![]() However, patient interviews aim at intervening in the patient’s value systems or the level of expectations thus, moderating the mismatch between the ideal and reality. Among the strategies suggested for the postoperative management of QoL deterioration, symptomatic medications and nutritional support aim at restoring specific objective outcomes or achievements, thus facilitating patient satisfaction. Thus, a reduction in the gap between the patient’s expectations and achievements is vital to QoL management 16. Their perceived position in their own set of values decides the QoL outcomes 15. These strategies include symptomatic medications, nutritional support, and patient interviews 1, 5, 12, 13.īy definition, QoL represents an individual’s overall satisfaction with life and well-being 14. Reactive strategies for pre-existent QoL deterioration have only been presented as theories and hypotheses or outcomes of small-sized observational studies. While there are several studies on QoL management of patients with cancer, most of these focus on preemptive measures to minimize the occurrence of QoL deterioration by suggesting specific procedures or chemotherapeutic regimens with better QoL outcomes 6, 7, 8, 9, 10, 11. Depending on the onset of clinical effort, QoL management can be considered preemptive or reactive. ![]() While QoL deterioration in gastric cancer survivors occurs due to various symptoms, behavior related QoL deterioration is known to persist even longer 5.Ĭlinicians are very concerned about patients’ QoL, including its management, which should be a greater part in cancer survivorship care. Gastric cancer survivors experience changes in quality of life (QoL) after surgery 1, 2, 3, 4, which include QoL deterioration of symptomatic and behavioral aspects in the postoperative period. Patient interviews with affirmative feedback on weight loss improved weight satisfaction and QoL in gastric cancer survivors who lost weight. Significant QoL advantages were also observed in the affirmative-feedback group on multiple scales (global health status/QoL, nausea/vomiting, diarrhea, dysphagia, dry mouth, and body image). Despite the weight loss, the affirmative-feedback group exhibited a higher percentage of “less worried” responses (90.4%) on low body weight concerns as compared to the control group (76.5% P = 0.037). The postoperative 1-year QoL was compared before (control) and after policy changes (affirmative-feedback group) in preoperatively overweight (or obese) patients who lost weight. The European Organization for Research and Treatment of Cancer QoL Questionnaire-C30 and -STO22 were used to assess the QoL. ![]() Under the new policy, a group of patients who were preoperatively overweight or obese were provided with affirmative feedback, despite their postoperative weight loss. Weight loss after gastric cancer surgery is common, and a change in the departmental policy helped in providing cancer survivors with an alternative interpretation of lost weight. This study investigated the feasibility of improving post-gastrectomy satisfaction/quality of life (QoL) of gastric cancer survivors by readjusting their expectations through patient interviews.
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