| Project/Area Number |
15K11620
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Clinical nursing
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| Research Institution | Teikyo University (2018)
University of Yamanashi (2015-2017) |
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Principal Investigator |
Furuya Yoko 帝京大学, 医療技術学部, 准教授 (80310514)
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| Co-Investigator(Kenkyū-buntansha) |
中村 美知子 山梨大学, 大学院総合研究部, 医学研究員 (80227941)
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| Project Period (FY) |
2015-04-01 – 2019-03-31
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| Project Status |
Completed (Fiscal Year 2018)
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| Budget Amount *help |
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
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| Keywords | 胃切除術後患者 / 食事摂取状態 / 回復状態 / 胃切除術後 / 食生活管理 / 外来看護 / 胃切後術後患者 / 指導体制づくり |
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| Outline of Final Research Achievements |
Changes in body composition (body weight, body fat mass, skeletal muscle mass, serum branched-chain amino acids (BCAAs)) and nutritional status were investigated up to 1 month after discharge from the post-gastrectomy patients. The subjects of analysis were 11 (TG: 4 total gastrectomy, PG: 7 partial gastrectomy), and the average age was 69.9 years. There were no significant differences in body composition and serum BCAAs at 3 points (discharge, 1 week after discharge and 1 month after discharge) in both groups. The trunk muscle mass of the TG group continued to decrease gradually even one month after discharge, there was a difference from the change of the DG group (TG:-2.60 ± 0.94 vs DG:-0.83 ± 0.78 (p = 0.008)). Changes in trunk muscle mass in the DG group were correlated to serum BCAAs (r =-954, p = 0.046). The need for BCAA-rich nutrition intake to prevent skeletal muscle loss was suggested.
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| Academic Significance and Societal Importance of the Research Achievements |
胃切除術後患者個々の経時的な回復状態，食事・栄養摂取状況の把握と疾病の病期や病態に応じた，嗜好性の高い食事・栄養補給ができることが重要である。そのためには，食事摂取に伴う症状の発現を抑え，自己の栄養状態に適った食べ方の主体的な栄養管理が必要である。今後，胃切除術後患者の食生活管理の実践化には，外来看護師，管理栄養士，医師が連携した指導体制づくりの必要性が生じている。
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