循证护理对食管癌术后早期肠内营养支持的作用分析

Effect of Evidence-based Nursing on Early Enteral Nutrition Support after Esophageal Cancer Surgery

目的:分析循证护理对食管癌术后早期肠内营养支持效果的影响。方法:将2021年1月—2023年6月于滨州医学院附属医院进行治疗的74例食管癌术后早期肠内营养支持患者随机分为对照组(37例,常规护理)和观察组(37例,常规护理联合循证护理)。对比两组术后胃肠动力恢复指标、术后管道留置时间、住院时间、并发症发生率、血清学指标。结果:与对照组相比,观察组术后肛门排气时间、排便时间、进食流质食物时间均较短(P<0.05);与对照组相比,观察组术后胃管、胸腔引流管、腹腔引流管留置时间及住院时间均较短(P<0.05);观察组并发症发生率低于对照组(P=0.017);术后1周,两组血清白蛋白、总蛋白水平升高,观察组高于对照组(P<0.05)。结论:食管癌患者术后早期肠内支持期间通过应用循证护理有助于减少相关并发症,加快患者术后康复以及改善机体营养状况。

Objective:To analyze the influence of evidence-based nursing on effect of early enteral nutrition support after esophageal cancer surgery.Methods:A total of 74 patients with early enteral nutrition support after esophageal cancer surgery who were treated in the Affiliated Hospital of Binzhou Medical University from January 2021 to June 2023 were randomly divided into the control group(37 cases,routine nursing)and the observation group(37 cases,routine nursing combined with evidence-based nursing).The indexes of gastrointestinal motility recovery,postoperative catheter retention time,hospital stay,complication rate and serological indexes were compared between the two groups.Results:The time of anal exhaust,defecation and eating liquid food in the observation group were shorter than those in the control group(P<0.05);the retention time of gastric tube,thoracic drainage tube and abdominal drainage tube and hospitalization time in observation group were shorter than those in control group(P<0.05);the complication rate of observation group was lower than that of control group(P=0.017);one week after operation,serum albumin and total protein levels in two groups were increased,and the observation group was higher than the control group(P<0.05).Conclusion:The application of evidence-based nursing during early postoperative enteral support for patients with esophageal cancer can help reduce related complications,accelerate postoperative rehabilitation and improve the nutritional status of patients.