Factors Related to Nutritional Status of the Head and Neck Cancer Older Patients Receiving Concurrent Radiochemotherapy

Main Article Content

Rungnapa Kongpakdee
Mukda Detprapon
Supreeda Monkong

Abstract

This descriptive research aimed at studying the relationships among taste alteration, stress, social support, and nutritional status in older patients with head and neck cancer receiving concurrent radiochemotherapy. The sample consisted of 80 patients aged 60 years and above. The older patients who met the inclusion criteria were recruited in this study. The participants were interviewed using five instruments: the Demographic Questionnaire, the Taste Alteration Questionnaire, the Stress Questionnaire, the Social
Support Questionnaire, and the Mini Nutrition Assessment-Short Form. Data were collected from April 2019 to January 2020. Descriptive statistics and Spearman’s Rank Correlation Coefficient were used to analyze the data. The results revealed that 52.50% of the sample was at risk for malnutrition, and 36.25% had malnutrition. The sample’s taste alteration was between mild and severe levels. Most of them had low-level stress but high-level social support. Taste alteration and stress had a significant negative correlation with the nutritional status. However, there was no significant relationship between social support and nutritional status. Nurses should realize the importance of nutritional assessment, including stress and taste alteration, to continuously provide patients with the most appropriate treatment.
Keywords: Taste alteration, Stress, Social support, Nutritional status, Head and neck
cancer, Concurrent radiochemotherapy

Article Details

How to Cite
1.
Kongpakdee R, Detprapon M, Monkong S. Factors Related to Nutritional Status of the Head and Neck Cancer Older Patients Receiving Concurrent Radiochemotherapy. Nurs Res Inno J [Internet]. 2021 Aug. 29 [cited 2024 Apr. 25];27(2):216-31. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/245350
Section
บทความวิจัย

References

Gugic L, Strojan P. Squamous cell carcinoma of the head and neck in the elderly. Rep Pract Oncol Radiother.

;18(1):16-25.

Weir A, Ganti KA, Deshazo M, Samant S, Hurria A.Management of squamous cell carcinoma of the head and

neck in the elderly: review and recommendations. J Geriatr OnCol. 2012;3(3):265-72.

Rosenthal ID, Mendoza RT, Fuller DC, Hutcheson AK,Wang SX, Hanna YE, et al. Patterns of symptom burden

during radiotherapy or concurrent chemoradiotherapy for head and neck cancer: a prospective analysis using the University of Texas MD Anderson Cancer Center Symptom Inventory-Head and Neck Module. Cancer. 2014;120(13):1975-84. doi:10.1002/cncr.28672

Gellrich NC, Handschel J, Holtmann H, Krüskemper G.Oral cancer malnutrition impacts weight and quality of life.Nutrients. 2015;7(4):2145-60.

Donchoe CL, Ryan AM, Reynolds JV. Cancer cachexia:mechanisms and clinical implications. Gastroenterol Res

Pract. 2011;201:601434. doi.org/10.1155/2011/601434

Presley CJ, Dotan E, Soto-Perez-de-Celis E, Jatoi A,Mohile SG, Won E, et al. Gaps in nutritional research

among older adults with cancer. J Geriatr Oncol.2016;7(4):281-92. doi: 10.1016/j.jgo.2016.04.006.

Epub 2016 Jul 5. PMID: 27197919; PMCID: PMC 4969118.

Wang JS, Wang HJ, Qian HL. Biological effects of radiation on cancer cells. Mil Med Res. 2018;5(1):20.

doi: 10.1186/s40779-018-0167-4. PMID:29958 545;PMCID: PMC60263

Irune E, Dwivedi CR, Nutting MC, Harrington JK.Treatment related dysgeusia in head and neck cancer

patients. Complication of treatment. 2014;40:1106-17.

Hur K, Choi JS, Zheng M, Shen J, Wrobel B. Association of alteration in smell and taste with depression in older

adults. Laryngoscope Investig Otolaryngol. 2018;3:94-9.

Ma L, Poulin P, Feldstain A, Chasen RM. The association between malnutrition and psychological distress in patients with advanced head and neck cancer. Curr Oncol.2013;20(6):e554-60. doi:10.3747/co.20.1651

Chairit W, Piaseu N, Jarupat M S. Factors related to food security among older in a rural community of southern Thailand. Ramathibodi Nursing Journal. 2012;18(3):311-26. (in Thai)

Tharaporn S, Thanasilp S. Relation between symptoms,social support, and quality of life in head and neck cancer male patients treated with radiation, Southern region.Journal of Nursing Science Chulalongkorn University.2014;26(2):135-48. (in Thai)

Iqbal W, Alkarim S, AlHejin A, Mukhtar H, Saini K.Targeting signal transduction pathways of cancer stem cells

for therapeutic opportunities of metastasis. Oncotarget.2016;7(46):7633-53.

