Application of Evidence-Based Medicine Enhanced Recovery After Surgery Nursing in Patients Undergoing Radical Gastrectomy for Gastric Cancer and Its Impact on Nutritional Indicators
Objective To explore the effect of evidence-based medicine enhanced recovery after surgery(ERAS)nursing on patients undergoing radical gastrectomy for gastric cancer and its impact on nutritional indicators.Methods 80 patients who underwent radical gastrectomy in our hospital from October 2018 to September 2023 were selected as the study objects,and the subjects were divided into an intervention group(n=40)and a control group(n=40)by random number table method.The control group was treated with routine nursing,and the intervention group was treated with ERAS nursing based on evidence-based medicine.The perioperative indexes,pain degree,nutrition indexes and complications were compared between the two groups.Results The time of first exhaust,first defecation,oral eating and getting out of bed in the intervention group were shorter than those in the control group,and the differences were statistically significant(P＜0.05).On the 1st,2nd,3rd and 4th day after operation,the pain Visual Analogue Scale(VAS)score of the intervention group was lower than that of the control group,and the differences were statistically significant(P＜0.05).One week after surgery,the levels of prealbumin and albumin in both groups were higher than those before surgery,and the intervention group was higher than the control group,the differences were statistically significant(P＜0.05).The incidence of complications in the intervention group was 7.50%,lower than 25.00%in the control group,and the difference was statistically significant(P＜0.05).Conclusion The application of ERAS nursing based on evidence-based medicine in the intervention of patients with radical gastrectomy of gastric cancer can alleviate postoperative pain,improve perioperative indexes and nutritional status,and reduce postoperative complications.
Radical gastrectomy for gastric cancerEvidence-based medicineEnhanced recovery after surgeryNutritional indicator
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