Role of Nurses in Food Consumption Behavior Modification to Prevent Cholangiocarcinoma บทบาทพยาบาลในการปรับเปลี่ยนพฤติกรรมด้านการบริโภคอาหารเพื่อป้องกันโรคมะเร็งท่อน้ำดี

Abstract

Cholangiocarcinoma (CCA) are major public health problems in northeastern part of Thailand commonly found in males. It caused by consumption of undercooked food infected with liver fluke, liver fluke larvae grow in the bile ducts. In the early stages, patient mostly have no sign and symptoms. Most of them came to the doctor with eye symptom, jaundice and tightness in the stomach. The current treatment for this disease is determined according to stage of disease which the most common treatment is surgery. In patients with metastatic cancer, palliative treatment will be given according to symptoms. Cholangiocarcinoma is a chronic disease that can be prevented by having appropriate dietary habits. Therefore, nurses are considered to be very important persons in the Thai public health system in modifying food consumption behaviors of the people. Nurses can apply various concepts of behavior modification to develop a model for health promotion and prevent liver fluke and cholangiocarcinoma. In this article, the authors propose the role of nurses based on the Transtheoretical model (TTM). TTM theory introduce that behaviors is complex, nurses should have an understanding of a person’s behavior and organize nursing activities for encourage people having correct and appropriate food consumption.