The effect of individual nutrition counseling and family education on quality of life, sleep, weight changes, stress, anxiety and depression in patients with gastric cancer after total gastrectomy

The effect of nutrition education on quality of life, sleep, weight changes, stress and anxiety, and depression in patients with gastric cancer after total gastrectomy

The clinical trial in which the sampling is the random allocation and the minimum sample size required for each group was determined by dropping the samples with a probability of ten percent, 33 people for each group, and a total of 66 people. Data are analyzed using STATA version 15, MP version.

patient in Imam Khomeini Hospital after gastrectomy according to inclusion and exclusion criteria and personal satisfaction were included in the study and the group under consultation initially includes a face-to-face training session with the patient and preferably with close relatives after surgery and The stability of the situation is the adjustment of an individual diet plan for each patient on a weekly basis, during which the necessary follow-ups and answers to the patient's questions are performed during the week. The patient's companions will receive training every two weeks

Inclusion criteria: diagnosis of gastric cancer, age 20-65 years, total gastrectomy exclusion criteria: Patients with chronic diseases such as cardiovascular disease, mental illness or impaired consciousness, cancer metastasis to other organs (end-stage (IV) gastric cancer), diseases that may affect their nutritional status Like diabetes, long hospital stay.

Nutrition counseling protocol interventions according to the American Cancer Nutrition Guideline, to treat them by a nutritionist who is responsible for research. the control group has no training program and receives only routine nursing care.

Quality of life; quality of sleep; general health; stress scale; anxiety and depression; assessment of nutritional status and weight changes

For the random allocation of people, it will be done using the minimization method based on gender variables and in the form of balanced blocks. For this purpose, we have 6 pages of paper, on 3 of which the word I, which stands for Intervention, and on 3 of them, the word C, which stands for Control, is written. Then these are placed in a container and randomly extracted from this information box of these people until six pieces of paper are extracted from this package. Again, this operation is repeated until all the sample volume is taken. Then the participants in the selected blocks will be selected in a balanced way and based on gender according to the predetermined table. To balance the blocks based on sex, two pieces of paper written one of them with the word F, which stands for female, and the other with the word M, which stands for male, are then placed in the compartment and drawn randomly by replacing so that the ratio of women to men is considered to be 2 to 1 in the first block of 6 tuple and 1 to 2 in the next block of 6 tuple until the end, for this purpose the first half of the block of 6 tuple where the ratio of women to men is 2 to 1 If the first two people are randomly selected as men, in order to maintain the ratio of 2 to 1, we will consider the third person as a woman. We will determine the second half of the block based on the first half of the block. In the next block of 6 tuple, this time the ratio is reversed and the ratio of women to men is considered 1 to 2. Again, the lot is drawn by replacing and if the first person is a woman and the second person is a man, the third person is chosen as a woman to maintain the ratio, and this process continues until the end. The gender variable is considered a potentially confounding variable and the minimization method was used for the least confounding effect in the study. According to previous similar studies and research objectives, randomization will be done based on gender.

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