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KMID : 1190719990040010207
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Chonnam Journal of Nursing Science
1999 Volume.4 No. 1 p.207 ~ p.220
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Assessment of Nutritional Status in chest and Pelvic cancer Patients undergoing Radiation Therapy
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So Hyang-Sook
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Abstract
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This study was conducted to assess nutritional status of 48 cancer patients who completed executive cycles of radiation therapy on chest or pelvic area. The data were gathered May 1 to December 30, 1996 through the anthropometric and biochemical measures such as weight, triceps skinfold thickness, mid-arm circumference, mid-arm muscle circumference, hand grip, serum albumin, hemoglobin, & total lymphocyte count. The data were analyzed boy percentage, Mean±SD, chi-square test, t-test, Pearson’s correlation & tow-away ANOVA using SAS program.
The results were summarized as follows :
1. Eighty five percentage of the subjects were the fifties to sixties. Cancers of the chest area occur in all men(excluding one), 56% among all subjects. The others occur in pelvic area and 71% among them were women. The number of patients who received curative radiation therapy only were 58% and the others had operation and adjuvant radiotherapy.
Patients who irradiated less than 6,000 rads were 54% and the others had radiation dose above 6,000 rads.
2. TSF was 8.75±4.10㎜ in men and 14.97±5.44㎜ in women. These come under 5th∼50th % among normal persons. Total lymphocyte count of chest cases was less than 900/㎣, i.e., moderate depletion and that of pelvic cases was less than 800/㎣, i.e., severe depletion.
3. There were significant differences of TSF, MAC, level of hemoglobin, level of albumin, & hand grip by cancer areas. But there were no significant differences of the body weight, MAMC, & TLC by cancer areas.
TSF, MAC, & levels of serum albumin on pelvic cases were higher than those on chest cases(t=4.26, p=.000 ; t=3.33, p=.002, t=2.42, p=.020). Hand grip and level of hemoglobin on pelvic cases were lower than those on chest cases(t=3.73, p=.000 ; t=2.39, p=.021).
4. In completing radiation therapy, body weight was positively correlated with MAC, MAMC, level of hemoglobin, & TLC(r=.667, p=.0001 ; r=.677, p=.0001 ; r=.529, p=.0001 ; r=.353, p=.014). TSF was positively correlated with MAC(r=.551, p=.0001), negatively with level of hemoglobin & hand grip(r=-.312, p=.030 ; r=-.650, p=.0001). MAC was positively correlated with MAMC(r=.827, p=.0001). Level of homoglobin was positively correlated with body weight, MAC, MAMC, TLC & hand grip(r=.529, p=.0001 ; r=.388, p=.006 ; r=.413, p=.003 ; r=.341, p=.021).
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KEYWORD
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chest and pelvic cancer, radiotherapy, nutritional assessment
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