Aspects of Health-Related Factors and Nutritional Care Needs by Survival Stage among Female Cancer Patients in South KoreaReport as inadecuate




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Purpose

This study examined diet-related problems and needs associated with nutritional care according to survival stage in Korean female cancer survivors.

Methods

186 outpatients breast or gynecologic cancer survivors recruited. Subjects were classified as 1 extended stage ES, 2–5 years from diagnosis and 2 long-term stage LS, ≥5 years from diagnosis. Eating habits, changes in health related factors, nutritional needs, and quality of life were investigated.

Results

43% of ES survivors had diet-related problems p = .031; ES group reported dyspepsia and LS group reported anorexia-nausea as the major problem. Half of ES survivors had taste change, decreasing amount of intake, and reduced quality of life p < .05. The LS group had a greater preference for sweet tastes than the ES group. According to their diagnosis, ES survivors with breast cancer gained weight 27.1%, whereas ES survivors with gynecologic cancer lost their body weight 34.5% significantly. LS breast cancer patients showed great food preference for vegetables, whereas those with gynecologic cancer showed an increased preference for fish, meat and grain. Approximately 90% of survivors demanded nutritional care regarding restricted foods, preventing recurrence, particularly in ES survivors p < .01. Moreover, main factors for nutritional care needs were body weight control for breast cancer and food environment for gynecologic cancer.

Conclusion

Survivors have different aspects of diet-related problems by survival stage as dyspepsia in ES and anorexia in LS. ES stage had changes in dietary patterns and their food consumption have decreased. Most of survivors have demanded nutritional care regardless of survival stage. These features of each stage should be considered to improve their health.



Author: Yoonsun Lee , Hyunsoo Shin , Eunjoo Bae, Hyunjung Lim

Source: http://plos.srce.hr/



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