Comparison of the effectiveness of nurse-led preoperative counseling and postoperative follow-up care vs standard care for patients with gastric cancer.

IF 1.7 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Open Medicine Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI:10.1515/med-2024-1098

Wenwen Wang, Yan Zhu, Yu Sun, Yandong Li

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引用次数: 0

Abstract

Background: Radical gastrectomy is generally prefered for gastric cancer but has postoperative complications. The objectives of the study are to evaluate the effectiveness of three different models of preoperative counseling and postoperative follow-up care in patients who underwent radical gastrectomy for gastric cancer.

Methods: In retrospective medical record analyses, patients received nurse-led preoperative counseling and postoperative follow-up care (NC cohort, n = 105) or surgeon-led preoperative counseling and surgeon-led follow-up (SC cohort, n = 140), or did not receive counseling and aftercare (RC cohort, n = 160).

Results: Patients had a postoperative intensive care unit (PICU) stay of 24 (26-22) h/patient and postoperative pain of 6 (6-5)/ patient. The frequencies of nausea, vomiting, medical intensive care unit admission(s), dizziness, length of PICU stay, and intensity of postoperative pain were lower among patients in the NC cohort, followed by those in the SC and RC cohorts. A higher number of patients in the RC cohort died when compared to the NC (25 [16%) vs 2 [2%], p = 0.0458) and the SC (25 [16%] vs 11 [8%], p = 0.0001) cohorts in follow-up.

Conclusion: Patients who undergo radical gastrectomy for gastric cancer require healthcare professional-led preoperative counseling and postoperative aftercare. Nurse-led preoperative counseling and postoperative aftercare, could improve outcome measures in patients who underwent radical gastrectomy for gastric cancer.

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护士主导的胃癌患者术前咨询及术后随访与标准护理的效果比较。

背景：根治性胃切除术是治疗胃癌的首选方法，但有术后并发症。本研究的目的是评估三种不同模式的术前咨询和术后随访护理在胃癌根治术患者中的效果。方法：在回顾性病历分析中，患者接受护士主导的术前咨询和术后随访（NC队列，n = 105），或接受外科医生主导的术前咨询和术后随访（SC队列，n = 140），或未接受咨询和术后护理（RC队列，n = 160）。结果：患者术后重症监护病房（PICU）住院时间24（26-22）小时/例，术后疼痛6（6-5）小时/例。NC组患者出现恶心、呕吐、入住重症监护病房、头晕、PICU住院时间和术后疼痛强度的频率较低，其次是SC和RC组。与NC（25例[16%]对2例[2%]，p = 0.0458）和SC（25例[16%]对11例[8%]，p = 0.0001）队列相比，RC队列的患者死亡人数更高。结论：胃癌根治术患者术前咨询和术后护理应由专业医护人员指导。护士主导的术前咨询和术后护理可以改善胃癌根治术患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Open Medicine Medicine-General Medicine

CiteScore

3.00

自引率

0.00%

发文量

153

审稿时长

20 weeks

期刊介绍： Open Medicine is an open access journal that provides users with free, instant, and continued access to all content worldwide. The primary goal of the journal has always been a focus on maintaining the high quality of its published content. Its mission is to facilitate the exchange of ideas between medical science researchers from different countries. Papers connected to all fields of medicine and public health are welcomed. Open Medicine accepts submissions of research articles, reviews, case reports, letters to editor and book reviews.