Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Nutritional Intervention for Dietary Behavior Modification in Breast Cancer Patients

유방암 환자의 식행동 수정을 위한 영양중재 효과판정

  • Lee, Kyung-Min (Dept. of Clinical Nutrition, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Park, Joung-Soon (Dept. of Clinical Nutrition, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Hyung-Mi (Dept. of Clinical Nutrition, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kang, Soon Ah (Institute of Health Industry, Hoseo University / Dept. of Convergence Science and Technology, Graduated of Venture, Hoseo University)
  • 이경민 (연세대학교 강남세브란스병원 영양팀) ;
  • 박정순 (연세대학교 강남세브란스병원 영양팀) ;
  • 김형미 (연세대학교 강남세브란스병원 영양팀) ;
  • 강순아 (호서대학교 보건산업연구소 / 호서대학교 벤처대학원 융합과학기술학과)
  • Received : 2018.03.27
  • Accepted : 2018.05.04
  • Published : 2018.05.31
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Abstract

The purpose of this study was to determine the effectiveness of nutritional intervention for modifying the dietary behavior of breast cancer patients. The study was conducted at Gangnam Severance Hospital from December 2015 to May 2016. The subjects of this study were 30 female breast cancer patients. To conduct this study, dietary behaviors and weight changes were measured, and frequency of exercise, alcohol drinking, and use of supplements were investigated. The results are summarized as follows: Average age and rate of monthly weight loss were $54.3{\pm}9.3years$ and $1.4{\pm}3.5%$, respectively. After nutritional intervention, dietary behavior modification score increased from $2.00{\pm}0.45points$ to $2.76{\pm}0.18points$ out of 3 (p<0.001). After intervention, the proportion of alcohol drinkers among patients decreased from 20% to 0%, and that of patients who exercise frequently increased from 53% to 97%. The percentage of supplement users decreased from 40% to 20%. In consideration of the above results, nutritional intervention and dietary behavior modification for breast cancer patients are very important to prevent recurrence of breast cancer.

본 연구는 유방암 환자의 식행동 수정을 위한 영양중재 효과판정을 위해 전문가 설문을 통한 통계분석으로 진행하였다. 연구의 대상은 2015년 12월부터 2016년 5월까지 강남세브란스병원에서 유방절제수술을 받은 30명의 여성 환자였다. 연구방법은 숙련된 임상영양사가 영양중재 전후 식행동 수정 및 체중 변화를 측정하였고, 운동, 음주 및 건강보조식품 복용여부에 대해서도 조사하였다. 연구결과 본 연구대상자의 평균 연령은 $54.3{\pm}9.3$세이었고, 월평균 체중감소율은 $1.4{\pm}3.5%$이었다. 영양중재 전후 식행동 수정변화 점수는 3점 척도로 측정 시 $2.00{\pm}0.45$ 점에서 $2.76{\pm}0.18$ 점으로 유의하게 상승하는 결과를 보였다(p<0.001). 음주를 하는 환자의 비율은 20%에서 영양중재 후 전원 금주하는 효과를 보였고, 운동수행 비율도 53%에서 영양중재 후 97%로 증가하였다. 건강보조식품의 복용 비율은 40%에서 영양중재 후 20%로 감소하는 결과를 보였다. 이상의 결과를 고려해 볼 때, 유방암환자의 영양중재 후 식행동 수정은 추후 유방암의 재발을 방지하는데 매우 중요하다고 사료된다.

Keywords

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