Wang Wenwen, Zhu Yan, Sun Yu, Li Yandong
Department of Cardiovascular Medicine, The Affiliated Hospital of Beihua University, Jilin, Jilin, China.
School of Nursing, Beihua University, East Campus of Beihua University, Jilin City, Jilin, China.
Open Med (Wars). 2025 Jan 17;20(1):20241098. doi: 10.1515/med-2024-1098. eCollection 2025.
Radical gastrectomy is generally prefered for gastric cancer but has postoperative complications. The objectives of the study are to evaluate the effectiveness of three different models of preoperative counseling and postoperative follow-up care in patients who underwent radical gastrectomy for gastric cancer.
In retrospective medical record analyses, patients received nurse-led preoperative counseling and postoperative follow-up care (NC cohort, = 105) or surgeon-led preoperative counseling and surgeon-led follow-up (SC cohort, = 140), or did not receive counseling and aftercare (RC cohort, = 160).
Patients had a postoperative intensive care unit (PICU) stay of 24 (26-22) h/patient and postoperative pain of 6 (6-5)/ patient. The frequencies of nausea, vomiting, medical intensive care unit admission(s), dizziness, length of PICU stay, and intensity of postoperative pain were lower among patients in the NC cohort, followed by those in the SC and RC cohorts. A higher number of patients in the RC cohort died when compared to the NC (25 [16%) vs 2 [2%], = 0.0458) and the SC (25 [16%] vs 11 [8%], = 0.0001) cohorts in follow-up.
Patients who undergo radical gastrectomy for gastric cancer require healthcare professional-led preoperative counseling and postoperative aftercare. Nurse-led preoperative counseling and postoperative aftercare, could improve outcome measures in patients who underwent radical gastrectomy for gastric cancer.
胃癌通常首选根治性胃切除术，但该手术存在术后并发症。本研究的目的是评估三种不同模式的术前咨询和术后随访护理对接受胃癌根治性胃切除术患者的有效性。
在回顾性病历分析中，患者接受由护士主导的术前咨询和术后随访护理（NC队列，n = 105）或由外科医生主导的术前咨询和外科医生主导的随访（SC队列，n = 140），或未接受咨询和术后护理（RC队列，n = 160）。
患者术后重症监护病房（PICU）住院时间为24（26 - 22）小时/患者，术后疼痛评分为6（6 - 5）/患者。NC队列患者的恶心、呕吐、入住医疗重症监护病房、头晕、PICU住院时间和术后疼痛强度的发生率较低，其次是SC队列和RC队列。与NC队列（25例[16%] vs 2例[2%]，P = 0.0458）和SC队列（25例[16%] vs 11例[8%]，P = 0.0001）相比，RC队列在随访中有更多患者死亡。
接受胃癌根治性胃切除术的患者需要医疗保健专业人员主导的术前咨询和术后护理。由护士主导的术前咨询和术后护理可以改善接受胃癌根治性胃切除术患者的结局指标。
