Gastrointestinal cancer GI cancer1
Conditions
Interventions
Nutrition: Personalized nutritional support and monitoring.
Exercise: Structured physical activity/exercise regimen.
Counseling: Professional nursing counseling focused on self-care agency.,Participan
s protocols without the supportive-educative program.
Experimental Behavioral,No Intervention Behavioral
Supportive-Educative Nursing Program,Standard Care Group
Sponsors
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1) Age 18 years and older. 2) Screened for cancer cachexia using a weight loss of >5% within 6 months, unrelated to starvation, or >10% within 6 months or more, or >2% weight loss along with a BMI of less than 18.5 kg/m2 if under 70 years of age. For those over 70 years of age, the criteria were less than 20 kg/m2. 3) Good level of consciousness, able to communicate in Thai, and without any communication difficulties. 4) Free from depression, as assessed by the Thai Depression Screening Tool (2Q), and willing to participate in this study. 5) Those aged 60 years and older have a score of more than 3 on the Mini-Cog cognitive impairment test. 6) The Eastern Cooperative Oncology Group's performance status assessment is 0-2. 7) For surgical cases, the patient must have undergone surgery at least six weeks prior. 8) Patients with no history of comorbidities, including heart failure, chronic obstructive pulmonary disease, neurological disorders, or musculoskeletal limitations, were included.
Exclusion criteria
Exclusion criteria: 1) Exclusion criteria: Participants did not follow the research project procedures, significantly affecting data interpretation. 2) Inability to swallow food or receive nutrition via a feeding tube or intravenously. 3) Implanted pacemakers or defibrillators. 4) Ede-ma or ascites.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Physical Function: Functional Capacity (6-Minute Walk Test) Baseline and 12 weeks post-intervention 6-Minute Walk Test (6MWT) | — |
Secondary
| Measure | Time frame |
|---|---|
| Physical Function: Upper Limb Muscle Strength (Handgrip Strength) Baseline and 12 weeks post-intervention Handgrip Strength: Handheld Dynamometer measured in kilograms.,Body composition Baseline and 12 weeks post-intervention Body Composition: BIA in kilograms/percent,Fatigue Baseline and 12 weeks post-intervention The cancer fatigue scale,Quality of Life Baseline and 12 weeks post-intervention Quality of Life: FAACT scale. | — |
Countries
Thailand
Contacts
Public ContactSuchira Chaiviboontham
Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Outcome results
None listed