Effect of a pre-operative web-based dietary self-management intervention on patient satisfaction, body weight and quality of life of esophageal cancer patients: A prospective, observational study

Clinical Nutrition Open Science

Fanny F.B.M. Heesakkers¹  Lisette de Craen-Kat²  Grard A.P. Nieuwenhuijzen³  Sandra Beijer⁴  Joep A.W. Teijink⁵  Nicole Horevoorts⁶  Hanneke W.M. van Laarhoven⁶  Daniëlle J.M. Adriaans⁷  Angelique Dierick-van Daele⁷  Lonneke van de Poll-Franse⁸ 

[1] CAPHRI School for Public Health and Primary Care, Maastricht University, 6200 MD Maastricht, the Netherlands;Corresponding author. Department of Surgery, Catharina Hospital, Michelangelolaan 2, Eindhoven, ZA 5602 the Netherlands, Fax.: [phone].;Department of Education and Research, Catharina Hospital, Michelangelolaan 2, Eindhoven, 5602 ZA, the Netherlands;Fontys University of Applied Sciences, Ds Th Fliednerstraat 2, Eindhoven, 55631 BN, the Netherlands;Department of Dietetics, Catharina Hospital, Eindhoven, Michelangelolaan 2, Eindhoven, 5602 ZA, the Netherlands;Department of Research and Development, Netherlands Comprehensive Cancer Organization (IKNL), Godebaldkwartier 419, Utrecht, 3511 DT, Utrecht, the Netherlands;Department of Surgery, Catharina Hospital, Eindhoven, Michelangelolaan 2, Eindhoven, 5602 ZA, the Netherlands;Fontys University of Applied Sciences, Ds Th Fliednerstraat 2, Eindhoven, 55631 BN, the Netherlands;

关键词: Esophageal cancer;    Nutrition;    Peri-operative management;    Digital intervention;    Quality of life;   

DOI  :  

来源: DOAJ

【 摘 要 】

Summary:Purpose: The purpose of this study was to investigate the adoption and actual use of a digital dietary monitoring system (DDMS) and its impact on patient satisfaction with the provided hospital care, body weight changes and health-related quality of life (HRQoL) in patients with potentially curable esophageal cancer planned for surgery. The DDMS enables patients and dietitians to monitor patients' nutritional intake and body weight during the preoperative period. Methods: In this prospective observational study, the first 47 included patients received usual nutritional care, and were followed from diagnosis until surgery. After implementation of the DDMS 37 patients were followed, again from diagnosis until surgery. Main outcomes were actual use of the DDMS, by means of adoption and usage measures, overall patient satisfaction (EORTC-INPATSAT32), weight change and HRQoL (EORTC QLQ-C30 and EORTC-OG25). Outcomes were assessed immediately after diagnosis, and 6 and 12 weeks later. Results: The system had an adoption rate of 64% and a usage rate of 78%. No significant effects on patient satisfaction were found at 12 weeks after diagnosis between the intervention and the usual care group. The implementation of the DDMS also had no significant effect on body weight and HRQoL over time. Conclusions: Patients with potentially curable esophageal cancer planned for surgery were able to use the DDMS. However, no significant effects on patient satisfaction, body weight changes and HRQoL were observed. Further research should focus on the specific needs of patients regarding information and support to preoperatively optimize nutritional intake and nutritional status.

【 授权许可】

Unknown