Application of the internet-based 4C continuity care model in home enteral nutrition for postoperative gastric cancer patients
10.16151/j.1007-810x.2025.02.007
- VernacularTitle:基于互联网平台的4C延续性护理模式在胃癌术后病人家庭肠内营养中的应用
- Author:
Jing-Jing FAN
1
;
Xiao-Juan WU
;
Pei-Hua XIAO
;
Pei HONG
Author Information
1. 苏州市第九人民医院普通外科,江苏 苏州 215200
- Keywords:
Gastric cancer;
4C continuous care;
Internet;
Nutrition management
- From:
Parenteral & Enteral Nutrition
2025;32(2):101-106
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to evaluate the effectiveness of the 4C continuous care model in home enteral nutrition management for patients after gastric cancer surgery.Methods:A control group consisting of 40 gastric cancer patients who were hospitalized in the Department of Gastrointestinal Surgery of Suzhou Ninth People's Hospital from January 2022 to June 2022 was chosen.This group received traditional nutritional management guidance,which included nutritional screening and assessment,nutritional monitoring,providing personalized nutritional guidance for each patient,and follow-ups via telephone and outpatient visits.An observation group consisting of 40 gastric cancer patients admitted between July 2022 and January 2023 received the same basic care as the control group,with the addition of the 4C continuous care plan based on an internet platform to improve their enteral nutrition status.The nutritional indicators of both groups were compared at 1 month,3 months,and 6 months post-intervention.Additionally,the results of the Nutritional Risk Screening(NRS 2002)and Patient-Generated Subjective Global Assessment(PG-SGA)at discharge and 6 months post-discharge were compared between the two groups.Results:At 1 month,3 months,and 6 months post-intervention,the observation group showed an increase in indicators such as albumin,prealbumin,hemoglobin,upper limb grip strength,and triceps skinfold thickness compared to the control group(P<0.05).At 6 months post-intervention,the PG-SGA and NRS 2002 scores in the observation group were improved compared to the control group(P<0.05).Conclusion:The implementation of the 4C continuous care model on an internet platform significantly improves home enteral nutrition status for patients after gastric cancer surgery.
