Back
 Health  Vol.9 No.13 , December 2017
Development of a Dietary Habit Self-Management Skills Scale for Post-Gastrectomy Cancer Patients in Japan
Abstract: Purpose: The purpose of the present study was to develop a Dietary Habit Self-Management Skill (DHSMS) scale, and to test the reliability and validity of this scale. Methods: A questionnaire survey was then conducted using a 69-item DHSMS scale (second draft) for which content validity had been confirmed. The participants were post-gastrectomy cancer patients aged from 40 to under 80 years who had undergone initial gastrectomy with an interval of from 1 month since discharge to <3 years post-operative. Results: The scale is a second-order factor model with “Dietary habit self-management skills” as a higher-order factor, four factors—”Skill to form partnerships with other important people”, “Skill to prevent or cope with post-gastrectomy disorder”, “Skill to grasp issues accompanying post-gastrectomy disorder”, and “Self-efficacy”—and 27 items. The construct validity of the scale was confirmed. Cronbach’s alpha coefficient of the DHSMS scale was 0.915. The criterion- related validity of the DHSMS scale was confirmed based on the correlations between overall DHSMS scale scores and “Number of post-gastrectomy disorder symptoms experienced”, the score for the subscale “Skill to grasp issues accompanying post-gastrectomy disorder” and “Number of post-gastrectomy disorder symptoms experienced”, and the subscale “Self-efficacy” and the SF-8. Discussion: By using patients’ self-administered DHSMS scale scores, medical professionals are able to assess the level of a patient’s self-management skills and the status of their dietary habits as a result of post-gastrectomy disorder.
Cite this paper: Ogasa, M. (2017) Development of a Dietary Habit Self-Management Skills Scale for Post-Gastrectomy Cancer Patients in Japan. Health, 9, 1750-1775. doi: 10.4236/health.2017.913128.
References

[1]   Matsuda, A., Matsuda, T., Shibata, A., Katanoda, K., Sobue, T., Nishimoto, H. and The Japan Cancer Surveillance Research Group (2013) Cancer Incidence and Incidence Rates in Japan in 2008: A Study of 25 Population-Based Cancer Registries for the Monitoring of Cancer Incidence in Japan (MCIJ) Project. Japanese Journal of Clinical Oncology, 44, 388-396.
https://doi.org/10.1093/jjco/hyu003

[2]   Iino, K., Watanuki, S., Koyama, Y., Suzuki, K., Wada, C., Mori, M., et al. (2013) Signs and Symptoms Associated with Postsurgical Dysfunctions among Upper Gastroesophageal Cancer Patients: An Analysis of the Published Reports. Palliative Care Research, 8, 701-720.
https://doi.org/10.2512/jspm.8.701

[3]   Nakamura, M., Hosoda, Y., Doki, Y., Yano, M. and Alan, T.L. (2014) Development of the DAUGS Scoring System. Kyoto University Press, Kyoto.

[4]   Ministry of Health, Labor and Welfare (2012) 2011 Summary of Patient Survey, Average Length of Preoperative and Postoperative Stay for Estimated Discharged Patients. http://www.mhlw.go.jp/toukei/saikin/hw/kanja/11/dl/03.pdf

[5]   Nawa, H., Shimazawa, J., Takeda, K., Yasuda, K., Mikoshiba, Y., Miyauchi, K., et al. (2005) Symptom Management and Features of Postgastrectomy Patient’s Daily Life during Transitional Stage. Bulletin Nagano College of Nursing, 7, 11-20.
http://id.nii.ac.jp/1054/00000009/

[6]   Yamawaki, K. and Fujita, M. (2004) Stress Associated with Resumption of Work in Middle-Aged People after Surgery for Gastric Cancer. Research reports of the K?chi University, 53, 47-63.
http://hdl.handle.net/10126/135

[7]   Takashima, N. and Murata, Y. (2013) Quantitative and Qualitative Evaluation of the Quality of Life of Patients with Gastric Cancer up to 2 Months after Gastrectomy. Tokyo Jikeikai Medical Journal, 128, 25-34. http://hdl.handle.net/10328/7747

[8]   Yoshimura, Y., Maeda, Y. and Shirata, K. (2005) Quality of Life in Cancer Patients after Gastrectomy by Evaluating Correlation between Eating Habits and Postoperative Symptoms, and Psychological Health. Journal of Japan Academy of Nursing Science, 25, 52-60.
https://doi.org/10.5630/jans1981.25.4_52

[9]   Enomoto, M., Saegusa, K., Nakai, Y. and Sato, H. (2007) A Review of the Dietary Behavior in Patients after Gastrectomy for Gastric Cancer. Bulletin of Chiba College of Health Science, 26, 123-129.
http://id.nii.ac.jp/1141/00275450/

