Department of Perioperative Functioning Care and Support, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka, 431-3192, Japan.
Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Esophagus. 2022 Apr;19(2):260-268. doi: 10.1007/s10388-021-00893-3. Epub 2021 Oct 28.
Esophageal cancer surgery requires maintenance and enhancement of perioperative nutritional status and physical function to prevent postoperative complications. Therefore, awareness of the importance of preoperative patient support is increasing. This study examined the usefulness of using a diary in combination with a wearable fitness tracking device (WFT) in patients undergoing surgery for esophageal cancer.
Ninety-four patients who underwent esophagectomy between February 2019 and April 2021 were included. Physicians, nurses, dietitians, and physical therapists provided diary-based education for the patients. In addition, a WFT was used by some patients. The perioperative outcomes of patients who used both the diary and WFT (WFT group) and those who used the diary alone (non-WFT group) were compared. In addition, propensity score matching was performed to improve comparability between the two groups.
After the propensity score matching, the rate of postoperative pneumonia was significantly lower in the WFT group (0% vs. 22.6%, P = 0.005). The postoperative hospital stay was shorter in the WFT group (P = 0.012). Nutritional status indices, such as the prognostic nutritional index, also improved significantly in the WFT group at 1 month after surgery (P = 0.034). The rate of diary entries was significantly higher in the WFT group (72.3% vs. 28.3%, P < 0.001).
The use of a WFT reduced the incidence of postoperative pneumonia and improved postoperative nutritional status and rates of diary entries after esophagectomy, suggesting that its use may be useful for promoting recovery after esophagectomy.
食管癌手术需要维持和增强围手术期的营养状况和身体功能，以预防术后并发症。因此，人们越来越意识到术前患者支持的重要性。本研究探讨了在食管癌患者中使用日记与可穿戴健身追踪器（WFT）相结合的有效性。
纳入 2019 年 2 月至 2021 年 4 月期间接受食管切除术的 94 例患者。医生、护士、营养师和物理治疗师为患者提供基于日记的教育。此外，一些患者还使用了 WFT。比较了同时使用日记和 WFT（WFT 组）和仅使用日记的患者（非 WFT 组）的围手术期结果。此外，还进行了倾向评分匹配以提高两组之间的可比性。
在进行倾向评分匹配后，WFT 组的术后肺炎发生率显著降低（0% vs. 22.6%，P=0.005）。WFT 组的术后住院时间更短（P=0.012）。术后 1 个月，WFT 组的营养状况指标（如预后营养指数）也显著改善（P=0.034）。WFT 组的日记记录率显著更高（72.3% vs. 28.3%，P<0.001）。
使用 WFT 可降低术后肺炎的发生率，改善食管癌术后的营养状况和日记记录率，表明其使用可能有助于促进食管癌术后的恢复。
