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| Effect evaluation of nutritional intervention based on case management in patients after radical gastrectomy for gastric cancer |
| Zhou Huali，Ma Hongli，Zhao Fazhi，He Weiyang，Gu Qiong，Bao Rong |
| The Second Ward of Gastroenteric Surgery，Sichuan Cancer Hospital, Chengdu 610041，Sichuan，China |
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Abstract Objective To explore the effect of nutritional intervention in case management on patients after radical gastrectomy for
gastric cancer. Method Using real data studies, patients were divided into two groups according to the chronological order of surgery. In
November 2017 to October 2018 as control group, 173 cases of patients with gastric cancer radical, control group patients during
hospitalization, complete all screening, assessment, treatment, according to the situation of gastric bowel function, by the competent
physicians, nurses, dietitians daily rounds to guide patients to eat, after hospital discharge, by the competent nurses for patients with gastric
cancer surgery patients diet instruction manual, follow⁃up was completed at 1, 2, 3 and 6 months postoperatively. 166 patients in the
experimental group underwent radical gastritis from November 2018 to October 2019. Patients in the experimental group received the same
guidance during hospitalization, and were followed up by special case managers (including patients and their families) after discharge to
understand the nutritional status of patients at home and give guidance. Nutritional risk, incidence of malnutrition, hemoglobin, serum total
protein, prealbumin, albumin, weight gain, triceps dermal fold thickness, right hand grip strength and incidence of complications were
compared between 2 groups. Result 166 patients completed the study. Without considering the effect of time accumulation on the results,
nutrition intervention was implemented in case management. The nutritional risk and malnutrition incidence of the experimental group
were lower than those of the control group at different periods of the investigation. Nutritional risk, good nutrition, hemoglobin, serum
total protein, prealbumin, albumin, body weight gain and triceps skin fold thickness of the experimental group were significantly different
from those of the control group (P < 0.05). Conclusion Nutritional intervention in case management of patients undergoing radical
gastrectomy for gastric cancer is helpful to improve patients' wrong dietary concept and nutritional status.
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Received: 11 September 2021
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