(weight loss - gyn + breast pts) Aspects of Health-Related Factors and Nutritional Care Needs by Survival Stage among Female Cancer Patients (South Korea)

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

Introduction

Over 2.4 million South Korean women were diagnosed with a female cancer (site of breast, cervix uteri, corpus uteri, or ovary) in 2012....

.... In addition, there are some national health/medical care systems for cancer patients in Korea with national health insurance systems as “Caner Control Act”, “Policy on Home-Based Management for Cancer” and “Policy on Hospice and Palliative Care for Terminal Cancer Patients” [27–29]. However cancer patients still cannot be given better service. Those medical care systems are graded payment, and insufficient to cover the all patients and survivors. Regarding diet and nutrition managements, several hospitals are carrying out nutritional care, counselling, and education program, but it is not responsibility. Even there are no statistical figures to investigate the supports’ implementation status.....

Abstract

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 (indigestion) 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.