Nutritional Status and Related Factors in Patients with Gastric Cancer after Gastrectomy: A Cross-Sectional Study
Patients after gastrectomy for gastric cancer are at risk of malnutrition, and poor nutritional status negatively affects patients’ clinical outcomes. Knowledge of the factors influencing patients’ nutritional status can inform interventions for improving patients’ nutrition. A cross-sectional study...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-06-01
|
| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/14/13/2634 |
| _version_ | 1797408449156349952 |
|---|---|
| author | Hui-Mei Wang Tsae-Jyy Wang Ching-Shui Huang Shu-Yuan Liang Chia-Hui Yu Ting-Ru Lin Kuo-Feng Wu |
| author_facet | Hui-Mei Wang Tsae-Jyy Wang Ching-Shui Huang Shu-Yuan Liang Chia-Hui Yu Ting-Ru Lin Kuo-Feng Wu |
| author_sort | Hui-Mei Wang |
| collection | DOAJ |
| description | Patients after gastrectomy for gastric cancer are at risk of malnutrition, and poor nutritional status negatively affects patients’ clinical outcomes. Knowledge of the factors influencing patients’ nutritional status can inform interventions for improving patients’ nutrition. A cross-sectional study was conducted to describe nutritional status and related factors in gastric cancer patients after gastrectomy. A convenience sample of gastric cancer patients with gastrectomy was recruited from general surgery or oncology clinics of a medical center in northern Taiwan. Data were collected with self-reported questionnaires, including the Functional Assessment Cancer Therapy—Gastric Module version 4, the Concerns in Meal Preparation scale, the Center for Epidemiologic Studies Depression Scale, and the Mini Nutrition Assessment. One hundred and one gastric cancer patients participated in the study. There were 81 cases of subtotal gastrectomy and 20 cases of total gastrectomy. Most patients (52.5%) were malnourished or at risk. Linear regression showed that symptom severity (<i>β</i> = −0.43), employment status (<i>β</i> = 0.19), and difficulty in diet preparation (<i>β</i> = −0.21) were significant predictors of nutritional status. Together, these three variables explained 35.8% of the variance in patient nutritional status (<i>F</i> = 20.3, <i>p</i> < 0.001). More than 50% of our participants were malnourished or at risk for malnutrition, indicating a need for continued monitoring and support after discharge from hospitals. Special attention should be given to patients with severe symptoms, unemployment, and difficulties in diet preparation. |
| first_indexed | 2024-03-09T03:59:38Z |
| format | Article |
| id | doaj.art-955e06a95b0e45e2927cc8975ff0f10a |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T03:59:38Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-955e06a95b0e45e2927cc8975ff0f10a2023-12-03T14:16:11ZengMDPI AGNutrients2072-66432022-06-011413263410.3390/nu14132634Nutritional Status and Related Factors in Patients with Gastric Cancer after Gastrectomy: A Cross-Sectional StudyHui-Mei Wang0Tsae-Jyy Wang1Ching-Shui Huang2Shu-Yuan Liang3Chia-Hui Yu4Ting-Ru Lin5Kuo-Feng Wu6Department of Nursing, Cathay General Hospital, Taipei 106, TaiwanSchool of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, TaiwanConsultant for Medical Affairs, Department of Surgery, Cathay General Hospital, Taipei 106, TaiwanSchool of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei 104, TaiwanSchool of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, TaiwanDepartment of Nurse-Midwifery and Women Health, National Taipei University of Nursing and Health Science, Taipei 112, TaiwanPatients after gastrectomy for gastric cancer are at risk of malnutrition, and poor nutritional status negatively affects patients’ clinical outcomes. Knowledge of the factors influencing patients’ nutritional status can inform interventions for improving patients’ nutrition. A cross-sectional study was conducted to describe nutritional status and related factors in gastric cancer patients after gastrectomy. A convenience sample of gastric cancer patients with gastrectomy was recruited from general surgery or oncology clinics of a medical center in northern Taiwan. Data were collected with self-reported questionnaires, including the Functional Assessment Cancer Therapy—Gastric Module version 4, the Concerns in Meal Preparation scale, the Center for Epidemiologic Studies Depression Scale, and the Mini Nutrition Assessment. One hundred and one gastric cancer patients participated in the study. There were 81 cases of subtotal gastrectomy and 20 cases of total gastrectomy. Most patients (52.5%) were malnourished or at risk. Linear regression showed that symptom severity (<i>β</i> = −0.43), employment status (<i>β</i> = 0.19), and difficulty in diet preparation (<i>β</i> = −0.21) were significant predictors of nutritional status. Together, these three variables explained 35.8% of the variance in patient nutritional status (<i>F</i> = 20.3, <i>p</i> < 0.001). More than 50% of our participants were malnourished or at risk for malnutrition, indicating a need for continued monitoring and support after discharge from hospitals. Special attention should be given to patients with severe symptoms, unemployment, and difficulties in diet preparation.https://www.mdpi.com/2072-6643/14/13/2634diet preparationnutritional statusgastric cancergastrectomysymptom |
| spellingShingle | Hui-Mei Wang Tsae-Jyy Wang Ching-Shui Huang Shu-Yuan Liang Chia-Hui Yu Ting-Ru Lin Kuo-Feng Wu Nutritional Status and Related Factors in Patients with Gastric Cancer after Gastrectomy: A Cross-Sectional Study Nutrients diet preparation nutritional status gastric cancer gastrectomy symptom |
| title | Nutritional Status and Related Factors in Patients with Gastric Cancer after Gastrectomy: A Cross-Sectional Study |
| title_full | Nutritional Status and Related Factors in Patients with Gastric Cancer after Gastrectomy: A Cross-Sectional Study |
| title_fullStr | Nutritional Status and Related Factors in Patients with Gastric Cancer after Gastrectomy: A Cross-Sectional Study |
| title_full_unstemmed | Nutritional Status and Related Factors in Patients with Gastric Cancer after Gastrectomy: A Cross-Sectional Study |
| title_short | Nutritional Status and Related Factors in Patients with Gastric Cancer after Gastrectomy: A Cross-Sectional Study |
| title_sort | nutritional status and related factors in patients with gastric cancer after gastrectomy a cross sectional study |
| topic | diet preparation nutritional status gastric cancer gastrectomy symptom |
| url | https://www.mdpi.com/2072-6643/14/13/2634 |
| work_keys_str_mv | AT huimeiwang nutritionalstatusandrelatedfactorsinpatientswithgastriccanceraftergastrectomyacrosssectionalstudy AT tsaejyywang nutritionalstatusandrelatedfactorsinpatientswithgastriccanceraftergastrectomyacrosssectionalstudy AT chingshuihuang nutritionalstatusandrelatedfactorsinpatientswithgastriccanceraftergastrectomyacrosssectionalstudy AT shuyuanliang nutritionalstatusandrelatedfactorsinpatientswithgastriccanceraftergastrectomyacrosssectionalstudy AT chiahuiyu nutritionalstatusandrelatedfactorsinpatientswithgastriccanceraftergastrectomyacrosssectionalstudy AT tingrulin nutritionalstatusandrelatedfactorsinpatientswithgastriccanceraftergastrectomyacrosssectionalstudy AT kuofengwu nutritionalstatusandrelatedfactorsinpatientswithgastriccanceraftergastrectomyacrosssectionalstudy |