Effect of postoperative diet nursing with patient involved on nutritional status of the patients with rectal cancer / 中华临床营养杂志

ABSTRACT

Objective To explore the effect of postoperative diet nursing with patient invovled on nutri-tional status of the patients with rectal cancer. Methods A total of 88 patients with rectal cancer were randomly divided into observation group and control group, with 44 patients in each. The patients in the control group received routine nursing, and the patients in the observation group were involved in postoperative diet care on the basis of routine nursing. The anal exhaust time, defecation time, parenteral nutrition supply time, time of get out of bed, length of stay, defecation function score, and preoperative and one month postoperative prealbumin (PA), albumin (ALB), total protein (TP) and body mass index, the incidence of complications during hospitalization, the quality of life of one month after surgery were compared between the two groups. Results The anal exhaust time, defecation time, parenteral nutrition supply time, time of get out of bed, length of stay, defecation function score were lower in the observation group than in the control group ( P<0. 05) . There was no significant difference in PA, ALB, TP and BMI between the two groups ( P>0. 05) . At one month after surgery, there were no significant changes in the nutritional indexes of the observation group ( P>0. 05) , while those in the control group significantly decreased ( P<0. 05) , and the levels of PA, ALB, TP and BMI were higher in the observation group than in the control group ( P<0. 05) . The overall incidence of complications in the observation group was 13. 64%, which was lower than 31. 82% in the control group ( P<0. 05) . The overall score of postoperative quality of life was (84. 08±2. 31) points in the observation group, which was higher than (81. 28±2. 05) points in the control group (P<0. 05). Conclusions With the patients involved in rectal cancer postoperative diet care, patient’s prefer can be fully used to promote the patient’s post-operative intake, the required nutrition can be supplemented, postoperative recovery can be accelerated, the in-cidence of postoperative complications can be reduced and the improvement of quality of life can be promoted, thus it is worth promoting.