目的评价基于微信视频的延续性护理对肠癌经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheters,PICC)化疗患者PICC自我管理能力及导管维护知识的影响。方法将2018年1月至9月在本院肿瘤科住院行PICC置管化疗的50例...目的评价基于微信视频的延续性护理对肠癌经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheters,PICC)化疗患者PICC自我管理能力及导管维护知识的影响。方法将2018年1月至9月在本院肿瘤科住院行PICC置管化疗的50例肠癌患者设为对照组,实施常规PICC延续护理;将2018年10月至2019年3月在本院肿瘤科住院行PICC置管化疗的50例肠癌患者设为观察组,在对照组基础上实施基于微信视频的延续性护理,两组干预时间3个月,比较两组患者PICC自我管理能力、导管维护知识水平、并发症发生率的差异。结果干预后,观察组患者PICC自我管理能力及导管维护知识水平均高于对照组,并发症发生率低于对照组,差异有统计学意义(均P<0.001)。结论基于微信视频的延续性护理有效落实了患者管道维护、功能锻炼、在线指导及居家护理等远程监控工作,实现了与当地护士远程沟通,提高了患者PICC自我管理能力及导管维护知识水平,降低了并发症的发生。展开更多
AIM： To investigate the potential role of perioperative nutrition in reducing complications and mortality in malnourished gastrointestinal cancer patients. METHODS： Four hundred and sixty-eight elective moderately o...AIM： To investigate the potential role of perioperative nutrition in reducing complications and mortality in malnourished gastrointestinal cancer patients. METHODS： Four hundred and sixty-eight elective moderately or severely malnourished surgical patients with gastric or colorectal cancers defined by the subjective global assessment （SGA） were randomly assigned to 7 d preoperative and 7 d postoperative parenteral or enteral nutrition vs a simple control group. The nutrition regimen included 24.6±5.2 kcal /kg per d non-protein and 0.23±0.04 g nitrogen /kg per d. Control patients did not receive preoperative nutrition but received 600±100 kcal non-protein plus or not plus 62 ± 16 g crystalline amino acids postoperatively. RESULTS： Complications occurred in 18.3% of the patients receiving nutrition and in 33.5% of the control patients （P= 0.012）. Fourteen patients died in the control group and 5 in those receiving nutrition. There were significant differences in the mortality between the two groups （2.1% vs 6.0%, P=0.003）. The total length of hospitalization and postoperative stay of control patients were significantly longer （29 vs 22 d, P=0.014） than those of the studied patients （23 vs 12 d, P= 0.000）. CONCLUSION： Perioperative nutrition support is beneficial for moderately or severely malnourished gastrointestinal cancer patients and can reduce surgical complications and mortality.展开更多
文摘目的评价基于微信视频的延续性护理对肠癌经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheters,PICC)化疗患者PICC自我管理能力及导管维护知识的影响。方法将2018年1月至9月在本院肿瘤科住院行PICC置管化疗的50例肠癌患者设为对照组,实施常规PICC延续护理;将2018年10月至2019年3月在本院肿瘤科住院行PICC置管化疗的50例肠癌患者设为观察组,在对照组基础上实施基于微信视频的延续性护理,两组干预时间3个月,比较两组患者PICC自我管理能力、导管维护知识水平、并发症发生率的差异。结果干预后,观察组患者PICC自我管理能力及导管维护知识水平均高于对照组,并发症发生率低于对照组,差异有统计学意义(均P<0.001)。结论基于微信视频的延续性护理有效落实了患者管道维护、功能锻炼、在线指导及居家护理等远程监控工作,实现了与当地护士远程沟通,提高了患者PICC自我管理能力及导管维护知识水平,降低了并发症的发生。
文摘AIM： To investigate the potential role of perioperative nutrition in reducing complications and mortality in malnourished gastrointestinal cancer patients. METHODS： Four hundred and sixty-eight elective moderately or severely malnourished surgical patients with gastric or colorectal cancers defined by the subjective global assessment （SGA） were randomly assigned to 7 d preoperative and 7 d postoperative parenteral or enteral nutrition vs a simple control group. The nutrition regimen included 24.6±5.2 kcal /kg per d non-protein and 0.23±0.04 g nitrogen /kg per d. Control patients did not receive preoperative nutrition but received 600±100 kcal non-protein plus or not plus 62 ± 16 g crystalline amino acids postoperatively. RESULTS： Complications occurred in 18.3% of the patients receiving nutrition and in 33.5% of the control patients （P= 0.012）. Fourteen patients died in the control group and 5 in those receiving nutrition. There were significant differences in the mortality between the two groups （2.1% vs 6.0%, P=0.003）. The total length of hospitalization and postoperative stay of control patients were significantly longer （29 vs 22 d, P=0.014） than those of the studied patients （23 vs 12 d, P= 0.000）. CONCLUSION： Perioperative nutrition support is beneficial for moderately or severely malnourished gastrointestinal cancer patients and can reduce surgical complications and mortality.
