Promoting Dietary Self Care among Patients with Hepatocellular Carcinoma Undergoing Transcatheter Arterial Chemoembolization
DOI:
https://doi.org/10.60099/jtnmc.v38i01.260946Keywords:
Promoting Self Care, Diet, Patients with Hepatocellular Carcinoma, Transcatheter Arterial ChemoembolizationAbstract
In Thailand, there has been an increase in the number of patients diagnosed with hepatocellular carcinoma (HCC). Standard treatment for patients with HCC who have symptoms and are diagnosed with Barcelona Clinic Liver Cancer stage B is transcatheter arterial chemoembolization (TACE). However, proper nutritional status is essential for patients to receive treatment according to the treatment cycle. Dietary care is a critical part of the treatment for patients with HCC who are undergoing TACE and requires the cooperation of a multidisciplinary team led by nurses.
The aim of this article is to present a theoretical concept to promote dietary self-care for patients with HCC who are undergoing TACE based on Orem’s conceptual framework and approaches to promote proper dietary self-care. The essential components include: 1) the concept of promoting self-care; 2) dietary care with a multidisciplinary team; 3) theories and research related to promoting dietary self-care, including assessment of nutritional status, dietary care for patients with HCC, and dietary advice; and 4) the application of dietary self-care guidelines for patients with HCC who are undergoing TACE. Nurses play a significant role in promoting dietary self-care by applying the goal-directed self-care concept, adapting strategies to support individuals, monitoring progress, and providing continuous follow-up.
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Shehzad A, Sajjad R, Shabbir K, Qureshi Z, Saeed F, Qamar A. Hepatocellular carcinoma at initial presentation and its subsequent therapeutic options offered: a Tertiary Hospital experience. Pak Armed Forces Med J 2019;69(5):1051-6.
Sacco R, Tapete G, Simonetti N, Sellitri R, Natali V, Melissari S, et al. Transarterial chemoembolization for the treatment of hepatocellular carcinoma: a review. J Hepatocell Carcinoma 2017;4:105-10.
Shiozawa S, Usui T, Kuhara K, Tsuchiya A, Miyauchi T, Kono T, et al. Impact of branched-chain amino acid-enriched nutrient on liver cirrhosis with hepatocellular carcinoma undergoing transcatheter arterial chemoembolization in Barcelona Clinic Liver Cancer Stage B: a prospective study. J Nippon Med Sch 2016;83(6):248-56.
Deng J, He JJ, Xie LP, Zheng QW, Wu SL, Shao HY. Comprehensive nutritional index for predicting overall survival in hepatocellular carcinoma patients after multiple transarterial chemoembolization. Asia Pac J Clin Nutr 2021;30(1):7-14.
Lakkananurak N. Guidelines for the care of malnutrition in patients with cirrhosis. J Nutri Thera 2018;26(2):1-9. (in Thai)
European Association for the Study of the Liver. Electronic address: easloffice@easloffice.eu; European Association for the Study of the Liver. EASL clinical practice guidelines on nutrition in chronic liver disease. J Hepatol 2019;70(1):172-93.
Bischoff SC, Bernal W, Dasarathy S, Merli M, Plank LD, Schütz T, et al. ESPEN practical guideline: clinical nutrition in liver disease. Clin Nutr 2020; 39(12):3533-62.
Wongsawassot A, Temthup S, Ponmad S. Effects of the educative supportive nursing program on dietary self care and serum albumin of patients with hepatocellular carcinoma. Thai J Nurs Midwif Prac 2021;8(2):72-86. (in Thai)
Alam L, Ali HF, Alam M, Khan J, Khan S. Knowledge and clinical practices of medical doctors regarding nutrition in cirrhosis patients: a multicenter study from Pakistan. J Pak Med Assoc 2021 ;71(8):2009-13.
Temthup S. Indicator report of advanced practice nurse. Nursing Service Division, Songklanagarind Hospital: Songkhla; 2021. (In Thai)
Orem DE. Nursing: concepts of practice. 6th ed. Saint Louis: Mosby; 2001.
Andersen JT, Dalhus B, Viuff D, Ravn BT, Gunnarsen KS, Plumridge A, et al. Extending serum half-life of albumin by engineering neonatal Fc receptor (FcRn) binding. J Biol Chem 2014 ;289(19):13492-502.
Tsoris A, Marlar CA. Use of the Child Pugh score in liver disease [Internet] StatPearls Publishing 2022. [cited 2021 Oct 10]. Available from: https://pubmed.ncbi.nlm.nih.gov/31194448/
Dhaliwal A, Towey J, Lord JM, Armstrong M, Elsharkawy AM. Nutrition in liver cirrhosis: a case-based overview. Frontline Gastroenterol 2019;11(2):155-61.
Ruiz-Margáin A, Román-Calleja BM, Moreno-Guillén P, González-Regueiro JA, Kúsulas-Delint D, Campos-Murguía A, et al. Nutritional therapy for hepatocellular carcinoma. World J Gastrointest Oncol 2021;13(10):1440-52.
