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항암화학요법 환자의 호중구감소증 식이에 대한 지식과 이행

Knowledge of and Compliance with Neutropenic Diet in Patients with Hematologic Malignancy undergoing Chemotherapy

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초록

Purpose: This study aimed to investigate knowledge of and compliance with the neutropenic diet in hemato-oncology patients undergoing chemotherapy. Methods: 123 hemato-oncology patients who had more than one chemotherapy participated in this study. Data were collected with a self-administered questionnaire from July 21 to September 26, 2014, and analyzed with SPSS 21.0 program using descriptive statistics, t-test, ANOVA and Pearson’s correlation. Results: The average of score for the neutropenic diet was 60.9 out of 100 points and mean compliance score was 69.5 out of 100 percent scale. For preventing infection, patients were found to be stricter in their intake of restricted foods than acceptable foods during neutropenia. There were significant correlations between the knowledge of and compliance with the neutropenic diet in patients receiving chemotherapy (r=.53, p<.001). Conclusion: It is necessary to nursing assessment and education should include a periodic assessment of nutritional status and risk evaluation of neutropenia and bacterial infections. This study recommended nursing research to establish a recommendation criterion for a restrictive neutropenic diet and less restrictive food safety education programs for cancer patients.

Abstract

Purpose: This study aimed to investigate knowledge of and compliance with the neutropenic diet in hemato-oncology patients undergoing chemotherapy. Methods: 123 hemato-oncology patients who had more than one chemotherapy participated in this study. Data were collected with a self-administered questionnaire from July 21 to September 26, 2014, and analyzed with SPSS 21.0 program using descriptive statistics, t-test, ANOVA and Pearson’s correlation. Results: The average of score for the neutropenic diet was 60.9 out of 100 points and mean compliance score was 69.5 out of 100 percent scale. For preventing infection, patients were found to be stricter in their intake of restricted foods than acceptable foods during neutropenia. There were significant correlations between the knowledge of and compliance with the neutropenic diet in patients receiving chemotherapy (r=.53, p<.001). Conclusion: It is necessary to nursing assessment and education should include a periodic assessment of nutritional status and risk evaluation of neutropenia and bacterial infections. This study recommended nursing research to establish a recommendation criterion for a restrictive neutropenic diet and less restrictive food safety education programs for cancer patients.

참고문헌 (30)

  1. Hyeon Jin Park, "Statistics of hematologic malignancies in Korea: incidence, prevalence and survival rates from 1999 to 2008", Blood Research, 47(1), pp.28~38 (2012), 대한혈액학회
  2. Kuderer NM, "Mortality, morbidity, and cost associated with febrile neutropenia in adult cancer patients", Cancer, 106, pp.2258~2266 (2006)[DOI]
  3. Crawford J, "Risk and timing of neutropenic events in adult cancer patients receiving chemotherapy: the results of a prospective nationwide study of oncology practice", J Natl Compr Canc Netw, 6, pp.109~118 (2008)[DOI]
  4. Jubelirer SJ, "The benefit of the neutropenic diet: fact or fiction?", Oncologist, 16, pp.704~707 (2011)[DOI]
  5. Freifeld AG, "Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the Infectious Diseases Society of America", Clin Infect Dis, 52, pp.e56~e93 (2011)[DOI]
  6. Barber FD, "Management of Fever in neutropenic patients with cancer", Nurs Clin North Am, 36, pp.631~644 (2001)
  7. Nirenberg A, "Neutropenia: state of the knowledge part II", Oncol Nurs Forum, 33, pp.1202~1208 (2006)[DOI]
  8. Smith LH, "Dietary restrictions for patients with neutropenia: a survey of institutional practices", Oncol Nurs Forum, 27, pp.515~520 (2000)
  9. Lund BM, "The occurrence and prevention of foodborne disease in vulnerable people", Foodborne Pathog Dis, 8, pp.961~973 (2011)[DOI]
  10. 전옥경(Jeon, Ok Kyung), "호중구감소환자의 식이제한 실태", Asian Oncology Nursing, 10(2), pp.210~217 (2010), 대한종양간호학회
  11. Moody K, "The neutropenic diet: what's the evidence?", J Pediatr Hematol Oncol, 24, pp.717~721 (2002)[DOI]
  12. Garofolo A, "Neutropenic diet and quality of food: a critical analysis", Rev Bras Hematol Hemoter, 35, pp.79~80 (2013)
  13. Kubrak C, "Critical evaluation of nutrition screening tools recommended for oncology patients", Cancer Nurs, 30, pp.E1~E6 (2007)
  14. Leuenberger M, "Nutritional screening tools in daily clinical practice: the focus on cancer", Support Care Cancer, 18(Suppl 2), pp.S17~S27 (2010)[DOI]
  15. Foster M, "Reevaluating the neutropenic diet: time to change", Clin J Oncol Nurs, 18, pp.239~241 (2014)[DOI]
  16. van Tiel F, "Normal hospital and low-bacterial diet in patients with cytopenia after intensive chemotherapy for hematological malignancy: a study of safety", Ann Oncol, 18, pp.1080~1084 (2007)[DOI]
  17. 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)[DOI]
  18. Sonbol MB, "The effect of a neutropenic diet on infection and mortality rates in cancer patients: a meta-analysis", Nutr Cancer, 67, pp.1230~1238 (2015)
  19. Mank AP, "Examining low bacterial dietary practice: a survey on low bacterial food", Eur J Oncol Nurs, 12, pp.342~348 (2008)[DOI]
  20. "Food safety for people with cancer"[URL]
  21. "Preventing infections in cancer patients"[URL]
  22. Carr SE, "Investigating the use of the neutropenic diet: a survey of U.K. dietitians", J Hum Nutr Diet, 28, pp.510~515 (2015)[DOI]
  23. 김미애, "호중구감소증 환자의 식품별 섭취허용에 대한 간호사와 환자의 인식 비교", Asian Oncology Nursing, 12(4), pp.331~338 (2012), 대한종양간호학회[DOI]
  24. Shelton BK, "Evidence-based care for the neutropenic patient with leukemia", Semin Oncol Nurs, 19, pp.133~141 (2003)[DOI]
  25. Yang YH, "The nutritional status of the patients with cancer during the chemotherapies", J Korean Acad Nurs, 31, pp.978~987 (2001)[DOI]
  26. 변미숙, "항암화학요법을 받는 암환자의 에너지섭취량과 피로", Journal of Korean Biological Nursing Science, 14(4), pp.258~267 (2012), 한국기초간호학회[DOI]
  27. The Korean Dietetic Association, "Manual of medical nutrition therapy", The Korean Dietetic Association, ~ (2008)
  28. Lee JY, "A study on effectiveness of dietary self-efficacy, dietary knowledge and social support for exercise-diet compliance of patients on hemodialysis", pp.2007
  29. Na HR, "A study of the relationship among dietary knowledge, self-care practice, nutritional status in patients on hemodialysis", pp.2009
  30. 문승희, "당뇨교육경험이 제2형 당뇨환자의 지식, 자가간호행위, 당화혈색소에 미치는 영향", 한국간호교육학회지, 20(1), pp.81~92 (2014), 한국간호교육학회[DOI]

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