Effects of Administering Dietetics to Cancer Patients Receiving Radiotherapy on Preventing and Decreasing Malnutrition

The aim of this research was to determine the effect of dietetics in preventing and reducing malnutrition in cancer patients receiving radiotherapy. This study enrolled 147 cancer patients receiving radiotherapy who had just started treatment at Inonu University, Malatya, Turkey. All of the enrolled patients had just started radiotherapy, could communicate readily, and agreed to take part in the study. The data were obtained using patient information sheets, the Subjective Global Assessment Scale (SGA), and anthropometric measurements. Weight measurements were performed in the experimental group after education and revealed that weight increased in 23% of patients, decreased in 40.5%, and remained stable in 36.5% of subjects. In the control group, 23.3% of patients exhibited an increase in weight, 43.8% experienced a decrease, and 32.9% remained stable. Statistical analyses revealed a significant difference among groups after education (p

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1. Sağlık Bakanlığı. Türkiye Halk Sağlığı Kurumu Kanser Daire Başkanlığı.,‘’Türkiye'de Kanser İnsidansları. http://www.kanser.gov.tr/daire-faaliyetleri/kanseristatistikleri.html access date 12.11.2013

2. Özdemir S, Dinçbaş FÖ, Atkovar G, Özbek Ö, Özmen M. Radyoterapi uygulanan kanser hastalarinin psikososyal özellikleri ve radyasyon onkoloğundan beklentileri. Türk Onkoloji Dergisi. 2011;26(1):12-7.

3. Atasoy BM, Özgen Z, Kantaş ÖY, Demirel B, Aksu A, Dane F, Kuşçu MK, Çetin İA, İbrahimov R, Abacıoğlu R. Kanser hastalarinda kemoradyoterapi sirasinda beslenme yönetiminde disiplinler arasi işbirliğinin yeri: bir pilot çalişma. Marmara Medical Journal. 2012;25:32-6.

4. Ertem G, Kalkım A, Bulut S, Sevil Ü. Radyoterapi alan hastalarin evde bakim gereksinimleri ve yaşam kaliteleri. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi. 2009;2(2):3-12.

5. Yılmaz B, Erdem D, Kemal Y. Kanser hastalarinda beslenme. İç Hastalıkları Dergisi. 2011;18(3):133-43.

6. Taşkın F, Çınar S. Onkoloji Hastalarında Beslenme http://www.hemsireyiz.biz/blogs/makaleler/archive/2010/09/29/onkoloj-hastalarindabeslenme.aspx access date 20.03.2015

7. Demirel U, Aygün C. Yatan hastanin beslenme durumunun önemi ve kalori ihtiyacinin belirlenmesi. Fırat Tıp Dergisi. 2012;17(2):63-70.

8. Trotti A, Bellm LA, Epstein JB, Frame D, Fuchs HJ, Gwede CK, Komaroff E, Nalysnyk L, Zilberberg MD. Mucositis incidence, severity and associated outcomes in patients with head and neck cancer receiving radiotherapy with or without chemotherapy: a systemic literature review. Radiat Oncol. 2003;66(3):253-62.

9. Ravasco P, Monteiro-Grillo I, Camilo ME. Does nutrition influence quality of life in cancer patients undergoing radiotherapy? Radiother Oncol. 2003;67(2):213-20.

10. Usta YÖ, Durmaz AA, Çetinkaya, Y, Altın T, Ünlü D. Kemoterapi tedavisi alan hastalarin tedaviye bağli yaşadiklari semptomlar ve yaşam kalitesine olan etkisinin incelenmesi. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2005;21(1): 13-31.

11. Klinik Uygulamalarda Sağlıkla İlgili Yaşam Kalitesi. Sağlıkta Yaşam Kalitesi Kongresi, 5-7 April 2007. Ege University. İzmir, Turkey, 1-167.

12. Bauer J, Capra S, Ferguson M. Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr. 2002;56(8):779-85.

13. Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA, Jeejeebhoy KN. What is Subjective Global Assessment of Nutritional Status? JPEN. 1987;11(1):8-13.

14. Wyszynski DF, Perman M, Crivelli A. Prevalence of hospital malnutrition in Argentina: preliminary results of a population- based study. Nutrition. 2003;19(2):115-9.

15. Datta NR, Rajasekar D. Improvement of radiotherapy facilities in developing countries: a three-tier system with a teleradiotherapy network. Lancet Oncol. 2004;5(11):695-8.

16. Ersoy G. Egzersiz ve Spor Yapanlar için Beslenme Sorular ve Cevapları ile Açıklamalı Sözlük. Nobel Yayınları. 3rd edition. Ankara, 2004;432.

17. Pekcan G. Hastanın beslenme durumunun saptanması. Baysal, A. (Editör). Diyet El Kitabı’nda. Hatiboğlu Yayınevi. Ankara, 2002;65-114.

18. İren S. Torasik radyoterapi uygulanan akciğer karsinomali hastalarda beslenme desteğinin tedavi yan etkileri ve yaşam kalitesi üzerine etkisi. Ph.D. thesis, Gazi University, Ankara, 1996.

19. Nayel H, El-Ghoneimy E, El-Haddad S. Impact of nutritional 111. supplementation on treatment delay and morbidity in patients wih head and neck tumors treated with irradiation. Nutrition. 1992;8(1):13-8.

20. Selwood K, Ward E, Gibson F. Assessment and Management of nutritional Challenges in Children’s Cancer Care: A Survey of Current Practice in the United Kingdom. Eur J Oncol Nurs. 2010;14(5):439-46.,

21. Sungurtekin H, Sungurtekin M, Hancı V, Erdem E. Comparison of two nutrition assessment techniques in hospitalized patients. Nutrition. 2004;20(5):428-32.

22. Oğuz A, Karadeniz C, Pelit M, Hasanoğlu A. Arm anthropometry in evaluation of malnutrition in children with cancer. Pediatr Hematol Oncol. 1999;16(1):35-41.

23. Yarış N, Akyüz C, Coşkun T, Kutluk T, Büyükpamukçu M. Nutritional status of children with cancer and its effects on survival. Turkish J of Pediatrics. 2002;44(1):35- 9.