Correlation analysis of discharge readiness and nutritional status in patients with gastric cancer in the context of enhanced recovery after surgery
10.3760/cma.j.cn115682-20210822-03759
- VernacularTitle:加速康复外科背景下胃癌术后患者出院准备度与营养状况的相关性分析
- Author:
Jingxia QIU
1
;
Lili MA
;
Renhui HONG
;
Haofen XIE
;
Zejun CAI
;
Zhilong YAN
Author Information
1. 同济大学医学院，上海 200120
- Keywords:
Stomach neoplasms;
Enhanced recovery after surgery;
Discharge readiness;
Nutritional risk
- From:
Chinese Journal of Modern Nursing
2022;28(15):2051-2056
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the relationship between discharge readiness and nutritional status of patients undergoing gastric cancer surgery in the context of enhanced recovery after surgery (ERAS) , so as to provide individualized guidance for patients after discharge.Methods:Using the convenient sampling method, a total of 120 patients who underwent radical gastrectomy for gastric cancer from June 2020 to June 2021 in Ningbo First Hospital were selected as research objects, and they all received ERAS nursing care. One day before discharge, Nutritional Risk Screening Table and Discharge Readiness Scale were used for questionnaire analysis.Results:The total score of discharge readiness of 120 patients with gastric cancer after surgery was (81.42±6.87) . Among the three dimensions, personal status was (19.65±2.19) , adaptability was (29.67±3.10) and anticipatory support was (32.10±2.61) . 57.5% (69/120) of gastric cancer patients discharged from hospital had nutritional risk. The scores of hospital discharge readiness and the scores of each dimension in the nutritional risk group were lower than those in the non-nutritional risk group, and the differences were statistically significant ( P<0.05) . Multivariate analysis showed that nutritional status was an influencing factor for the total score of hospital discharge readiness in patients with gastric cancer surgery (standardized regression coefficient was 0.321, P<0.05) . Conclusions:Under the background of ERAS, the discharge readiness of patients after gastric cancer surgery is at a moderate level, postoperative patients are generally at nutritional risk and the discharge readiness of patients with nutritional risk is lower than that of patients without nutritional risk. Perioperative nutrition management by nursing staff can improve the discharge readiness of patients undergoing gastric cancer surgery, and continuous nutrition management should be carried out for discharged patients with nutritional risk, in order to promote home rehabilitation of patients with gastric cancer surgery.
