Evidence-based nursing practice of early enteral nutrition support after gastric cancer surgery
10.3760/cma.j.cn115682-20230214-00492
- VernacularTitle:胃癌术后早期肠内营养支持的循证护理实践
- Author:
Jie WANG
1
;
Haichao LI
;
Dan WU
;
Haofen XIE
;
Yao YAO
;
Qinhong XU
;
Liang YANG
;
Zejun CAI
;
Xiaoyan HUANG
Author Information
1. 宁波大学附属第一医院肝胆胰疝外科，宁波 315010
- Keywords:
Stomach neoplasm;
Early enteral nutrition;
Evidence-based practice;
Evidence application;
Barriers
- From:
Chinese Journal of Modern Nursing
2023;29(29):4012-4017
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence for early enteral nutrition support in postoperative patients with gastric cancer and evaluate its effectiveness.Methods:From March to August 2021, 108 postoperative patients with gastric cancer admitted to the Gastrointestinal Surgery of the First Affiliated Hospital of Ningbo University were selected. We applied evidence-based nursing methods to summarize the best evidence for early enteral nutrition support in postoperative gastric cancer patients, and constructed and implemented the best evidence application strategy through baseline review, evaluation of evidence application clinical scenarios and barriers. We compared the various indicators of two groups of patients before the application of evidence (March to May 2021, n=55) and after the application of evidence (June to August 2021, n=53) . Results:No adverse events occurred during the application of evidence. After applying evidence, the correct nutritional assessment rate increased from 41.82% (23/55) at baseline review to 90.57% (48/53), the implementation rate of early postoperative enteral nutrition increased from 0 to 45.28% (24/53), the start time of postoperative enteral nutrition shortened from (3.75±2.33) days to (2.06±1.38) days, and the implementation rate of postoperative priority oral nutrition increased from 63.64% (35/55) to 86.79% (46/53), nutritional related complications decreased from 40.00% (22/55) to 20.75% (11/53), and the differences were all statistically significant ( P<0.05) . Conclusions:The application of the best evidence for early enteral nutrition support in postoperative gastric cancer patients can shorten the start time of postoperative enteral nutrition, reduce postoperative nutrition related complications, and promote early recovery of patients.
