Wang Jiaxing, Su Peng, Zhang Zhen, Tian Ziqiang, Fu Congying, Liu Fengxia
Department of Thoracic Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Nursing Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
AME Case Rep. 2024 Jul 4;8:78. doi: 10.21037/acr-24-2. eCollection 2024.
Reasonable nutritional intervention is very important to promote wound healing and rehabilitation in patients with radical esophagectomy for esophageal cancer. This report aims to summarize the experience of nutritional and continuous nursing intervention in a patient who underwent radical resection of esophageal cancer after liver transplantation, by testing a comprehensive approach to optimize nursing plans in similar clinical practice. We hope that the implementation of home enteral nutrition can improve the nutrition status and quality of life of postoperative patients.
A patient with liver transplantation was admitted to The Fourth Hospital of Hebei Medical University for postoperative care. The nursing intervention were subsequently summarized and analyzed. In July 2023, the patient successfully underwent radical resection for esophageal cancer. Following the operation, the patient received regular medication and on-site nutritional intervention with the consent of her family. At discharge, the prealbumin, albumin, total protein and hemoglobin values of the patient were low, and body weight was 91 kg. The patient's nutritional risk screening (NRS2022) score was 5 points, and the Patient-Generated Subjective Global Assessment (PG-SGA) score was 4 points. After discharge, the patient continued to receive family enteral nutrition treatment, dietary guidance and psychological nursing. A follow-up review conducted 4 weeks after discharge showed improvements in the patient's NRS2022, albumin, total protein, hemoglobin, and body weight.
Strengthening postoperative nutritional intervention are vital for promoting rehabilitation in patients who undergo radical resection of esophageal cancer after liver transplantation.
合理的营养干预对于促进食管癌根治性食管切除术后患者的伤口愈合和康复非常重要。本报告旨在总结一例肝移植术后食管癌根治性切除患者的营养及持续护理干预经验，通过测试一种综合方法来优化类似临床实践中的护理计划。我们希望实施家庭肠内营养能够改善术后患者的营养状况和生活质量。
一名肝移植患者入住河北医科大学第四医院进行术后护理。随后对护理干预进行了总结和分析。2023年7月，该患者成功接受了食管癌根治性切除术。术后，患者在其家人同意下接受了常规药物治疗和现场营养干预。出院时，患者的前白蛋白、白蛋白、总蛋白和血红蛋白值较低，体重为91千克。患者的营养风险筛查（NRS2022）评分为5分，患者主观全面评定法（PG-SGA）评分为4分。出院后，患者继续接受家庭肠内营养治疗、饮食指导和心理护理。出院4周后进行的随访复查显示，患者的NRS2022、白蛋白、总蛋白、血红蛋白和体重均有所改善。
加强术后营养干预对于促进肝移植术后食管癌根治性切除患者的康复至关重要。
