Summary of best evidence for prevention and management of enteral nutrition intolerance in postoperative patients with gastric cancer
10.3760/cma.j.cn115682-20250204-00480
- VernacularTitle:胃癌术后患者肠内营养不耐受预防及管理的最佳证据总结
- Author:
Qiang ZHOU
1
;
Xiaoshuang ZHANG
;
Lin SUN
;
Xi WANG
;
Jiacheng WANG
;
Li YUAN
;
Haonan FANG
Author Information
1. 蚌埠医科大学护理学院，蚌埠 233030
- Publication Type:Journal Article
- Keywords:
Gastric cancer;
Postoperative;
Enteral nutrition intolerance;
Prevention;
Management;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2025;31(23):3117-3125
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify and synthesize the best available evidence for the prevention and management of enteral nutrition intolerance in postoperative patients with gastric cancer.Methods:Following the hierarchical structure of the "6S Evidence Resource Pyramid" model, evidence was systematically retrieved from evidence-based databases, clinical guidelines and professional societies' websites, and comprehensive literature databases. Studies related to the prevention and management of enteral nutrition intolerance in postoperative gastric cancer patients were screened. Two researchers, both trained in evidence-based nursing, independently conducted quality appraisal, evidence extraction, and integration. The search covered literature published from database inception to February 25, 2025.Results:A total of 23 studies were included, comprising 2 clinical guidelines, 1 evidence summary, 2 systematic reviews, 4 expert consensuses, 9 randomized controlled trials, 1 quasi-experimental study, 1 cohort study, 2 analytical cross-sectional studies, and 1 case-control study. Based on 6 key aspects (including preparation by Medical staff before surgery, postoperative patient assessment, formulation of feeding, rehabilitation exercises, traditional Chinese medicine interventions, and management of enteral nutrition intolerance), a total of 26 best evidence recommendations were summarized.Conclusions:The evidence summarized in this study provides an evidence-based foundation for clinical medical staff, contributing to the reduction of enteral nutrition intolerance in postoperative patients with gastric cancer.
