Repository logo
  • English
  • 中文
Log In
Have you forgotten your password?
  1. Home
  2. College of Medicine / 醫學院
  3. Nursing / 護理學系所
  4. Correlation Between Cachexia and Changes of Physical Fitnessin the Patients with Pancreatic and Periampullary Tumor During Three months After Operation
 
  • Details

Correlation Between Cachexia and Changes of Physical Fitnessin the Patients with Pancreatic and Periampullary Tumor During Three months After Operation

Date Issued
2016
Date
2016
Author(s)
Liou, Yan-Ting
DOI
10.6342/NTU201600756
URI
http://ntur.lib.ntu.edu.tw//handle/246246/277493
Abstract
Cachexia is the common syndrome among the patients with pancreatic and periampullary tumor before surgery. Since the process of the wound healing and the recovery in physical fitness during the post-operation, cachexia is easily ignored. Consequently, cachexia strongly impacts the quality of life and even the survival rate. However, there is no study to explore the correlation between cachexia and the changes of physical fitness in the patients with pancreatic and periampullary tumor during operation. Therefore, the purpose of this study was to explore (1) the prevalence and severity of cachexia before operation, (2) the change of physical fitness during three months after operation, and (3) the correlation between cachexia and the change of physical fitness within three months. A longitudinal designed study was conducted on the patients with pancreatic and periampullary tumor undergoing the surgery in the surgery outpatient. The data were collected four times at peri-operation (T0) and post-operation 1, 2, 3 months (T1, T2, T3) from 25 November in 2015 to 21 June in 2016. A set of structured questionnaire was used to collect data including the demographic and clinical characteristic, the Symptom Severity Scale (SSS) and the Fatigue Symptom Inventory (FSI). Besides, patients were received the test of physical fitness including the body composition, the strength of hand grip and 30-second sit-to-stand test (STS-30). The descriptive statistics was used to analyze the each variable and the correlation statistics was used to explore the independent variable in the physical fitness. Lastly, the generalized estimating equations (GEE) was used to analyze cachexia and the change of physical fitness during operation. Totally, 46 patients completed this survey and the attribution rate was 6.5% during the period of data collecting. The results had shown that (1) the prevalence of cachexia was 44.1% and the group of cachexia had more DM than the group without cachexia; (2) the flatulence was the most severity symptom before operation and the early satiety was the most severity symptom within three months of post operation. Moreover, the fatigue was ranking second or third, which belonged to mild to moderate fatigue during three months after operation. However, the overall severity of symptom was significant lower in the second and third month of post-operation (T2, T3) than pre-operation (T0); (3) the body weight and the fat mass were significant decrease within three months after operation. Besides, the significant factors of physical fitness before surgery included gender, age, KPS, hemoglobin, albumin and implanting the bile stent before surgery, and (4) Even though cachexia was not independent factor in the physical fitness within three months after operation, the male decreased in the body weight, the skeletal muscle mass and the strength of hand grip more than the female. Besides, the population of the male with higher level of hemoglobin and albumin and the population of the female with younger and higher KPS’s scoring had better physical fitness performance during the recovery of operation. Cachexia is high prevalence among patients undergoing pancreatic surgery and these patients had worst level of physical fitness than the healthy people. The patients still significant lower in body weight and the fat mass within three months after surgery. Therefore, the health providers should put more attention to the population of the male on the change of physical fitness especially those were lower level of hemoglobin and albumin. These patients were received appropriate interventions to gain more nutritional supplement, maintain physical fitness and decrease the loss of body weight. Those multiple interventions lead to rebuild and promote the physical fitness after operation.
Subjects
Pancreatic and Periamupllary Tumor
Operation
Cachexia
Physical Fitness
Type
thesis
File(s)
Loading...
Thumbnail Image
Name

ntu-105-R03426034-1.pdf

Size

23.32 KB

Format

Adobe PDF

Checksum

(MD5):89d0819d4a378fd6b86991ddf7d966ae

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

  • 請確認所上傳的全文是原創的內容,若該文件包含部分內容的版權非匯入者所有,或由第三方贊助與合作完成,請確認該版權所有者及第三方同意提供此授權。
    Please represent that the submission is your original work, and that you have the right to grant the rights to upload.
  • 若欲上傳已出版的全文電子檔,可使用Open policy finder網站查詢,以確認出版單位之版權政策。
    Please use Open policy finder to find a summary of permissions that are normally given as part of each publisher's copyright transfer agreement.
  • 網站簡介 (Quickstart Guide)
  • 使用手冊 (Instruction Manual)
  • 線上預約服務 (Booking Service)
  • 方案一:臺灣大學計算機中心帳號登入
    (With C&INC Email Account)
  • 方案二:ORCID帳號登入 (With ORCID)
  • 方案一:定期更新ORCID者,以ID匯入 (Search for identifier (ORCID))
  • 方案二:自行建檔 (Default mode Submission)
  • 方案三:學科館員協助匯入 (Email worklist to subject librarians)

Built with DSpace-CRIS software - Extension maintained and optimized by 4Science