关键词: 胃肿瘤, 胃切除术, 腹腔镜, 早期进食, 护理

Abstract:

Objective To investigate the application effect of a refined early diet plan in patients with distal gastric cancer after laparoscopic radical surgery. Methods By convenience sampling method，46 patients with laparoscopic radical gastrectomy for distal gastric cancer admitted to a tertiary hospital in Zhejiang Province from July to December 2023 were selected as an experimental group，while 49 patients admitted from January to June 2023 as a control group. The experimental group was administered with the refined early diet plan，and the control group was administered with conventional methods. The intervention period was from the first day after surgery to discharge. The differences of the first postoperative defecation time，perioperative thirst and hunger score，postoperative hospitalization time，hospitalization cost，postoperative complications and the incidence of readmission 30 days after surgery were compared between the 2 groups. Results 42 patients in the experimental group and 49 patients in the control group completed the study. First postoperative exhaust time（t=4.922，P<0.001），first postopera-tive defecation time（Z=-2.440，P=0.015），perioperative thirst score（Z=-8.024，P<0.001），perioperative hunger score （Z=-8.192，P<0.001），postoperative hospitalization time（Z=-7.622，P<0.001） and hospitalization cost（Z=-4.522，P<0.001） were lower than those of the control group，and the difference was statistically significant. There was no significant difference in complication rate and 30-day readmission rate between the experimental group and the control group（P>0.05）. Conclusion The refined early diet plan is safe and effective for early recovery of patients after laparoscopic radical gastrectomy for distal gastric cancer，promoting intestinal function recovery，shortening hospital stay，reducing hospital costs，and improving patients’ subjective comfort.

Key words: Gastric Neoplasms, Gastrectomy, Laparoscopes Surgery, Early Oral Feeding, Nursing Care