加速康复外科理念下食管癌微创手术患者围手术期活动方案的构建

Construction of perioperative activity program for minimally invasive esophageal cancer patients under enhanced recovery after surgery concept

目的通过文献回顾结合德尔菲法构建加速康复外科(ERAS)理念下食管癌微创手术患者围手术期活动方案。方法本研究为单中心、访谈性研究。系统检索PubMed、Web of Science、Cochrane图书馆、中国知网、万方数据库、医脉通等数据库和网站中2002年1月1日至2022年1月31日关于食管癌和上消化道癌患者活动相关的文献。本单中心、访谈性研究对文献进行综合整理、小组讨论,形成初步的活动方案,继而采用德尔菲法进一步论证运动方案的实用性和可行性。结果构建了含3个一级指标,9个二级指标,35个三级指标的ERAS理念下食管癌微创手术患者围手术期活动的总体方案和干预的具体方法。结论ERAS理念下食管癌微创手术患者围手术期活动方案科学、合理,可为医务人员和患者围手术期实施阶段性活动提供参考。

Objective To construct a perioperative activity program for patients with minimally invasive esophageal cancer under enhanced recovery after surgery(ERAS)concept through literature review and Delphi method.Methods This was a single-center and interview study.Databases and websites including PubMed,Web of Science,the Cochrane Library,China National Knowledge Infrastructure,Wanfang Database,Medive and other databases and websites were searched systematically for articles related to esophageal cancer and upper digestive tract cancer patients′activities from January 1,2002 to January 31,2022.In this single-center and interview study,literature review and group discussion were conducted to form a preliminary activity program,and then Delphi method was used to further demonstrate the practicability and feasibility of the activity program.Results The overall program and specific intervention methods of perioperative activity program for minimally invasive esophageal cancer patients under ERAS concept were constructed,including 3 first-level indicators,9 second-level indicators and 35 third-level indicators.Conclusions Perioperative activity program of patients with minimally invasive esophageal cancer is scientific and reasonable,which can provide reference for medical staff and patients.