Cancer Education and Information, Seoul National University Hospital, Seoul, Korea.
      • 2College of Nursing, Seoul National University, The Research Institute of Nursing Science, Seoul, Korea.
    • Address reprint requests to: Choi-Kwon, Smi. College of Nursing, The Research Institute of Nursing Science, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 110-799, Korea. Tel: +82-2-740-8830, Fax: +82-2-765-4103, Email: smi@snu.ac.kr
    Received January 04, 2012; Accepted November 07, 2012.

    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

    Figures

    Figure 1
    Process of the study.

    Tables

    Table 1
    Individualized Nutritional Education Programs

    Table 2
    General and Nutritional Characteristics of Participants (N=40)

    Table 3
    Comparison of Nutrient Intake and Nutritional Status between the Groups (N=40)

    Table 4
    Analysis of Nutrient Intakes in the Experimental and Control Groups (N=40)

    Notes

    This article is an addition based on the first author's master's thesis from Seoul National University.

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    MeSH Terms
    Energy Intake*
    Nutritional Status*
    Patient Education as Topic*
    Adult
    Aged
    Antineoplastic Combined Chemotherapy Protocols/therapeutic use
    Body Mass Index
    Body Weight
    Colorectal Neoplasms/drug therapy
    Colorectal Neoplasms/psychology*
    Counseling
    Female
    Humans
    Male
    Middle Aged
    Nutrition Assessment
    Palliative Care
    Program Evaluation
    Serum Albumin/analysis
    Metrics
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