Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2026
Effects of a whole-course individualized comprehensive nursing program on anastomotic leakage incidence and patient outcomes after esophageal cancer surgery.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Yan Li-Hua, Li Yan, Zhang Min, Lu Yu, Ben Li-Yun, Xu Yi-Ming
Аннотация
BACKGROUND: To explore the effect of the whole individualized comprehensive nursing program on the incidence of anastomotic leakage and prognosis of patients after esophageal cancer surgery.
METHODS: A total of 120 patients who planned to undergo radical resection of esophageal cancer between March 2022 and March 2025 were randomly divided into an experimental group (n = 60) and a control group (n = 60). The experimental group received whole-course individualized comprehensive nursing, including preoperative nutritional risk screening and intervention, precise management of basic diseases, psychological intervention, perioperative preparation under the concept of enhanced recovery after surgery, postoperative fistula targeted nursing, multichannel fine management, and complication prevention. The control group received routine nursing. The incidence of anastomotic leakage, healing time, hospitalization days, medical expenses, total incidence of postoperative complications, short form (SF)-36 quality of life score, and nursing satisfaction were compared between the 2 groups.
RESULTS: The incidence of anastomotic leakage in the experimental group (3.33%) was significantly lower than that in the control group (11.67%). The healing time of fistula and length of hospital stay in the experimental group were shorter than those in the control group, and the medical cost was lower than that in the control group (P <.05). The total incidence of postoperative complications in the experimental group (8.33%) was lower than that in the control group (20.00%), and the physical health general score, mental health general score, and nursing satisfaction score on the SF-36 scale at 1 month after operation were significantly higher than those in the control group (P <.05).
CONCLUSION: The whole course individualized comprehensive nursing program can effectively reduce the incidence of anastomotic leakage after esophageal cancer surgery, reduce the risk of complications, and improve the quality of life of patients after surgery; this has important clinical application value.
METHODS: A total of 120 patients who planned to undergo radical resection of esophageal cancer between March 2022 and March 2025 were randomly divided into an experimental group (n = 60) and a control group (n = 60). The experimental group received whole-course individualized comprehensive nursing, including preoperative nutritional risk screening and intervention, precise management of basic diseases, psychological intervention, perioperative preparation under the concept of enhanced recovery after surgery, postoperative fistula targeted nursing, multichannel fine management, and complication prevention. The control group received routine nursing. The incidence of anastomotic leakage, healing time, hospitalization days, medical expenses, total incidence of postoperative complications, short form (SF)-36 quality of life score, and nursing satisfaction were compared between the 2 groups.
RESULTS: The incidence of anastomotic leakage in the experimental group (3.33%) was significantly lower than that in the control group (11.67%). The healing time of fistula and length of hospital stay in the experimental group were shorter than those in the control group, and the medical cost was lower than that in the control group (P <.05). The total incidence of postoperative complications in the experimental group (8.33%) was lower than that in the control group (20.00%), and the physical health general score, mental health general score, and nursing satisfaction score on the SF-36 scale at 1 month after operation were significantly higher than those in the control group (P <.05).
CONCLUSION: The whole course individualized comprehensive nursing program can effectively reduce the incidence of anastomotic leakage after esophageal cancer surgery, reduce the risk of complications, and improve the quality of life of patients after surgery; this has important clinical application value.