Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effects of Lifestyle Intervention on Fatigue, Nutritional Status and Quality of Life in Patients with Gynecologic Cancer

생활습관중재가 부인암 환자의 피로와 영양상태 및 삶의 질에 미치는 효과

  • An, Hyunjin (Department of Nursing, Asan Medical Center) ;
  • Nho, Ju-Hee (College of Nursing, Chonnam National University) ;
  • Yoo, Sunyoung (Department of Nursing, Asan Medical Center) ;
  • Kim, Hyunmin (Department of Nursing, Asan Medical Center) ;
  • Nho, Minji (Department of Nursing, Asan Medical Center) ;
  • Yoo, Hojeong (Department of Nursing, Asan Medical Center)
  • Received : 2015.06.16
  • Accepted : 2015.08.04
  • Published : 2015.12.31
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Abstract

Purpose: The purpose of this study was to examine the effect of lifestyle intervention on the development of fatigue, nutritional status and quality of life of patients with gynecologic cancer. Methods: A nonequivalent control group quasi-experimental design was used. Participants were 49 patients with gynecologic cancer. They were assigned to the experiment group (n=24) or the control group (n=25). The lifestyle intervention for this study consisted of physical activity, nutritional education, telephone call counseling, health counseling, monitoring for lifestyle, and affective support based on Cox's Interaction Model of Client Health Behavior and was implemented for six weeks. Results: Significant group differences were found for fatigue (p =.037), nutritional status (p =.034) and social/family well-being (p =.035) in these patients with gynecologic cancer. Conclusion: Results indicate that this lifestyle intervention is effective in lessening fatigue, and improving nutritional status and social/family well-being. Therefore, nurses in hospitals should develop strategies to expand and provide lifestyle interventions for patients with cancer.

