Changes in Nutrition, Metabolism, and Psychology in Total Gastrectomy Patients After Discharge

概要

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Aims: The aims of this study were to clarify the activity level, nutritional state, and psychological changes after discharge in cancer patients who underwent total gastrectomy. Methods: Data concerning the energy expenditure, body weight, body fat percentage, and psychological state were obtained from 3 patients who were discharged after total gastrectomy by interviews and a review of the patientsâpersonal, activity, and clinical records. Results:ï¼»Activity level and nutritional stateï¼½ The body weight and body fat percentage decreased in all subjects over 1 month after discharge. The total energy expenditure and activity level showed no marked change. ï¼»Psychological changesï¼½ Despite the decrease in body weight, the patients perceived a recovery of fitness, learned how to cope with symptoms, and became confident in life. Conclusion: Total gastrectomy patients experience body weight losses and various symptoms during 1 month after discharge,and support to resume a normal life is necessary in this period. It was also suggested that closely listening to patients describe their symptoms and providing corresponding educational intervention are necessary.