Amodio P, Bemeur C, Butterworth R, Cordoba J, Kato A, Montagnese S, et al. The nutritional management of hepatic encephalopathy in patients with cirrhosis: International Society for Hepatic Encephalopathy and Nitrogen Metabolism Consensus. Hepatology 2013;58(1):325-36.
Ruiz-Margáin A, Méndez-Guerrero O, Román-Calleja BM, González-Rodríguez S, Fernández-Del-Rivero G, Rodríguez-Córdova PA, et al. Dietary management and supplementation with branched-chain amino acids in cirrhosis of the liver. Rev Gastroenterol Mex (Engl Ed) 2018 ;83(4):424-33.
Aithal GP, Palaniyappan N, China L, Härmälä S, Macken L, Ryan JM, et al. Guidelines on the management of ascites in cirrhosis. Gut 2021;70(1):9-29.
Tsien CD, McCullough AJ, Dasarathy S. Late evening snack: exploiting a period of anabolic opportunity in cirrhosis. J Gastroenterol Hepatol 2012;27(3):430-41.
Moss O. Nutrition priorities: diet recommendations in liver cirrhosis. Clin Liver Dis (Hoboken) 2019; 14(4):146-8.
Khongseua P, Tantikosoom P, Ua-Kit N. The effects of educative supportive nursing program on dietary behaviors among patients after percutaneous transluminal coronary intervention. Kuakarun J Nurs 2014;21: 68-85. (in Thai)
Prompahakul R, Wirojratana V, Wattakritkraileart D, Krainuwat K. The effect of self-regulation program on dietary behavior among older adults with uncontrolled type 2 diabetes. Nurs Sci J Thial 2020;38(2):32-45. (in Thai)
Nunthaitaweekul P, Pansup J. The effect of a selfmanagement program combined with social support on the self-management and healthy eating behaviors among patients with cardiovascular disease. Walailak J Sci & Tech 2021;18(4):e9614. doi.org/10.48048/ wjst.2021.9614. (in Thai)
Mok VK, Sit JW, Tsang AS, Chair SY, Cheng TL, Chiang CS. A controlled trial of a nurse follow-up dietary intervention on maintaining a heart-healthy dietary pattern among patients after myocardial infarction. J Cardiovasc Nurs 2013;28(3):256-66.
Alavinejad P, Hajiani E, Danyaee B, Morvaridi M. The effect of nutritional education and continuous monitoring on clinical symptoms, knowledge, and quality of life in patients with cirrhosis. Gastroenterol Hepatol Bed Bench 2019;12(1):17-24.
Qazi A, Basar S, Qazi A, Shafi L, Qazi R. Assessment of malnutrition in chronic liver disease patients with the Child Pugh classification at a Large Tertiary Care Center in Karachi, Pakistan. APMC 2021;15(1):1-5.
Eghtesad S, Poustchi H, Malekzadeh R. Malnutrition in liver cirrhosis: the influence of protein and sodium. Middle East J Dig Dis 2013;5(2):65-75.
Hanai T, Shiraki M, Imai K, Suetsugu A, Takai K, Shimizu M. Late evening snack with branched-chain amino acids supplementation improves survival in patients with cirrhosis. J Clin Med 2020;9(4):e1013. doi: 10.3390/jcm9041013.
Chen CJ, Wang LC, Kuo HT, Fang YC, Lee HF. Significant effects of late evening snack on liver functions in patients with liver cirrhosis: a meta-analysis of randomized controlled trials. J Gastroenterol Hepatol 2019;34(7):1143-52.
Phothong P. Diet and liver cirrhosis [Internet]. haamor.com 2014 [cited 2022 Fab 22]. Available from: https://haamor.com/. (In Thai)
Panyoyai N. Plant-based proteins: nutrition, structure, functionality, and applications in food industry. Rajabhat Agric 2020;19(1):61-9. (In Thai)
Department of Health Bureau of Nutrition. Dietary reference intake for Thais 2020. Bureau of Nutrition, Department of Health, Ministry of Public Health; 2020. (In Thai)
Thongphaeng S. Exchange food items [Internet]. Siriraj Diabetes Center Faculty of Medicine Siriraj Hospital Mahidol University 2015 [cited 2022 Fab 22]. Available from: https://www.si.mahidol.ac.th/th/division/diabetes/admin/knowledges_files/11_ 44_1.pdf. (In Thai)
Nutrition office Thanyarak Pattana Hospital. Food exchange lists [Internet]. Thanyarak Pattana Hospital 2022 [cited 2022 Fab 22]. Available from: https://tph.go.th/th/news/saraknaru_file/5909231 01226.pdf. (In Thai)
He JJ, Yin XX, Wang T, Chen MY, Li XL, Yang XJ, Shao HY. Factors influencing postembolization syndrome in patients with hepatocellular carcinoma undergoing first transcatheter arterial chemoembolization. J Cancer Res Ther 2021;17(3):777-83
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