Construction and application of evidence-based practice protocol for early postoperative oral feeding in patients with gastric
cancer after gastrectomy
1Department of War Injury and Trauma Surgery Daping Hospital Army Medical University Chongqing 400042
2Department of
Nursing Daping Hospital Army Medical University Chongqing 400042
3 Department of Gastrointestinal Surgery Daping Hospital
Army Medical University Chongqing 400042
4 Department of Intensive Care Unit Daping Hospital Army Medical University
Chongqing 400042
Abstract：Objective To evaluate the effect of an evidence - based early postoperative oral feeding protocol for patients after
gastrectomy. Method According to the "6S" model of the evidence pyramid we systematically searched for domestic and international
expert consensus systematic evaluation evidence summaries and guidelines related to early post - operative oral diet for gastric
cancer and then formulated an evidence-based nursing practice plan in combination with clinical reality. Patients who underwent
gastric cancer resection surgery in Daping Hospital were selected in which 105 patients from January 2020 to April 2021 before the
evidence-based nursing practice were the control group and 141 patients from May 2021 to December 2022 were the evidence-based
nursing practice group. The practice group underwent early postoperative transoral dietary intervention and outcome indicators such as
postoperative transoral dietary initiation time anastomotic leakage / residual leakage gastric tube retention time anal gas defecation
time postoperative hospitalisation days and hospitalisation costs were compared between the two groups. Result In the practice group
postoperative transoral diet start time was shortened from 6 3 8 d to 1 1 4 d gastric tube retention time was shortened from 5
4 7 d to 3 0 4. 75 d anal defecation time was shortened from 4 4 6 d to 3 3 4 d postoperative bowel movement time was
shortened from 5 4 6 d to 4. 5 3 5 d and postoperative hospitalisation days were shortened from 10 9 12 d to 8 7 9 d
and the hospitalisation cost was reduced from ￥ 74 400 66 600 88 100 to ￥ 58 600 53 300 69 000 with the differences being
statistically significant P < 0. 05 There was no significant difference in postoperative anastomotic leakage / residual leakage P >
0. 05 . There was no significant difference in leukocyte count neutrophil count lymphocyte count hemoglobin level and serum
albumin level between experimental group and control group P>0. 05 . Conclusion An evidence-based early postoperative oral feeding protocol for gastric cancer after surgery can accelerate the recovery of gastrointestinal function without increasing leakage but the
impact on inflammation and nutritional status during hospitalization is not significant.
1刘书颖,2王亚玲,1刘 果,3邓小炼,4姚 娟,2何海燕. 胃癌术后早期经口饮食方案的构建及应用[J]. 肿瘤代谢与营养电子杂志, 2024, 11(2): 201-209.
1Liu Shuying,2Wang Yaling,1Liu Guo,3Deng Xiaolian,4Yao Juan,2He Haiyan. Construction and application of evidence-based practice protocol for early postoperative oral feeding in patients with gastric
cancer after gastrectomy. Electron J Metab Nutr Cancer, 2024, 11(2): 201-209.
