Yi Zhang1, Xueyan Wang2, Haixia Yang3. 1. Department of Oncology, The Central Hospital of Wuhan Wuhan, Hubei Province, China. 2. Department of Hospital Infection Management, Liaocheng People's Hospital Liaocheng, Shandong Province, China. 3. Department of Traditional Chinese Medicine, The Second Affiliated Hospital of Xi'an Jiaotong University Xi'an, Shaanxi Province, China.
Abstract
OBJECTIVE: To explore the effect of traditional Chinese medicine (TCM) nursing on postoperative patients with gastric cancer and its impact on quality of life. METHODS: According to the random number table method, 103 patients with gastric cancer were divided into observation group (n=52, TCM nursing) and control group (n=51, routine nursing). The postoperative recovery of gastrointestinal function, the scores of mental states, inflammatory index, self-esteem scale (SES) and quality of life score (generic quality of life inventory-74 scale, GQOLI-74 scale) before and after intervention were compared between the two groups, and the adverse reactions were recorded. RESULTS: Compared with the control group, the first postoperative exhaust time, the regression time of epigastric distension symptoms, the first defecation time and the time of returning to normal eating in the observation group were shorter than those in the control group (all P<0.05). After intervention, the scores of Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) and the levels of serum TNF-α, CRP and IL-1β in the two groups were lower than those before intervention, and those in the observation group were lower than those in the control group (all P<0.05). After intervention, the scores of SES and GQOLI-74 in both groups were higher than those before intervention, and those in the observation group were higher than those in the control group (all P<0.05). During hospitalization, the total incidence of adverse reactions in the observation group was lower than that in the control group (P<0.05). CONCLUSION:Perioperative TCM nursing for patients with gastric cancer can more obviously improve postoperative gastrointestinal dysfunction, alleviate acute inflammation, improve postoperative unhealthy mental state, reduce the occurrence of postoperative complications, and finally improve the quality of life of postoperative patients, which is worthy of clinical application. AJTR
RCT Entities:
OBJECTIVE: To explore the effect of traditional Chinese medicine (TCM) nursing on postoperative patients with gastric cancer and its impact on quality of life. METHODS: According to the random number table method, 103 patients with gastric cancer were divided into observation group (n=52, TCM nursing) and control group (n=51, routine nursing). The postoperative recovery of gastrointestinal function, the scores of mental states, inflammatory index, self-esteem scale (SES) and quality of life score (generic quality of life inventory-74 scale, GQOLI-74 scale) before and after intervention were compared between the two groups, and the adverse reactions were recorded. RESULTS: Compared with the control group, the first postoperative exhaust time, the regression time of epigastric distension symptoms, the first defecation time and the time of returning to normal eating in the observation group were shorter than those in the control group (all P<0.05). After intervention, the scores of Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) and the levels of serum TNF-α, CRP and IL-1β in the two groups were lower than those before intervention, and those in the observation group were lower than those in the control group (all P<0.05). After intervention, the scores of SES and GQOLI-74 in both groups were higher than those before intervention, and those in the observation group were higher than those in the control group (all P<0.05). During hospitalization, the total incidence of adverse reactions in the observation group was lower than that in the control group (P<0.05). CONCLUSION: Perioperative TCM nursing for patients with gastric cancer can more obviously improve postoperative gastrointestinal dysfunction, alleviate acute inflammation, improve postoperative unhealthy mental state, reduce the occurrence of postoperative complications, and finally improve the quality of life of postoperative patients, which is worthy of clinical application. AJTR
Authors: Dusica M Stamenkovic; Nemanja K Rancic; Milan B Latas; Vojislava Neskovic; Goran M Rondovic; Jennifer D Wu; Davide Cattano Journal: Minerva Anestesiol Date: 2018-04-05 Impact factor: 3.051
Authors: Andrew J Long; Paul R Burton; Michael J De Veer; Geraldine J Ooi; Cheryl P Laurie; Peter D Nottle; Matthew J Watt; Wendy A Brown Journal: ANZ J Surg Date: 2017-11-30 Impact factor: 1.872