Keywords

References

  1. Ministry of Health & Welfare, Korea Central Cancer Registry, National Cancer Center. Annual report of cancer statistics in Korea in 2009. Seoul: Ministry of Health & Welfare; 2010.
  2. von Gruenigen VE, Frasure HE, Kavanagh MB, Lerner E, Waggoner SE, Courneya KS. Feasibility of a lifestyle intervention for ovarian cancer patients receiving adjuvant chemotherapy. Gynecologic Oncology. 2011;122(2):328-333. http://dx.doi.org/10.1016/j.ygyno.2011.04.043
  3. Lawrence DP, Kupelnick B, Miller K, Devine D, Lau J. Evidence report on the occurrence, assessment, and treatment of fatigue in cancer patients. Journal of the National Cancer Institute Monographs. 2004;32:40-50. http://dx.doi.org/10.1093/jncimonographs/lgh027
  4. Mock V, Pickett M, Ropka ME, Muscari Lin E, Stewart KJ, Rhodes VA, et al. Fatigue and quality of life outcomes of exercise during cancer treatment. Cancer Practice. 2001;9(3):119-127. https://doi.org/10.1046/j.1523-5394.2001.009003119.x
  5. Cramp F, Daniel J. Exercise for the management of cancer-related fatigue in adults. The Cochrane Database of Systematic Reviews. 2008;2:CD006145. http://dx.doi.org/10.1002/14651858.CD006145.pub2
  6. Albrecht TA, Taylor AG. Physical activity in patients with advanced- stage cancer: A systematic review of the literature. Clinical Journal of Oncology Nursing. 2012;16(3):293-300. http://dx.doi.org/10.1188/12.cjon.293-300
  7. Sternfeld B, Weltzien E, Quesenberry CP, Jr., Castillo AL, Kwan M, Slattery ML, et al. Physical activity and risk of recurrence and mortality in breast cancer survivors: Findings from the LACE study. Cancer Epidemiology Biomarkers and Prevention. 2009;18 (1):87-95. http://dx.doi.org/10.1158/1055-9965.epi-08-0595
  8. Nho JH. Effect of PLISSIT model sexual health enhancement program for women with gynecologic cancer and their husbands. Journal of Korean Academy of Nursing. 2013;43(5):681-689. http://dx.doi.org/10.4040/jkan.2013.43.5.681
  9. Nho JH, Kim SR, Kang GS, Kwon YS. Relationships among malnutrition, depression and quality of life in patients with gynecologic cancer receiving chemotherapy. Korean Journal of Women Health Nursing. 2014;20(2):117-125. http://dx.doi.org/10.4069/kjwhn.2014.20.2.117
  10. Morey MC, Snyder DC, Sloane R, Cohen HJ, Peterson B, Hartman TJ, et al. Effects of home-based diet and exercise on functional outcomes among older, overweight long-term cancer survivors: RENEW: A randomized controlled trial. JAMA: Journal of the American Medical Association. 2009;301(18):1883-1891. http://dx.doi.org/10.1001/jama.2009.643
  11. Egger G, Binns A, Rossner S. Lifestyle medicine: Managing diseases of lifestyle in the 21st century. 2nd ed. Research of Lifestyle Medicine, translator. North Ryde, NSW: McGraw-Hill; 2011.
  12. Doyle C, Kushi LH, Byers T, Courneya KS, Demark-Wahnefried W, Grant B, et al. Nutrition and physical activity during and after cancer treatment: An American Cancer Society guide for informed choices. CA: A Cancer Journal for Clinicians. 2006;56(6):323-353. https://doi.org/10.3322/canjclin.56.6.323
  13. The Royal Australian College of General Practitioners. Smoking, nutrition, alcohol, physical activity (SNAP): A population health guide to behavioural risk factors in general practice [Internet]. Melbourne, AU: Author; 2015 [cited 2015 July 10]. Available from: http://www.racgp.org.au/download/Documents/Guidelines/snap.pdf.
  14. Hudon C, Fortin M, Soubhi H. Single risk factor interventions to promote physical activity among patients with chronic diseases: Systematic review. Canadian Family Physician. 2008;54(8):1130-1137.
  15. von Gruenigen VE, Courneya KS, Gibbons HE, Kavanagh MB, Waggoner SE, Lerner E. Feasibility and effectiveness of a lifestyle intervention program in obese endometrial cancer patients: A randomized trial. Gynecologic Oncology. 2008;109(1):19-26. http://dx.doi.org/10.1016/j.ygyno.2007.12.026
  16. Cox CL. An interaction model of client health behavior: Theoretical prescription for nursing. ANS Advances in Nursing Science. 1982;5(1):41-56. https://doi.org/10.1097/00012272-198210000-00007
  17. Park MN, Choi SY. Development of reproductive health program and identification of effect for married women immigrants. Journal of Korean Academy of Nursing. 2014;44(3):248-258. http://dx.doi.org/10.4040/jkan.2014.44.3.248
  18. Van Belle S, Paridaens R, Evers G, Kerger J, Bron D, Foubert J, et al. Comparison of proposed diagnostic criteria with FACT-F and VAS for cancer-related fatigue: Proposal for use as a screening tool. Supportive Care in Cancer. 2005;13(4):246-254. http://dx.doi.org/10.1007/s00520-004-0734-y
  19. Ottery FD. Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition. 1996;12(1 Suppl): S15-S19. https://doi.org/10.1016/0899-9007(96)90011-8
  20. Bauer J, Capra S, Ferguson M. Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. European Journal of Clinical Nutrition. 2002;56(8):779-785. http://dx.doi.org/10.1038/sj.ejcn.1601412
  21. Cella DF. FACIT manual: Manual of the functional assessment of chronic illness therapy (FACIT) measurement system. 4th ed. Evanston, IL: Center on Outcomes, Research and Education; 1997.
  22. Cho MY, Park JY, Lee CE, Song SK, Lee SH, Byun ES, et al. The effect of a video exercise program on cancer-related fatigue, physical function and emotional status in patients with cancer during chemotherapy. Journal of Korean Clinical Nursing Research. 2012;18(3):368-380. https://doi.org/10.22650/JKCNR.2012.18.3.368
  23. Vickers AJ, Altman DG. Statistics notes: Analysing controlled trials with baseline and follow up measurements. BMJ: British Medical Journal. 2001;323(7321):1123-1124. https://doi.org/10.1136/bmj.323.7321.1123
  24. Demark-Wahnefried W, Peterson B, McBride C, Lipkus I, Clipp E. Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas. Cancer. 2000;88(3):674-684. https://doi.org/10.1002/(SICI)1097-0142(20000201)88:3<674::AID-CNCR26>3.0.CO;2-R
  25. Speck RM, Courneya KS, Masse LC, Duval S, Schmitz KH. An update of controlled physical activity trials in cancer survivors: A systematic review and meta-analysis. Journal of Cancer Survivorship. 2010;4(2):87-100. http://dx.doi.org/10.1007/s11764-009-0110-5
  26. Oldervoll LM, Loge JH, Paltiel H, Asp MB, Vidvei U, Wiken AN, et al. The effect of a physical exercise program in palliative care: A phase II study. Journal of Pain and Symptom Management. 2006;31(5):421-430. http://dx.doi.org/10.1016/j.jpainsymman.2005.10.004
  27. Alshadwi A, Nadershah M, Carlson ER, Young LS, Burke PA, Daley BJ. Nutritional considerations for head and neck cancer patients: A review of the literature. Journal of Oral and Maxillofacial Surgery. 2013;71(11):1853-1860. http://dx.doi.org/10.1016/j.joms.2013.04.028
  28. Byun MS, Kim NH. Energy intake and fatigue in patients receiving chemotherapy. The Journal of Korean Biological Nursing Science. 2012;14(4):258-267. http://dx.doi.org/10.7586/jkbns.2012.14.4.258
  29. Dhillon HM, van der Ploeg HP, Bell ML, Boyer M, Clarke S, Vardy J. The impact of physical activity on fatigue and quality of life in lung cancer patients: A randomised controlled trial protocol. BMC Cancer. 2012;12:572. http://dx.doi.org/10.1186/1471-2407-12-572
  30. Pierce JP, Faerber S, Wright FA, Rock CL, Newman V, Flatt SW, et al. A randomized trial of the effect of a plant-based dietary pattern on additional breast cancer events and survival: The Women's Healthy Eating and Living (WHEL) study. Controlled Clinical Trials. 2002;23(6):728-756. https://doi.org/10.1016/S0197-2456(02)00241-6

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