胃切除術を受ける患者の栄養摂取支援に関する基礎的研究 : 手術前の栄養・身体指標および健康関連QOLの視点から

概要

論文の詳細を見る
This study aims to clarify preoperative physiological, psychological conditions of the patients choosing gastrectomy, and to compare these data between two age groups. 23 patients were from a hospital ; 19 male patients over 50 years of age were divided into two groups ; one (BG, n=9) under 70 and the other (AG, n=10) over 70. Written informed consents were obtained from them beforehand. Body weight, nutritional indicators of blood profiles, resting energy expenditure (REE) obtained by a portable calorimeter, and health-related quality of life (HQOL) obtained by a SF-36 questionnaire, which included eight subscales, were analyzed. The mean REE was 24.90±5.93kcal/kg in the BG and 22.00± : 3.11 in the AG (p=0. 19), indicating insignificance, but its level was lower in the AG. The mean albumin was 4.27±0.22g/dl and 3.64±0.51 (p=0.004), and the hemoglobin was 14.19±1.30g/dl and 11.97±2.61 (p=0.034), indicating significance, but there were no affects on REE according to the analysis of covariance, respectively. Among the eight subscales of the SF-36, scores in "general health perception" , "role functioning emotional" and "vitality" were below 65. "Role functioning physical" in the BG and the AG were 97.2±8.3 and 55.0±48.3 (p=0.022) respectively. The other subscales were not statistically significant between the two groups, and those in the AG were lower than those in the BG. These results suggest that the male patients aged over 70 were in a lower nutritional condition and HQOL at their preoperative stage, and that special support for elderly patients would be necessary for promoting their recovery process.

胃切除術を受ける患者の栄養摂取支援に関する基礎的研究 : 手術前の栄養・身体指標および健康関連QOLの視点から

スポンサーリンク

概要

著者

関連論文

スポンサーリンク