Effect of standardized process management of early enteral nutrition after operation on rapid recovery of elderly patients with gastric cancer
10.3760/cma.j.issn.1674-635X.2019.06.006
- VernacularTitle:术后早期肠内营养标准化流程管理对老年胃癌患者快速康复的作用研究
- Author:
Yiping LI
1
;
Haofen XIE
;
Zejun CAI
;
Qinhong XU
Author Information
1. 浙江宁波市第一医院胃肠外科
- Keywords:
Standardization;
Enteral nutrition;
Elderly;
Gastric cancer
- From:
Chinese Journal of Clinical Nutrition
2019;27(6):361-366
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of applying standard process management in early enteral nutrition support for elderly patients with gastric cancer after operation. Methods A total of142 elderly patients with gastric cancer in our hospital were randomly divided into control group ( n=71) treated with the traditional nursing of enteral nutrition and intervention group ( n=71) adopting the standardized process man-agement, and then enteral nutrition tolerance, complications, nutritional status and recovery of gastrointestinal function were compared between the two groups. Results There was no significant difference in age, sex and preoperative nutritional condition and operation situation between the two groups ( P>0. 05) . The incidence of nutritional intolerance and the cost of nutritional support were lower than those in the control group ( P<0. 05) . The completion rate of enteral nutrition target in the intervention group was significantly higher than that in the control group ( P<0. 05) . The anal exsufflation time and defecation time of patients in the intervention group were shorter than those in the control group ( P<0. 05) . There was no significant difference in pulmonary infec-tion, incision infection and postoperative hospital stay between the two groups ( P>0. 05 ) . Conclusions Standardized process management of early enteral nutrition after operation could significantly improve the toler-ance of enteral nutrition, meanwhile, it has positive significance in promoting rapid recovery of elderly patients with gastric cancer.
