Citation: | LIU Chunfang, ZHANG Mengyuan, JI Hongmin, YU Dajun, QIAN Jun, LI Xiuchuan. Impact of knowledge translation-based enteral nutrition clinical practice on bowel function and quality of life in postoperative patients with gastric cancer[J]. Journal of Bengbu Medical University, 2025, 50(2): 267-271, 275. DOI: 10.13898/j.cnki.issn.2097-5252.2025.02.027 |
To investigate the evaluation of the effect of knowledge translation theory in the clinical practice of postoperative enteral nutrition in patients with gastric cancer.
Using a non-simultaneous controlled trial design, 25 patients with gastric cancer surgery from April 2022 to December 2022 were used as the observation group, and 23 patients with gastric cancer surgery from September 2021 to March 2022 were used as the control group.The control group was given conventional care and the observation group was given clinical practice using knowledge translation theory.
In the gastrointestinal tolerance evaluation of the observation group, gastrointestinal reactions such as abdominal pain, bloating and diarrhea were significantly lower than those of the control group (P < 0.05);the difference in body mass index between the two groups was not statistically significant (P>0.05), and the difference in serum albumin, prealbumin and total lymphocyte count of the patients in the observation group was statistically significant (P < 0.05);the quality of life questionnaire score of gastric cancer patients in the observation group had postoperative gastric pain, reflux, dry mouth, altered taste, restricted diet, body image, and anxiety quality-of-life situation scores were lower in the observation group than those in the control group (P < 0.05);satisfaction was higher than that in the control group (P < 0.05).
The clinical practice of enteral nutrition based on knowledge translation improves the gastrointestinal tolerance of postoperative patients with gastric cancer, alleviates the adverse gastrointestinal reactions, improves the malnutrition index of patients, and improves the quality of life and satisfaction of patients.
[1] |
中国抗癌协会胃癌专业委员会. 胃癌诊治难点中国专家共识(2020版)[J]. 中国实用外科杂志, 2020, 40(8): 869.
|
[2] |
尹周一, 王梦圆, 游伟程, 等. 2022美国癌症统计报告解读及中美癌症流行情况对比[J/CD]. 肿瘤综合治疗电子杂志, 2022, 8(2): 54.
|
[3] |
ZHANG T, YANG X, YIN X, et al. Poor oral hygiene behavior is associated with an increased risk of gastric cancer: a population-based case-control study in China[J]. J Periodontol, 2022, 93(7): 988. doi: 10.1002/JPER.21-0301
|
[4] |
方柯红, 房玥晖, 连怡遥, 等. 我国成年居民胃癌归因于钠摄入过量的发病和死亡负担研究[J]. 中华疾病控制杂志, 2022, 26(1): 1.
|
[5] |
闫红霞, 和芳, 陈应泰, 等. 胃癌患者术后体重变化与生活质量的相关性研究[J]. 中国肿瘤, 2022, 31(2): 154.
|
[6] |
DEFTEREOS I, KISS N, ISENRING E, et al. A systematic review of the effect of preoperative nutrition support on nutritional status and treatment outcomes in upper gastrointestinal cancer resection[J]. Eur J Surg Oncol, 2020, 46(8): 1423. https://pubmed.ncbi.nlm.nih.gov/32336624/
|
[7] |
陈德利, 葛思堂, 左芦根, 等. 胃癌术后早期肠内营养对术后炎症反应及肠屏障功能的影响[J]. 肠外与肠内营养, 2020, 27(4): 222.
|
[8] |
马红雅, 姚彦蓉, 李晓银, 等. 以护士为主导的肠内营养支持在胃癌患者围术期护理中的应用[J]. 护理实践与研究, 2021, 18(23): 3568.
|
[9] |
周英凤, 朱政, 胡雁, 等. 推动证据向临床转化(二)如何选择知识转化理论模式[J]. 护士进修杂志, 2020, 35(8): 707.
|
[10] |
刘雨, 黄蔚萍, 鲍克娜, 等. 基于知识转化框架的COPD患者长期家庭氧疗管理方案的构建及应用[J]. 中国护理管理, 2022, 22(7): 1043.
|
[11] |
王姗, 葛思堂, 李娟, 等. 益生菌对胃癌术后早期肠内营养不耐受的预防作用[J]. 蚌埠医学院学报, 2019, 44(7): 959. doi: 10.13898/j.cnki.issn.1000-2200.2019.07.032
|
[12] |
中国医师协会. 临床技术操作规范-临床营养科分册(试行)[M]. 北京: 人民军医出版社, 2011: 33.
|
[13] |
孟琼, 罗家洪, 万崇华, 等. 胃癌患者生命质量测定量表EORTC QLQ-STO22中文版的制定和评价[J]. 昆明医科大学学报, 2012, 33(10): 34.
|
[14] |
ZHANG Y, JIANG L, SU P, et al. Visceral adipose tissue assessment enhances the prognostic value of GLIM criteria in patients with gastric cancer undergoing radical gastrectomy after neoadjuvant treatment[J]. Nutrients, 2022, 14(23): 5047. doi: 10.3390/nu14235047
|
[15] |
彭启旺, 邓浩. 肠内营养支持对根治性胃癌术后胃肠功能、营养状态和应激炎性反应影响[J]. 临床外科杂志, 2021, 29(5): 445.
|
[16] |
王幼琳, 陈金, 段伶伶, 等. 知识转化理论在预防危重患者医疗器械相关性压力性损伤中的应用[J]. 天津护理, 2023, 31(1): 23.
|
[17] |
李丽凡, 马敏洁, 宋芝鹏, 等. 循证护理对改善早期胃癌根治术病人术后胃肠功能障碍的效果研究[J]. 全科护理, 2018, 16(3): 268.
|
[18] |
贺应军, 章士刚, 方蓉, 等. 基于JBI循证医学模式的老年胃癌术后患者肠内营养缺乏预防护理干预方案研究及评价[J]. 现代中西医结合杂志, 2021, 30(23): 2596.
|
[19] |
NI H, SUN Y, MENG Y, et al. Effects of psychiatric issues and early enteral nutrition therapy on anxiety and quality-of-life of patients with gastric cancer[J]. Am J Health Behav, 2022, 46(6): 595. https://pubmed.ncbi.nlm.nih.gov/36721293/
|
[20] |
LIM HS, LEE B, CHO I, et al. Nutritional and clinical factors affecting weight and fat-free mass loss after gastrectomy in patients with gastric cancer[J]. Nutrients, 2020, 12(7): 1905. https://pubmed.ncbi.nlm.nih.gov/32605036/
|