[10]   Nakada, K., Ikeda, M., Takahashi, M., Kinami, S., Yoshida, M., Uenosono, Y., et al. (2015) Characteristics and Clinical Relevance of Postgastrectomy Syndrome Assessment Scale (PGSAS)-45: Newly Developed Integrated Questionnaires for Assessment of Living Status and Quality of Life in Postgastrectomy Patients. Gastric Cancer, 18, 147-158.
https://doi.org/10.1007/s10120-014-0344-4

[11]   Copland, L., Liedman, B., Rothenberg, E. and Bosaeus, I. (2007) Effects of Nutritional Support Long Time after Total Gastrectomy. Clinical Nutrition, 26, 605-613.
https://doi.org/10.1016/j.clnu.2007.06.004

[12]   Faller, H., Koch, G.F., Reusch, A., Pauli, P. and Allgayer, H. (2009) Effectiveness of Education for Gastric Cancer Patients: A Controlled Prospective Trial Comparing Interactive vs. Lecture-Based Programs. Patient Education & Counseling, 76, 91-98.
https://doi.org/10.1016/j.pec.2008.11.021

[13]   Xie, F.L., Wang, Y.Q., Peng, L.F., Lin, F.Y., He, Y.L. and Jiang, Z.Q. (2017) Beneficial Effect of Educational and Nutritional Intervention on the Nutritional Status and Compliance of Gastric Cancer Patients Undergoing Chemotherapy: A Randomized Trial. Nutrition & Cancer, 69, 762-771.
https://doi.org/10.1080/01635581.2017.1321131

[14]   Lorig, K.R. and Holman, H.R. (2003) Self-Management Education: History, Definition, Outcomes, and Mechanisms. Annals of Behavioral Medicine, 26, 1-7.
https://doi.org/10.1207/S15324796ABM2601_01

[15]   Japanese Society for Gastro-Surgical Pathophysiology (2015) Practical Handbook for Gastro-Surgical Pathophysiology. Nankodo Ltd., Tokyo.

[16]   Wakita, T. (2007) Drawing up the Scale Items. In: Oshio, S. and Nishiguchi, T., Eds., Process for Questionnaire Survey, Nakanishiya Ltd., Kyoto, 49-53.

[17]   Fukuhara, S. and Suzukamo, Y. (2004) Manual of the SF-8 Japanese Version. Institute for Health Outcomes & Process Evaluation Research, Kyoto.

[18]   Takahashi, H., Nakamura, M., Kinoshita, T. and Masui, S. (2000) Development and Validation of a Self-Management Skill Scale. Japanese Journal of Public Health, 47, 907-914.

[19]   Takahashi, H., Takehana, Y. and Sami, Y. (2004) Difference of Self-Management Skills among Various Age Groups. Japanese Journal of Health Education and Promotion, 12, 80-87.

[20]   Oshio, S. (2010) Covariance Structure Analysis First Step, Introduction to Path Analysis Learned from the Meaning of Figure. Arute Ltd., Tokyo.

[21]   Polit, D.F. and Beck, C.T. (2004) Nursing Research: Principles and Methods. 7th Edition, Lippincott Williams & Wilkins, Philadelphia.

[22]   Ministry of Health, Labor and Welfare (2015) 2014 Patient Survey, Estimated Number of Discharged Patients by Sex, Age Group and Classification of Diseases.
https://www.e-stat.go.jp/SG1/estat/GL08020103.do?_toGL08020103_&listID=000001141596&requestSender=dsearch

[23]   Kojima, T. (2008) Trouble Shooting. In: Asano, H., Suzuki, T. and Kojima, T., Eds., Actual of Covariance Structure Analysis, Kodansha Ltd., Tokyo, 118-122.

[24]   Toyota, H. (1998) Covariance Structure Analysis [Introduction]: Structural Equation Modeling. Asakura Publishing Ltd., Tokyo, 173-177.

[25]   Takegami, M. and Fukuhara, S. (2009) How to Use QOL That No One Taught- Connect Measurement Results to Research, Medical Treatment, and Policy: SF-36 Utilization Version. 2nd Edition, Institute for Health Outcomes & Process Evaluation Research, Kyoto.

[26]   Matsushita, T., Matsushima, E. and Maruyama, M. (2005) Psychological Characteristics of Patients with Digestive Cancer. Japanese Journal of General Hospital Psychiatry, 17, 37-47.

[27]   Knobf, M.T. (2015) Oncology Nursing Society 2014-2018 Research Agenda.
https://www.ons.org/sites/default/files/2014-2018%20ONS%20Research%20Agenda.pdf

 
 
Top