ObjectiveTo construct and evaluate a decision-aid scheme for nutritional support in patients with esophageal cancer based on the internet big data of the investigation of nutrition-related issues and demands in the perioperative period of esophageal cancer.
MethodsUnder the guidance of the Ottawa decision support theoretical framework, the draft of decision-aid scheme of perioperative nutritional support for patients with esophageal cancer was drawn up through literature search and evidence-based nursing by using cross section survey method.The draft was revised and the final version of the decision-aid scheme was formulated through two rounds of expert letter consultation.A total of 125 patients were randomly divided into a control group (n=64) and an observation group (n=61).The control group received common nursing and perioperative education, and the observation group received decision-aid scheme besides common nursing.The self-designed nutritional support knowledge level questionnaire and nutritional support compliance assessment scale were used to investigate and evaluate the patients' nutritional support knowledge level and compliance.
ResultsThe decision-making dilemma score of the observation group on the first day before surgery was significantly lower than that of the outpatient department (P < 0.05).The decision regret level of the observation group at 1 month and 3 months after surgery was significantly lower than that of the control group (P < 0.05).The knowledge level score of the observation group on the first day before surgery was significantly higher than that of the outpatient department (P < 0.05), while the difference in the control group was not statistically significant (P > 0.05).The nutritional support compliance of the observation group was significantly improved 1 day before surgery, 1 month after surgery, and 3 months after surgery compared to the outpatient period (P < 0.05).One month after operation, prealbumin and retinol binding protein in the observation group were significantly higher than those in the control group (P < 0.05), and there was no significant difference in transferrin between the two groups (P > 0.05).Three months after operation, the prealbumin, retinol binding protein and transferrin in the observation group were significantly higher than those in the control group (P < 0.05).
ConclusionsThe nutritional support decision aid scheme constructed in this study can effectively reduce the decision dilemma level and decision regret of patients with esophageal cancer during the perioperative period, and improve the nutritional status of patients by improving their nutritional support-related knowledge and compliance.
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