Construction and application of a management process for enteral nutrition-associated diarrhea in postoperative esophageal cancer patients
10.3761/j.issn.0254-1769.2024.03.013
- VernacularTitle:食管癌术后患者肠内营养相关性腹泻管理流程的制订与应用
- Author:
Bainü WU
1
;
Yuanyuan MI
;
Yi ZHENG
;
Liuliu ZHANG
;
Maomao ZHANG
;
Ping ZHU
;
Chunli LIU
;
Bing WU
;
Yan QIANG
Author Information
1. 310003 杭州市 浙江中医药大学附属第一医院肿瘤科
- Keywords:
Esophageal Cancer;
Enteral Nutrition;
Diarrhea;
Process Management;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(3):338-345
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effect of enteral nutrition-related diarrhea in postoperative esophageal cancer patients.Methods Based on literature search and expert meeting,a management process for enteral nutrition-associated diarrhea in postoperative esophageal cancer patients was constructed.A convenience sampling method was used to select a total of 68 patients with enteral nutrition-related diarrhea after esophageal cancer surgery admitted to the thoracic surgery department of a tertiary A cancer hospital in Jiangsu Province.Among them,patients admitted from January 2022 to December 2022 were set as an experimental group.The experimental group was implemented the management process for enteral nutrition-associated diarrhea in postoperative esophageal cancer patients.Those admitted from January 2021 to December 2021 were set as a control group with routine nursing.Then,the time of stopping diarrhea,the King's of Stool Chart(KSC-Tr)diarrhea score,and abnormal incidence of nutrition-related indexes,electrolytes abnormalities(low sodium,low potassium,and low calcium)were compared between 2 groups.Results The time of stopping diarrhea,KSC diarrhea score after 3 days of intervention and the time to achieve target feeding volume of the experimental group were lower than those in the control group,and the difference was statistically significant(P＜0.05).There were no significant differences in hemoglobin,albumin,prealbumin after 3 days of intervention,the incidence of electrolyte abnormalities(low sodium,low potassium,and low calcium)after 3 days of intervention,and the BMI index after 7 days of intervention between 2 groups(P＞0.05).Conclusion The management process for enteral nutrition-associated diarrhea in postoperative esophageal cancer patients can reduce the time of diarrhea,improve the severity of diarrhea,and shorten the time to achieve the target feeding,but has no significant change in the incidence of electrolyte abnormalities.
