After gastric resection surgery, the restrictive diet due to post-operation concerns of patients actually accelerates malnutrition. Therefore to improve the nutritional intake of gastrostomy patients after surgery, a balanced diet during the inpatient period, and further intervention is required dur...
After gastric resection surgery, the restrictive diet due to post-operation concerns of patients actually accelerates malnutrition. Therefore to improve the nutritional intake of gastrostomy patients after surgery, a balanced diet during the inpatient period, and further intervention is required during recuperation at home. This study aims to develop and apply an appropriate nutritional program for gastrostomy patients and evaluate the effectiveness. 1) The study covered the hospitalized 53 gastrostomy in-patients in the Kyung Hee University Hospital at Gangdong, in 2 groups; Conventional education group (n=25) and Intensive education group (n=28). The conventional education group was provided with one nutritional counseling session at discharge. The Intensive education group was subject to a total 5 sessions - 2 sessions during the in-patient period of counseling regarding the meals provided by the hospital, a session at discharge, a phone call session 1 week after discharge, and then a further nutritional counseling session 3 weeks after discharge. These sessions were provided by a clinical dietitian. Of the subjects, those under age 18, or had kidney disease (chronic renal failure, dialysis), liver disease (ascites) were excluded. General items for the research were gathered through electronic medical records and included the underlying causes of illness, type and method of surgery, duration of hospital stay, duration of dietary fasting, biochemical tests. Also, gathered were anthropometric measurements (height, weight, BMI, TSF, MAC, MAMC) ,nutrition evaluation through PG-SGA, and a survey regarding self-evaluation and personal satisfaction of diet during hospitalization and 3 months after discharge. The method adopted to compare nutritional intake was have the subjects record their diet of 3 days prior to visiting the hospital at 3 weeks and 3 months after discharge. 2) Of the two groups, the hospitalization duration of the Intensive education group was an average of 13.3 days, and the Conventional education group had 16.2 days. The pattern for dietary fasting was similar in that it was 6.6 days for the Intensive education group while the Conventional education group had 8.2 days. There was no difference found for Anthropometric measurements, which is demonstrated in the Figures. Weight change (Fig. 2) at discharge was better for the Conventional education group (P = 0.033), but after discharge the Intensive education group demonstrated more improvement, with the rate of change of BMI being similar (Fig. 3). The rate of change was notable for 3 weeks after discharge for MAC (P = 0.005), and MAMC (P = 0.031), while the MAMC of 3 months after discharge (P = 0.045) were found. Biochemical tests were different only during hospitalization Alb (P = 0.31). The total of PG-SGA of 3 weeks after discharge (P <0.001) and 3 months after discharge (P = 0.047) was notable. For changes in dietary nutrition, from the current diet (P = 0.011) and symptoms (P = 0.025) at the time of discharge, 3 weeks after discharge showed symptoms (P <0.001), physical activity (P = 0.029), physical signs (P <0.001). Symptoms 3 months after discharge were also statistically significant (P = 0.001). Dietary self-efficacy and meal satisfaction during hospitalization (P = 0.007) and 3 months after discharge (P = 0.038) were all notable. Statistical significance of dietary intake of 3 weeks after discharge were noted to have fat (P = 0.010), protein (P = 0.020), vitamin E (P = 0.001), vitamin K (P = 0.002), Na (P = 0.043), K (P = 0.025), Mg (P = 0.043). 3) The ratio of malnutrition was increased to more than 94% after surgery, and it was possible to reduce this greatly for gastrostomy patients by nutritional care during hospitalization and post-discharge management in utilizing PG-SGA as a nutrition assessment tool. With the PG-SGA score of the Conventional education group being higher than those of the Intensive education group, the improvement after 3 weeks s (P <0.001) and 3 months (P = 0.047) demonstrates the advantages of having nutritional intervention, and indicate that a system over a period is more advantageous compared to a one-off session. Of the average nutritional intake from recording daily meals, the difference that fat and protein levels at discharge versus 3 weeks post-discharge is attributed to improved meal content and a change in the nutritional sources, while average% DRI results showed a similar trend. As the Dietary questionnaires show that the Intensive education group with more nutrition interventions have a statistical lead over the Conventional education group, this gives indication of the effect of nutritional education during the hospitalization. As for the ratio of main meals versus snacks, at 3 months after discharge the Conventional education group showed that the nutritional gain from meals was significant, with the organ decrease after operation resulting inpatients having several small meals rather than a few large meals, with this lessening strain on the stomach as well as decreasing the likelihood of further illnesses. But utilizing PG-SGA in the nutritional evaluation the symptoms are also an area that had difference. As there was no significant disparity from the anthropometric measurements and biochemical tests, this would indicate that nutrition interventions should not be considered only for a short period, but would benefit from monitoring and research that is beyond the 3 months observation period in this study. This study was to compare and analyze nutritional intervention and improvements in comparing Intensive education and Conventional education groups utilizing PG-SGA. The Intensive education group, with increased educational sessions on nutrition showed a marked improvement over the Conventional educationgroup in areas of PS-SGA nourishment changes, symptoms, physical activities, physical condition, and also demonstrated a statistical significance in self-efficacy and meal satisfaction. It is also was indicated that further research and observation beyond the 3 month duration of this study would be beneficial.
