Application of Problem-Oriented Nursing Model Combined with Early Enteral Nutrition Support in the Perioperative Period of Stage II/III Gastric Cancer Patients.

IF 2 4区医学 Q3 NUTRITION & DIETETICS

Nutrition and Cancer-An International Journal Pub Date : 2025-07-20 DOI:10.1080/01635581.2025.2525928

Shuangshuang Han, Yuping Chen, Yanli Wang, Haili Xu

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引用次数: 0

Abstract

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.

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问题导向护理模式结合早期肠内营养支持在II/III期胃癌患者围手术期的应用

目的：探讨问题导向护理模式结合早期肠内营养（EEN）对II/III期胃癌患者围手术期的护理效果。方法：将100例II/III期胃癌患者随机分为对照组（常规围手术期护理+常规营养支持）和干预组（问题导向护理模式+ EEN）。比较临床结果、身体质量指数（BMI）、情绪状态、营养和炎症指标、并发症发生率和患者满意度。结果：与对照组相比，干预组首次放屁、住院时间、下床和排便时间较短（Cohen’s d = 1.93、1.24、1.49、1.57），术后PA、Hb和ALB水平较高（Cohen’s d = -0.63、-0.78、-0.70），CRP、IL-6和TNF-α水平较低（Cohen’s d = 0.48、1.07、0.90），SAS和SDS评分较低（Cohen’s d = 1.80、0.89）。出院时，干预组BMI指数较高（Cohen’s d = -2.13），并发症总发生率较低（OR = 6.00），患者满意度较高（OR = 0.17） (p)。结论：问题导向护理模式结合EEN支持可改善II/III期胃癌手术患者的营养状况，加速康复，增强术后康复。

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来源期刊

Nutrition and Cancer-An International Journal 医学-营养学

CiteScore

5.80

自引率

3.40%

发文量

172

审稿时长

3 months

期刊介绍： This timely publication reports and reviews current findings on the effects of nutrition on the etiology, therapy, and prevention of cancer. Etiological issues include clinical and experimental research in nutrition, carcinogenesis, epidemiology, biochemistry, and molecular biology. Coverage of therapy focuses on research in clinical nutrition and oncology, dietetics, and bioengineering. Prevention approaches include public health recommendations, preventative medicine, behavior modification, education, functional foods, and agricultural and food production policies.