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호중구감소증 환자의 식품별 섭취허용에 대한 간호사와 환자의 인식 비교

Comparison of Perception of the Neutropenic Diet between Nurses and Patients

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Purpose: This descriptive study aimed to compare the perception of the acceptable foods for the neutropenic diet between nurses and patients by food type. Methods: The participants were 225 nurses working at chemotherapy wards and 71 patients in chemotherapy treatment. Data were collected with a self-administered questionnaire from January 2 to February 24, 2012, and analyzed with SPSS 12.0 program using descriptive statistics and the χ²-test. Results: Eighty-eight point eight percent of nurses and 76.1% of cancer patients thought the patients needed the neutropenic diets. The most important decisional criteria to determine dietary restriction was neutrophil count for nurses and food type for patients. The two groups showed significantly different allowance to raw fruits and raw vegetables, sterilized canned juice, fried vegetables, yogurt, uncooked tofu, salted fish, cooked fish, cooked shellfish, uncooked grain powder, jellified food, home-made bread/cookies, nuts including peanuts, instant coffee or tea and tea brewed. In general, patients were more permissive about the neutropenic diet than nurses. Conclusion: It is recommended to consider patients’ preference as well as nurses’ professional knowledge and publish standardized clinical diet guidelines for neutropenic patients with collaboration between nurses and patient representatives.

Abstract

Purpose: This descriptive study aimed to compare the perception of the acceptable foods for the neutropenic diet between nurses and patients by food type. Methods: The participants were 225 nurses working at chemotherapy wards and 71 patients in chemotherapy treatment. Data were collected with a self-administered questionnaire from January 2 to February 24, 2012, and analyzed with SPSS 12.0 program using descriptive statistics and the χ²-test. Results: Eighty-eight point eight percent of nurses and 76.1% of cancer patients thought the patients needed the neutropenic diets. The most important decisional criteria to determine dietary restriction was neutrophil count for nurses and food type for patients. The two groups showed significantly different allowance to raw fruits and raw vegetables, sterilized canned juice, fried vegetables, yogurt, uncooked tofu, salted fish, cooked fish, cooked shellfish, uncooked grain powder, jellified food, home-made bread/cookies, nuts including peanuts, instant coffee or tea and tea brewed. In general, patients were more permissive about the neutropenic diet than nurses. Conclusion: It is recommended to consider patients’ preference as well as nurses’ professional knowledge and publish standardized clinical diet guidelines for neutropenic patients with collaboration between nurses and patient representatives.

참고문헌 (18)

  1. Kim NJ, "Infections in neutropenic patients", J Infect Chemother, 18, pp.369~377 (2000)
  2. Barber FD, "Management of fever in neutropenic patients with cancer", Nurs Clin North Am, 36, pp.631~644 (2001)
  3. Restau J, "The neutropenic diet: Does the evidence support this intervention?", Clin Nurse Spec, 22, pp.208~211 (2008)
  4. French MR, "A survey of the use of low microbial diets in pediatric bone marrow tranplant programs", J Am Diet Assoc, 101, pp.1194~1198 (2001)
  5. Smith LH, "Dietary restrictions for patients with neutropenia : A survey of institutional practices", Oncol Nurs Forum, 27, pp.515~520 (2000)
  6. Todd J, "reasonable prudence or clinical superstition?", reasonable prudence or clinical superstition? Cancer Pract, 7, pp.205~207 (1999)
  7. DeMille D, "The effect of the neutropenic diet in the outpatient setting: A pilot study", Oncol Nurs Forum, 33, pp.337~343 (2006)
  8. Moody K, "Feasibility and safety of a pilot randomized trial of infection rate: Neutropenic diet versus standard food safety guidelines", J Pediatr Hematol Oncol, 28, pp.126~133 (2006)
  9. Henry L, "Immunocompromised patients and nutrition", Prof Nurse, 12, pp.655~659 (1997)
  10. Moody K, "The neutropenic diet: What’s the evidence?", J Pediatr Hematol Oncol, 24, pp.717~721 (2002)
  11. Bauer J, "Use of the scored patient generated subjective global assessment (PG-SGA) as a nutrition assessment tool in patients with cancer", Eur J Clin Nutr, 56, pp.779~785 (2002)
  12. Kubrak C, "Critical evaluation of nutrition screening tools recommended for oncology patients", Cancer Nurs, 30, pp.1~6 (2007)
  13. Leuenberger M, "Nutritional screening tools in daily clinical practice, the focus on cancer", Supportive Care in Cancer, 18, pp.17~27 (2010)
  14. Lis CG, "Role of nutritional status in predicting quality of life outcomes in cancer: a systematic review of the epidemiological literature", Nutr J, 11, pp.27~ (2012)
  15. Wilson BJ, "Dietary recommendations for neutropenic patients", Semin Oncol Nurs, 18, pp.44~49 (2002)
  16. Gardner A, "Randomized comparison of cooked and noncooked diets in patients undergoing remission induction therapy for acute myeloid leukemia", J Clin Oncol, 26, pp.5684~5688 (2008)
  17. 전옥경(Jeon, Ok Kyung), "호중구감소환자의 식이제한 실태", Asian Oncology Nursing, 10(2), pp.210~217 (2010), 대한종양간호학회
  18. Maskarinec G, "Dietary changes among cancer survivors", Eur J Cancer Care, 10, pp.12~20 (2001)

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