Effect of Evidence-based Nursing on Perioperative Nursing of Patients with Gastric Cancer

Abstract

Zhu et al.: Effect of perioperative nursing on patients with gastric cancerTo explore the therapeutic effect of evidence-based nursing on the perioperative care of gastric cancer patients. 81 patients with gastric cancer hospitalized in our department from September 2018 to September 2019 were randomly divided into 40 experimental group and 40 control group; the control group used conventional nursing intervention and the experimental group used evidence-based nursing intervention to compare the surgical index, mental and emotional, clinical index, visual analogue scoring system score and complications of the two groups. The results showed that there were no statistically significant differences in intraoperative bleeding and operation time between the two groups, and the amount of intraoperative fluid replenishment was significantly lower in the experimental group than in the control group; after the nursing intervention, the Self-rating Anxiety Scale and Self-rating Depression Scale scores of the experimental group were lower than those of the control group at 1 d preoperatively and 3 d postoperatively (p<0.05); the Self-rating Anxiety Scale and Self-rating Depression Scale scores of the experimental group were lower than those of the control group at 6 h, 24 h and 72 h postoperatively (p<0.05). The visual analogue scoring system scores were all lower than those of the control group (p<0.05); the time of getting out of bed after surgery, the time of first postoperative exhaustion, the time of postoperative ureter extraction, the time of early feeding, the time of semi-liquid diet, and the time of postoperative hospitalization were all shorter in the experimental group than in the control group, and the costs were lower than those of the control group, and the differences were statistically significant (p<0.05). The comparison between groups was significantly different (p<0.05). The clinical application of evidencebased nursing care in the perioperative nursing coordination of gastric cancer radical surgery can not only reduce postoperative complications, but also shorten hospitalization time and help promote patients recovery, which is worth promoting.

Interdisciplinary interventions that improve patient-reported outcomes in perioperative cancer care: A systematic review of randomized control trials

“…including three or more interdisciplinary healthcare team members [41, 42, 44, 47-49, 55, 61, 63, 64, 71]. Team processes included consistent communication within the interdisciplinary healthcare team at multiple different points in time [40,44,45,51,56,62,64,67,71]. Intervention components included clinical team members roles of group education, patient/caregiver education, and clinical follow-up, contact with the patient throughout the intervention, and caregiver involvement.…”

“…The roles taken by clinical nurse specialists were distributed evenly with three articles utilizing interventions where the clinical nurse specialists led educational sessions [40,48,60], three articles providing patient/caregiver education [41,46,47], and three articles with clinical follow-up [42,45,49]. Four articles included registered nurse roles of leading educational sessions [61,62,65,66], while four articles included registered nurse roles of patient/caregiver education with the patient [52,58,69,71], and fourteen articles included registered nurse roles of following up with the patient [50,51,53,54,56,57,59,63,64,67,68,70,72,73]. Across the studies, there was heterogeneity regarding when the intervention began in the perioperative period relative to the date of surgery, as shown in Table 2.…”

“…Consistent communication was another component of the interventions that was associated with an improvement in PROs. Nine of the studies included communication within the interdisciplinary healthcare team at multiple different points in time [40,44,45,51,56,62,64,67,71]. This included working together to create a training session prior to implementing the intervention together, coordinating with each other throughout the intervention, or meeting with a interdisciplinary team on a frequent basis.…”

“…This included working together to create a training session prior to implementing the intervention together, coordinating with each other throughout the intervention, or meeting with a interdisciplinary team on a frequent basis. Eight of these studies were correlated with improved PROs [40,44,51,56,62,64,67,71].…”