Development of a Nursing Practice Guideline for Pre and Post-Operative Care of Gastric Cancer Patients

Abstract

ObjectivesThe aim of this study was to develop nursing practice guidelines and algorithms for the pre- and postoperative care of gastric cancer patients.MethodsThe guidelines and algorithms were developed based on a literature review and subject-matter experts' knowledge. The usefulness and applicability of the developed guidelines and algorithms were evaluated by the expert group.ResultsThe guidelines comprised 64 recommendations and algorithms for admission care, preoperative care on the day before the operation, preoperative care on the operation day, immediate postoperative assessment, postoperative care, and discharge care of gastric cancer patients. After appropriate evaluation, the experts declared the guidelines to be both useful and applicable.ConclusionsThe guidelines developed in this study can be used for patient care and for training nursing students and novice nurses. In addition, these guidelines can be integrated into the electronic nursing record system for clinical decision support in the future. This will improve the quality of clinical nursing and the expertise of nurses.

Nursing care in the immediate postoperative period: a cross-sectional study

“…Para isso, o profissional deve planejar o cuidado com o objetivo de recuperar o equilíbrio fisiológico do paciente, com o mínimo de complicações, a fim de facilitar o andamento da assistência e oferecer qualidade no serviço prestado (2) . No POI, o paciente é considerado crítico, razão pela qual deve existir a assistência de enfermagem sistematizada e documentada, o que garantirá segurança e cuidados específi-cos, que se implementados são destinados às intervenções de prevenção e/ou tratamento de complicações pós-operatórias (3) . A Sistematização da Assistência de Enfermagem (SAE) rege a metodologia de trabalho do enfermeiro, uma vez que por meio desse instrumento ele identifica as situações de saúde--doença, subsidiando a prescrição e implementação de ações em saúde concretas na promoção, prevenção, recuperação e reabilitação em saúde do indivíduo, família e comunidade (4) .…”

Effectiveness of nursing interventions in the postoperative recovery of gastric cancer patients: a systematic literature review

“…So, nurses play a key role in making the necessary changes to the patients' diet and providing education on eating strategies in order to minimize potential disorders and nutritional decline. Similarly, Park and Park (2010) emphasized the importance of guidelines for the prevention, detection, and early intervention in possible postoperative complications such as bleeding, reflux gastritis, and dumping syndrome, as well as the reduction of disparities specific to nursing care delivery.…”

“…However, it should be noted that survival rates are still low and, in order to improve these results, chemotherapy after surgery may be recommended. The surgical removal of the stomach is the most common curative treatment in gastric cancer patients; hence, Park and Park (2010) argue that it is important to develop guidelines for these patients' pre and postoperative care. Mello et al (2010) also emphasize the importance of nurses' intervention in providing guidance/educating patients and their families and that this intervention should start in the preoperative period and continue throughout treatment, including the late postoperative period.…”

“…A preliminary search in the Cochrane Database of Systematic Reviews (CDSR) revealed that there are no systematic reviews exclusively focused on the effectiveness of nursing interventions in the postoperative recovery of adult gastric cancer patients undergoing surgical treatment. Thus, this systematic literature review (SLR) was conducted based on the PICO (Population, Intervention, Comparison, and Outcome) model (Joanna Briggs Institute, 2014): populationadults aged 18 years or more, with gastric cancer, undergoing surgical treatment; intervention -nursing interventions; comparison -does not apply; outcome -postoperative recovery (fewer complications, increased self-management skills, and improved quality of life), considering the evidence by Diaz-Nieto, Orti-Rodríguez, and Winslet (2013), Laporte et al (2014), Mello et al (2010), and Park and Park (2010). The following question guided this review: Which nursing interventions/programs are more effective in the postoperative recovery (fewer complications, increased self-management skills, and improved quality of life) of gastric cancer patients undergoing surgical treatment?…”

Development of Telephone Consultation Algorithm for Patient Discharged with Ophthalmic Disease

“…-Instruct patient to follow up with doctor as directed. Nursing, 2005;Wahlberg, Cedersund & Wredling, 2003).…”