대장직장암 환자의 영양위험, 신체활동량과 삶의 질
Nutritional Risk and Physical Activity on Quality of Life in Patients with Colorectal Cancer
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Purpose: This study aimed to investigate nutritional risk, physical activity, and quality of life (QoL) and the interaction of these factorsin colorectal cancer patients. Methods: Participants were colorectal cancer patients receiving follow-up treatment at the colorectalcancer outpatient clinic of Severance Hospital in Seoul. Participants were recruited from October 25 to November 30, 2010. The surveyquestionnaire consisted of Nutritional Risk Score (NRS), International Physical Activity Questionnaire (IPAQ) and FunctionalAssessment of Cancer Therapy- scales for Colorectal Cancer (FACT-C). Results: NRSs were significantly higher in patients with lowBMI (F=18.63, p<.001) and those who were underwent colorectal surgery within 1 month (F=5.96, p<.001). Physical activity levelof the participants was 28.96METs. Lower nutritional risk was associated with a higher QoL (r= - .34, p<.001). In a multiple regressionanalysis, the predictors of QoL were the age, economic status, and nutritional risk of the patient (R2=40.0%). Conclusions: Targetedtailored nursing interventions are needed to assess nutritional risks in order to improve colorectal cancer patients’ QoL.
Abstract
Purpose: This study aimed to investigate nutritional risk, physical activity, and quality of life (QoL) and the interaction of these factorsin colorectal cancer patients. Methods: Participants were colorectal cancer patients receiving follow-up treatment at the colorectalcancer outpatient clinic of Severance Hospital in Seoul. Participants were recruited from October 25 to November 30, 2010. The surveyquestionnaire consisted of Nutritional Risk Score (NRS), International Physical Activity Questionnaire (IPAQ) and FunctionalAssessment of Cancer Therapy- scales for Colorectal Cancer (FACT-C). Results: NRSs were significantly higher in patients with lowBMI (F=18.63, p<.001) and those who were underwent colorectal surgery within 1 month (F=5.96, p<.001). Physical activity levelof the participants was 28.96METs. Lower nutritional risk was associated with a higher QoL (r= - .34, p<.001). In a multiple regressionanalysis, the predictors of QoL were the age, economic status, and nutritional risk of the patient (R2=40.0%). Conclusions: Targetedtailored nursing interventions are needed to assess nutritional risks in order to improve colorectal cancer patients’ QoL.
참고문헌 (30)
- "Cancer facts & figures" (2010)[URL]
- Baek HW, "Nutritional risk factors in postoperative morbidity of gastrointestinal cancer patients", Korean J Gastroenterol, 25, pp.450~454 (1993)
- 손수경, "암환자의 피로와 기능상태의 관계*", Asian Oncology Nursing, 7(1), pp.3~13 (2007), 대한종양간호학회
- 윤기영, "암환자의 영양상태 평가와 재원일수 및 사망률과의 관계", 대한외과학회지, 72(6), pp.438~443 (2007), 대한외과학회
- Karthaus M, "Eating and driking at the end of life. Nutritional support for cancer patients in palliative care", Wien Med Wochenschr, 154, pp.192~198 (2004)
- Rha MY, "Effects of clinical outcome of hospitalized patients by means of nutritional status", 박사, pp.2006
- Alison SP, "Malnutrition disease and outcome", Nutrition, 16(7-8), pp.590~593 (2000)
- Kamel HK, "Nutritional status of hospitalized elderly: differences between nursing home patients and community-dwelling patients", Annals of Long-Term Care, 8(3), pp.33~38 (2000)
- Schwegler I, "Nutritional risk is a clinical predictor of postoperative mortality and morbidity in surgery for colorectal cancer", BJS, 97, pp.92~97 (2010)
- Camilleri-Brennan J, "impact of recurrent rectal cancer on quality of life", EJSO, 27(4), pp.349~353 (2001)
- Giovannucci E, "Willett WC. Physical activity, obesity, and risk for colon cancer and adenoma in men", Ann Intern Med, 122, pp.327~334 (1995)
- Meyerhardt JA, "Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: findings from CALG B 89803", J Clin Oncol, 24, pp.3535~3541 (2006)
- Stephenson LE, "Physical activity and diet behavior in colorectal cancer patients receiving chemotherapy:associations with quality of life", BMC Gastroenterology, 9, pp.60~ (2009)
- Courneya K, "Relationship between exercise pattern across the cancer experience and current quality of life in colorectal cancer survivors", J Altern Complement Med, 3, pp.215~226 (1997)
- Courneya K, "A randomized trial of exercise and quality of life on colorectal cancer survivors", Eur J Cancer Care, 12, pp.347~357 (2003)
- Obrand DI, "Incidence and patterns of recurrence following curative resection for colorectal carcinoma", Dis Colon Rectum, 40, pp.15~24 (1997)
- Reilly HM, "Nutritional screening-Evaluation and implementation of a simple nutrition risk score", Clinical Nutrition, 14, pp.269~273 (1995)
- Lee YH, "Effects of physical activity on metabolic syndrome markers and cardiopulmonary fitness among female students in a university", 박사, pp.2006
- 이대택, "국제신체활동량질문지(IPAQ)를 이용한 과체중 중년 주부들의신체활동량 추정 및 신뢰도 평가", 한국생활환경학회지, 14(1), pp.1~8 (2007), 한국생활환경학회
- Ferrell BR, "Quality of life as an outcome variable in the management of cancer pain", Cancer, 63, pp.2321~2327 (1989)
- Cella DF, "The functional assessment of cancer therapy scale: development and validation of the general measure", J Clin Oncol, 11, pp.570~579 (1993)
- Lee GS, "Nutritional evaluation by using mini nutritional assessment (MNA) and relating factors of postoperative recovery for elderly in gastric cancer", 박사, pp.2004
- Bauer J, "Nutrition intervention improves outcomes in patients with cancer cachexia receiving chemotherapy-a pilot study", SCC, 13, pp.270~274 (2005)
- Kim JH, "Nutritional status in the patients having spinal surgery using nutrition screening tool (NST)", 박사, pp.2007
- Martin CK, "Exercise dose and quality of life: a randomized controlled trial", Arch Intern Med, 169(3), pp.269~278 (2009)
- Clark MM, "Motivational readiness for physical activity and quality of life in longterm lung cancer survivors", Lung Cancer, 61, pp.117~122 (2008)
- Peddle CJ, "Associations between exercise, quality of life, and fatigue in colorectal cancer survivors", ASCRS, 51, pp.1242~1248 (2008)
- Hamashima C, "QOL of postoperative rectal cancer: long term quality of life of postoperative rectal cancer patients", JGH, 37(5), pp.571~576 (2002)
- Lee SH, "A study on professional medical team support and information needs of patients with colon cancer", 박사, pp.2006
- 최경숙, "대장암 환자의 증상경험과 극복력이 삶의 질에 미치는 효과", Asian Oncology Nursing, 12(1), pp.61~68 (2012), 대한종양간호학회