Changes in Eating Behaviors and Physical and Mental State of Gastric Cancer Patients during the First 6 Months after Surgery

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  • TOYOFUKU Kayo
    Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University Fukuoka Jo Gakuin Nursing University
  • NAGAMATSU Yuki
    Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University Department of Clinical Nursing, School of Health Sciences, University of Occupational and Environmental Health
  • MIYAZONO Mami
    Fukuoka Nursing College
  • TANAKA Toshiya
    Department of Gastroenterological Surgery, Saga-Ken Medical Centre Koseikan
  • MORIYAMA Taiki
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • FUJIWARA Kenji
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • OHUCHIDA Kenoki
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • NAGAI Eishi
    Japanese Red Cross Fukuoka Hospital
  • NAKAMURA Masafumi
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • CHISHAKI Akiko

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Other Title
  • 胃切除後6ヶ月間における胃癌患者の食行動および，身体的・精神的状態の変化

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Abstract

Purpose : To quantitatively assess and clarify the relationships between eating behaviors, physical symptoms, and depression over 6 months postoperatively in patients who have undergone gastrectomy for gastric cancer. / Methods : Questionnaire surveys to post-gastrectomy patients on eating behavior, post-gastrectomy dysfunction (DAUGS), and depression (CES-D) were conducted five times during the 6 months after surgery (before discharge, and 2 weeks, 6 weeks, 3 months, and 6 months after surgery). The longitudinal changes of each item were analyzed using a repeated measure ANOVA, and the relationships between post-gastrectomy dysfunction and patient factors were analyzed using a two-way ANOVA. The relationships between depression and post-gastrectomy dysfunction were analyzed using correlations. / Results : The subjects were 64 post-gastrectomy patients. The mean age was 66.5 (SD 10.3) years and 40 were males. Forty-six patients had distal gastrectomy. Fifty-three were diagnosed as gastric cancer stage Ⅰ. The participantsʼ body weight had decreased by about 10% at 6 months after surgery (p＜.001). Although the patients who practiced eating behavior modifications such as food adjustment decreased from 80％ to 50％ at 6 months after surgery, food intake was recovered up to about 80% of the pre-operative intake. Post-gastrectomy dysfunction (DAUGS) was the worst at 2 weeks after surgery and improved significantly within 6 months (p ＜.05). The factors that were associated with significantly worse post-gastrectomy dysfunction were being employed and high depression groups. The post-gastrectomy dysfunction in the high depression group was worse than in the low depression group throughout the 6 months. / Conclusion : Post-gastrectomy dysfunction worsened immediately after discharge and was alleviated over 6 months, and a relationship between physical and depressive states was observed. Medical staff should be better to understand patientsʼ depressive state during hospitalization and continue to observe the post-gastrectomy dysfunction early postoperative period.

Journal

  • 福岡醫學雜誌

    福岡醫學雜誌 111 (1), 26-42, 2020-03-25

    Fukuoka Medical Association

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