Survey on Dietary Restrictions for Neutropenic Patients

호중구감소환자의 식이제한 실태

  • Jeon, Ok-Kyung (Department of Nursing, Pusan National University Hospital) ;
  • Yim, Si-Eun (Department of Nursing, Pusan National University Hospital) ;
  • Jeong, Ihn-Sook (College of Nursing, Pusan National University) ;
  • Yun, Eun-Young (Department of Nursing, Silla University) ;
  • Kim, Mi-Hyun (Department of Nursing, Pusan National University Hospital) ;
  • Park, Yun-Sun (Department of Nursing, Pusan National University Hospital) ;
  • Lee, Su-Ran (Department of Nursing, Pusan National University Hospital)
  • 전옥경 (부산대학교병원 간호부) ;
  • 임시은 (부산대학교병원 간호부) ;
  • 정인숙 (부산대학교 간호대학) ;
  • 윤은영 (신라대학교 의생명과학대학 간호학과) ;
  • 김미현 (부산대학교병원 간호부) ;
  • 박윤선 (부산대학교병원 간호부) ;
  • 이수란 (부산대학교병원 간호부)
  • Received : 2010.06.22
  • Accepted : 2010.08.02
  • Published : 2010.08.31

Abstract

Purpose: This survey was aimed to examine the current dietary restrictions practices for neutropenic patients among hospitals with 500 and more beds. Methods: Self-administered questionnaires were sent to 100 head or charge nurses of oncology or hemato-oncology wards by mail during October 2009, and 51 questionnaires were returned. The data were analyzed with descriptive statistics using SPSS (WIN version 12.0). Results: Of the hospitals surveyed, 47.1% (n=24) had guidelines on the dietary restrictions, and 80.4% (n=41) placed patients with neutropenia on restricted diets. The major decisional criteria of the dietary restriction was absolute neutrophil count (30.5%) and cooking status (29.2%). The most commonly restricted foods were raw fish or fresh meat (98.0%), uncooked intestine (98.0%), raw eggs (98.0%), draught beer (96.1%), and fresh fruits or vegetables (86.3%). Conclusion: The results showed variation in pattern of dietary restrictions and lower rate of guideline among hospitals, so that the need for the standard dietary restriction guideline is high. However, the role of diet in the development of infection in neutropenic patients is still unclear, which makes it difficult to establish dietary restriction guideline. Therefore, additional research are required to identify the relationship between dietary factors and infections.

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