Ileri-Gurel E, Pehlivanoglu B. Dogan M. Effect of acute stress on taste perception: in relation with baseline anxiety level and body weight. Chem Senses. 2013,38(1):27-34.

Nguyen PN, Vos P, Vinh-Hung V, Borok LT, Dutta S,Karlsson U, et al. Alteration glucose metabolic during

chemoradiation for head and neck cancer. Anticancer Res.2009;29:4683-88.

Chaikham R, Raksanaves L, Pichaya N, Sooksrisawat C.Factors predicting nutritional behaviors among patients with head and neck cancer at Chonburi Cancer Hospital.Journal of The Department of Medical Service.

;43(6):68-73. (in Thai)

House JS. Work stress and social support. MA: Addison-Wesley Reading; 1981

Cohen JW. Statistical power analysis for behavioral sciences. NJ: Lawrence Erlbaum Associatiates; 1988

Im-oun S. Chokbamrung K. The relationship between social support and nutritional adaptation and nutritional status of continuous ambulatory peritoneal dialysis patients.Journal of Nursing Science & Health. 2010;33(2):72-9.(in Thai)

Boltong A, Aranda S, Keast R, Wynne R, Francis AP,Chirgwin J, et al. A prospective cohort study of the effects

of adjuvant breast cancer chemotherapy on taste function food liking appetite and associated nutritional outcomes.PLoS ONE. 2014;9(7): e103512. doi:10.1371/journal.pone.0103512

Borson S, Scanlan J, Brush M, Vitaliano P, Dokmak A.The Mini-Cog: a cognitive ‘vital signs’ measure for

dementia screening in multilingual elderly. Int J Geriatr Psychiatry. 2000;15(11):1021-7.

Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of Mini-Cog, a brief cognitive screening test. Geriatr Gerontol Int.2015;15(5):594-600. doi:10.1111/ggi.12318

Opasthiragul P. Taste changes among children with cancer receiving chemotherapy [Thesis]. Chiangmai, Chiangmai University; 2003. (in Thai)

Silpakit O. Srithanya stress scale. Journal of Mental Health of Thailand. 2008;16(3):177-85. (in Thai)

Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B.Screening for undernutrition in geriatric practice:

developing the short-form mini-nutritional assessment (MNA-SF). J Gerontol A Biol Sci Med Sci.2001;56(6):M366-M372.

Paillaud E, Liuu E, Laurent M, Le TA, Vincent H,Raynaud-Simon A, et al. Geriatric syndrome increased

the nutritional risk in elderly cancer patients independently from tumor site and metastatic status. The ELCAPA-05 cohort study. Clin Nutr. 2014;33(2):330-5.

Krapoohrit A, Kaewkha J, Jongsatitpaiboon J, Powwattana A. Nutrition assessment and nutrition care in head and neck cancer patient by nurse. In: The 15th Graduate Research Conference; 2014 Feb 22; Khon Kaen, Khon Kaen University; 2014. p. 1666-74. (in Thai)

World Health Organization. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet (London, England).2004;363(9403):147-63.

Rojanapan K, Chayaput P, Kimpee S, Ieumwananonthachai N. Influences of staging, neck node metastasis, receiving opioid medication, and radiation technique on nutritional status in head and neck cancer patients. Thai Journal of Nursing Council. 2013;28(2):13-29. (in Thai)

McEvoy GK, editor. AHFS 2004 drug information.Bethesda, Maryland: American Society of Health-System

Pharmacists; 2004. p. 929-45.

Su N, Lui C, Leu Y, Lee J, Chen Y, Chang Y. Prolong radiation time and low nadir hemoglobin during

postoperative concurrent chemoradiotherapy are both poor prognostic with synergistic effect on locally advanced head and neck cancer patients. Onco Targets Ther. 2015;8:251-8.

Neoh KM, Zaid ZA, Duad ZAM, Yusop NBM, Ibrahim Z,Raman ZA, Jamhuri N. Changes in nutritional impact

symptoms, nutritional and functional status during head and neck cancer treatment. Nutrients. 2020;12(1225):1-16.

Hanucharurnkul S. Self care: science and art of nursing.6th ed. Bangkok: V.J. Printing; 2001. (in Thai)

Zhu C, Wang B, Gao Y, Ma X. Prevalence and relationship of malnutrition and distress in patients with cancer using questionnaires. BMC Cancer. 2018;18(1):1272. doi:10.1186/s12885-018-5176-x.