Effect of evidence-based nursing intervention on diet and pain after subtotal gastrectomy

Wei Geng; Lihong Cui; Qing Zhu; Xiaona Zhang; Aiping Han; Ruiping Shen; Yuan Yang

Effect of evidence-based nursing intervention on diet and pain after subtotal gastrectomy

Am J Transl Res. 2021 Jul 15;13(7):7944-7951. eCollection 2021.

Authors

Wei Geng^{1

2}, Lihong Cui¹, Qing Zhu³, Xiaona Zhang⁴, Aiping Han⁵, Ruiping Shen⁶, Yuan Yang²

Affiliations

¹ Department of Gastrointestinal Surgery 2 Ward, Xi'an International Medical Center Hospital Xi'an, Shaanxi Province, China.
² Department of General Surgery 1 Ward, Tangdu Hospital, Air Force Medical University Xi'an, Shaanxi Province, China.
³ Department of Neurology 2 Ward, Xi'an International Medical Center Hospital Xi'an, Shaanxi Province, China.
⁴ Department of Cardiology 2 Ward, Xi'an International Medical Center Hospital Xi'an, Shaanxi Province, China.
⁵ Department of Radiology, Xi'an International Medical Center Hospital Xi'an, Shaanxi Province, China.
⁶ Department of Supply, Xi'an International Medical Center Hospital Xi'an, Shaanxi Province, China.

PMID: 34377274
PMCID: PMC8340143

Abstract

Objective: To understand the effect of evidence-based nursing on diet and pain after subtotal gastrectomy.

Methods: From June 2014 to May 2016, 68 patients with gastric cancer undergoing subtotal gastrectomy were selected as the research group (RG) and 57 patients with routine nursing as the control group (CG). The incidence of complications and recovery time were compared between the two groups. The pain and sleep were evaluated by visual analogue scale (VAS) and Pittsburgh Sleep Quality Index (PSQI). The survival condition of the two groups after 3 years of prognosis was observed.

Results: The incidence of complications and recovery time in RG were less than those in CG (P < 0.05), and the VAS and PSQI scores in RG were lower than those in CG on the 3rd and 7th day after operation (P < 0.01). However, the nursing satisfaction and 3-year survival rate of RG were higher than those of CG (P < 0.05).

Conclusion: Evidence-based nursing can effectively reduce postoperative complications and pain in patients with gastric cancer undergoing subtotal gastrectomy.

Keywords: Evidence-based nursing; after subtotal gastrectomy; diet; gastric cancer; pain.