After gastric resection surgery, the restrictive diet due to post-operation concerns of patients actually accelerates malnutrition. Therefore to improve the nutritional intake of gastrostomy patients after surgery, a balanced diet during the inpatient period, and further intervention is required during recuperation at home. This study aims to develop and apply an appropriate nutritional program for gastrostomy patients and evaluate the effectiveness. 1) The study covered the hospitalized 53 gastrostomy in-patients in the Kyung Hee University Hospital at Gangdong, in 2 groups; Conventional education group (n=25) and Intensive education group (n=28). The conventional education group was provided with one nutritional counseling session at discharge. The Intensive education group was subject to a total 5 sessions - 2 sessions during the in-patient period of counseling regarding the meals provided by the hospital, a session at discharge, a phone call session 1 week after discharge, and then a further nutritional counseling session 3 weeks after discharge. These sessions were provided by a clinical dietitian. Of the subjects, those under age 18, or had kidney disease (chronic renal failure, dialysis), liver disease (ascites) were excluded. General items for the research were gathered through electronic medical records and included the underlying causes of illness, type and method of surgery, duration of hospital stay, duration of dietary fasting, biochemical tests. Also, gathered were anthropometric measurements (height, weight, BMI, TSF, MAC, MAMC) ,nutrition evaluation through PG-SGA, and a survey regarding self-evaluation and personal satisfaction of diet during hospitalization and 3 months after discharge. The method adopted to compare nutritional intake was have the subjects record their diet of 3 days prior to visiting the hospital at 3 weeks and 3 months after discharge. 2) Of the two groups, the hospitalization duration of the Intensive education group was an average of 13.3 days, and the Conventional education group had 16.2 days. The pattern for dietary fasting was similar in that it was 6.6 days for the Intensive education group while the Conventional education group had 8.2 days. There was no difference found for Anthropometric measurements, which is demonstrated in the Figures. Weight change (Fig. 2) at discharge was better for the Conventional education group (P = 0.033), but after discharge the Intensive education group demonstrated more improvement, with the rate of change of BMI being similar (Fig. 3). The rate of change was notable for 3 weeks after discharge for MAC (P = 0.005), and MAMC (P = 0.031), while the MAMC of 3 months after discharge (P = 0.045) were found. Biochemical tests were different only during hospitalization Alb (P = 0.31). The total of PG-SGA of 3 weeks after discharge (P <0.001) and 3 months after discharge (P = 0.047) was notable. For changes in dietary nutrition, from the current diet (P = 0.011) and symptoms (P = 0.025) at the time of discharge, 3 weeks after discharge showed symptoms (P <0.001), physical activity (P = 0.029), physical signs (P <0.001). Symptoms 3 months after discharge were also statistically significant (P = 0.001). Dietary self-efficacy and meal satisfaction during hospitalization (P = 0.007) and 3 months after discharge (P = 0.038) were all notable. Statistical significance of dietary intake of 3 weeks after discharge were noted to have fat (P = 0.010), protein (P = 0.020), vitamin E (P = 0.001), vitamin K (P = 0.002), Na (P = 0.043), K (P = 0.025), Mg (P = 0.043). 3) The ratio of malnutrition was increased to more than 94% after surgery, and it was possible to reduce this greatly for gastrostomy patients by nutritional care during hospitalization and post-discharge management in utilizing PG-SGA as a nutrition assessment tool. With the PG-SGA score of the Conventional education group being higher than those of the Intensive education group, the improvement after 3 weeks s (P <0.001) and 3 months (P = 0.047) demonstrates the advantages of having nutritional intervention, and indicate that a system over a period is more advantageous compared to a one-off session. Of the average nutritional intake from recording daily meals, the difference that fat and protein levels at discharge versus 3 weeks post-discharge is attributed to improved meal content and a change in the nutritional sources, while average% DRI results showed a similar trend. As the Dietary questionnaires show that the Intensive education group with more nutrition interventions have a statistical lead over the Conventional education group, this gives indication of the effect of nutritional education during the hospitalization. As for the ratio of main meals versus snacks, at 3 months after discharge the Conventional education group showed that the nutritional gain from meals was significant, with the organ decrease after operation resulting inpatients having several small meals rather than a few large meals, with this lessening strain on the stomach as well as decreasing the likelihood of further illnesses. But utilizing PG-SGA in the nutritional evaluation the symptoms are also an area that had difference. As there was no significant disparity from the anthropometric measurements and biochemical tests, this would indicate that nutrition interventions should not be considered only for a short period, but would benefit from monitoring and research that is beyond the 3 months observation period in this study. This study was to compare and analyze nutritional intervention and improvements in comparing Intensive education and Conventional education groups utilizing PG-SGA. The Intensive education group, with increased educational sessions on nutrition showed a marked improvement over the Conventional educationgroup in areas of PS-SGA nourishment changes, symptoms, physical activities, physical condition, and also demonstrated a statistical significance in self-efficacy and meal satisfaction. It is also was indicated that further research and observation beyond the 3 month duration of this study would be beneficial.
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