2010 Volume 60 Issue 4 Pages 321-328
Aims : The aims of this study were to clarify the activity level, nutritional state, and psychological changes after discharge in cancer patients who underwent total gastrectomy. Methods : Data concerning the energy expenditure, body weight, body fat percentage, and psychological state were obtained from 3 patients who were discharged after total gastrectomy by interviews and a review of the patients' personal, activity, and clinical records. Results : [Activity level and nutritional state] The body weight and body fat percentage decreased in all subjects over 1 month after discharge. The total energy expenditure and activity level showed no marked change. [Psychological changes] Despite the decrease in body weight, the patients perceived a recovery of fitness, learned how to cope with symptoms, and became confident in life. Conclusion : Total gastrectomy patients experience body weight losses and various symptoms during 1 month after discharge, and support to resume a normal life is necessary in this period. It was also suggested that closely listening to patients describe their symptoms and providing corresponding educational intervention are necessary.
