Effects of structured nutrition management mode led by nursing specialist group in patients with radical gastrectomy
10.3760/cma.j.cn115682-20211024-04791
- VernacularTitle:护理专科小组主导的结构化营养管理模式在胃癌根治术患者中的应用效果
- Author:
Yan LI
1
;
Jingjing LIU
;
Lanlan ZHANG
;
Shasha DUAN
;
Xinxin LI
;
Xinjun WU
Author Information
1. 新乡医学院第一附属医院胃肠外科，新乡 453100
- Keywords:
Stomach neoplasms;
Radical gastrectomy;
Structured nutrition management;
Nursing specialist group
- From:
Chinese Journal of Modern Nursing
2022;28(18):2468-2472
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of structured nutrition management led by nursing specialist group in patients with radical gastrectomy.Methods:From January to December 2019, 118 patients who underwent radical gastrectomy in the Gastrointestinal Surgery of the First Affiliated Hospital of Xinxiang Medical University were selected by convenience sampling method. According to the random number table method, the patients were divided into the control group and the observation group, with 59 cases in each group. The control group received routine nutrition management, while the observation group was given structured nutrition management led by a nutrition nursing specialist group. The Patient-Generated Subjective Global Assessment (PG-SGA) score, hemoglobin, prealbumin, albumin, postoperative gastrointestinal function recovery, hospital stay and complications were compared between the two groups.Results:After intervention, the hemoglobin, prealbumin and albumin in the observation group were higher than those in the control group, and the PG-SGA score was lower than that in the control group, with statistically significant differences ( P<0.05) . The postoperative defecation time and the first oral fluid intake time in the observation group were earlier than those in the control group, and the hospital stay was shorter than that in the control group, and the differences were statistically significant ( P<0.05) . There was no statistical difference in the time of the first exhaust after operation between the two groups ( P>0.05) . The total incidence of postoperative complications in the observation group and the control group were 11.86% (7/59) and 40.68% (24/59) , respectively, and the difference was statistically significant (χ 2=12.644, P<0.01) . Conclusions:The structured nutritional management led by the nursing specialist group can improve the postoperative nutritional status of patients undergoing radical gastrectomy, promote the recovery of gastrointestinal function, and reduce the length of hospital stay and postoperative complications.
