Nutrition and cancer · 2025
Application of Problem-Oriented Nursing Model Combined with Early Enteral Nutrition Support in the Perioperative Period of Stage II/III Gastric Cancer Patients.
СтатьяРандомизированное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Han Shuangshuang, Chen Yuping, Wang Yanli, Xu Haili
Аннотация
OBJECTIVE: This study aims to evaluate the effects of a problem-oriented nursing model combined with early enteral nutrition (EEN) during the perioperative period in patients with stage II/III gastric cancer (GC).
METHODS: One hundred patients with stage II/III GC were randomly divided into a control group (conventional perioperative care and routine nutritional support) and an intervention group (problem-oriented nursing model plus EEN). Clinical outcomes, body mass index (BMI), emotional status, nutritional and inflammatory markers, complication rates, and patient satisfaction were compared.
RESULTS: Versus the control group, the intervention group exhibited shorter times to first flatus, hospital stay, ambulation, and defecation (Cohen's d = 1.93, 1.24, 1.49, 1.57), higher postoperative PA, Hb, and ALB levels (Cohen's d = -0.63, -0.78, -0.70), lower CRP, IL-6, and TNF-α levels (Cohen's d = 0.48, 1.07, 0.90), and lower SAS and SDS scores (Cohen's d = 1.80, 0.89). At discharge, the intervention group exhibited a higher BMI (Cohen's d = -2.13), lower overall incidence of complications (OR = 6.00), and higher patient satisfaction (OR = 0.17) (p < 0.05).
CONCLUSION: The problem-oriented nursing model combined with EEN support improves nutritional status, accelerates recovery, and enhances postoperative rehabilitation in patients with stage II/III GC undergoing surgery.
METHODS: One hundred patients with stage II/III GC were randomly divided into a control group (conventional perioperative care and routine nutritional support) and an intervention group (problem-oriented nursing model plus EEN). Clinical outcomes, body mass index (BMI), emotional status, nutritional and inflammatory markers, complication rates, and patient satisfaction were compared.
RESULTS: Versus the control group, the intervention group exhibited shorter times to first flatus, hospital stay, ambulation, and defecation (Cohen's d = 1.93, 1.24, 1.49, 1.57), higher postoperative PA, Hb, and ALB levels (Cohen's d = -0.63, -0.78, -0.70), lower CRP, IL-6, and TNF-α levels (Cohen's d = 0.48, 1.07, 0.90), and lower SAS and SDS scores (Cohen's d = 1.80, 0.89). At discharge, the intervention group exhibited a higher BMI (Cohen's d = -2.13), lower overall incidence of complications (OR = 6.00), and higher patient satisfaction (OR = 0.17) (p < 0.05).
CONCLUSION: The problem-oriented nursing model combined with EEN support improves nutritional status, accelerates recovery, and enhances postoperative rehabilitation in patients with stage II/III GC undergoing surgery.