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| The effects of goal-directed nutrition therapy model on nutritional status and postoperative rehabilitation in gastric cancer patients |
| Sichuan Cancer Hospital & Institute, Chengdu 610041, Sichuan, China |
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Abstract Objective To explore the effect of goal-directed nutrition therapy model on the nutritional status and postoperative rehabilitation of gastric cancer patients (total gastrectomy) from admission to discharge. Methods A cancer target nutrition team was established and the quality control standards for nutrition implementation was also developed. 82 gastric cancer patients from February 2017 to July 2017 were included in the control group, and 89 gastric cancer patients from August 2017 to January 2018 were included in the experimental group. Standardized nutrition assessment and malnutrition level 3 diagnosis was performed in experimental group. According to the patient’s condition, we chose the goal-directed nutrition therapy and a reasonable nutritional preparation; Meanwhile, target nutrition was performed in the period of pre-operative, post-operative, rehabilitation and postdischarge. We also need to regularly evaluate the efficacy of enteral nutrition and constantly adjust the target nutrition. In addition, some data on admission and discharge should be compared between the two groups, such as changes in body weight, albumin, hemoglobin, and prealbumin, the first anal exhaust time, average hospital stay and postoperative complications. Results Compared with the control group, the difference in the first anal exhaust time (t=2.101, P=0.039) and in the average hospitalization time (z=-2.081, P=0.037) was statistically significant. The difference in body weight between discharge and admission (t=-5.433, P<0.01) and prealbumin at 3 months after discharge (t=2.561, P=0.014) was statistically significant. In addition, there were no significant differences in the changes of albumin, hemoglobin and lymphocyte counts (P>0.05). The number of postoperative complications were 6 and 16, respectively, and the difference was statistically significant (χ2=6.209, P=0.013). Conclusions The team of goaldirected nutrition therapy model is a feasible nutrition management model for cancer patients, which can improve the nutritional status of patients, accelerate the recovery of postoperative patients, and improve patient comfort and satisfaction.
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