Evaluation of clinical pharmacists participating in the perioperative nutritional management of pancreaticoduode-nectomy
- VernacularTitle:临床药师参与胰十二指肠切除围手术期营养管理的效果评价
- Author:
Lina WANG
1
,
2
;
Xiaojie BIAN
2
;
Shaoyan JIANG
1
;
Shaojie DENG
1
;
Yudong QIU
3
;
Liang MAO
3
;
Weihong GE
2
Author Information
1. Dept. of Pharmacy，Shenzhen Maternity and Child Healthcare Hospital，Guangdong Shenzhen 518028，China
2. Dept. of Pharmacy，Nanjing Drum Tower Hospital Affiliated to Medical School of Nanjing University，Nanjing 210008，China
3. Dept. of Pancreatic and Metabolic Surgery，Nanjing Drum Tower Hospital Affiliated to Medical School of Nanjing University，Nanjing 210008，China
- Publication Type:Journal Article
- Keywords:
pancreaticoduodenectomy;
perioperative;
clini-
- From:
China Pharmacy
2024;35(5):618-622
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To explore the role of clinical pharmacists participating in the standardized perioperative nutritional management process for pancreaticoduodenectomy （PD） on improving postoperative recovery in patients. METHODS The clinical data of 100 patients undergoing PD in the Department of Biliary and Pancreatic Surgery， Drum Tower Hospital Affiliated to Nanjing University School of Medicine from November 2019 to February 2021 were analyzed retrospectively. According to the different perioperative nutrition management plans， they were divided into clinical pharmacist intervention group （n＝51， clinical pharmacists intervened according to the standardized nutrition management process） and control group （n＝49， clinical pharmacists only performed preoperative nutrition evaluation， and clinical physicians took nutrition support according to the patient’s condition）. The differences in postoperative recovery index， economic evaluation index， hospitalization length， postoperative complications， and postoperative enteral nutrition support route were compared between 2 groups. RESULTS The time of postoperative diet， the first postoperative ventilation， the first postoperative defecation， and postoperative drainage time of abdominal drain were significantly earlier in the clinical pharmacist intervention group than in the control group （P＜0.05）； the hospitalization cost， medication cost， nutritional support cost， parenteral nutrition cost， albumin preparation cost， and the length of postoperative hospitalization were significantly lower/shorter in the clinical pharmacist intervention group than in the control group （P＜0.05）； there was no statistically significant difference in the incidence of postoperative complications between the two groups （P＞0.05）； there was statistically significant difference in the perioperative enteral nutrition support pathways between two groups （P＜0.05）. CONCLUSIONS Clinical pharmacists’ participation in perioperative nutritional management for PD can significantly reduce hospitalization costs and nutritional support costs， improve patients’ perioperative nutritional status， and shorten hospital stays. wanglina668@163.com
