Effect of oral nutrition supplements cluster care in home care of postoperative patients with gastric cancer
10.3760/cma.j.cn115682-20220227-00887
- VernacularTitle:口服营养支持补充集束化护理方案在胃癌术后患者居家护理中的应用
- Author:
Zejun CAI
1
;
Lianying YU
;
Qiong CUI
;
Haofen XIE
;
Dan WU
;
Zhilong YAN
;
Bin YANG
;
Bo FENG
Author Information
1. 宁波市第一医院胃肠外科，宁波 315010
- Keywords:
Stomach neoplasms;
Home care;
Oral nutrition supplements;
Compliance;
Nutritional risk;
Bundled care
- From:
Chinese Journal of Modern Nursing
2023;29(1):51-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a cluster care of oral nutrition supplements (ONS) , and to explore its effect in home care of postoperative patients with gastric cancer.Methods:Literature search was conducted to review the status quo of ONS compliance at home in patients with gastric cancer after surgery, and analyze the existing problems. We summarized and formulated the cluster care plan according to the evidence, and established the home ONS management team and process. From November 2020 to October 2021, 107 patients with gastric cancer who needed to implement ONS at home in Gastrointestinal Surgery of Ningbo First Hospital were selected as research objects by convenience sampling. Postoperative patients with gastric cancer from November 2020 to April 2021 were set as the control group ( n=40) , and those from May to October 2021 were set as the observation group ( n=67) . The control group was treated with conventional ONS, and the observation group was treated with home ONS cluster care plan on the basis of the control group. The compliance of nutritional support, weight gain, body mass index increase and follow-up experience between the two groups were evaluated. Results:After six months of intervention, the scores of ONS compliance, weight gain, body mass index increase and follow-up experience in the observation group were significantly higher than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The cluster care plan improves the ONS compliance at home, nutritional status and satisfaction with the follow-up by medical and nursing staff in patients with gastric cancer after surgery, which is worthy of clinical promotion.
