ObjectiveTo summarize the experiences of application and nursing measures of three-lumen gastrojejunal tube for enteral nutrition in postoperative patients with gastric carcinoma. MethodsWe analyzed the clinical data of 60 gastric cancer patients undergoing treatment with three-lumen gastrojejunal tube after surgery between June and September 2012. And then we summarized the nursing experiences including fixation and flushing of the tube, plugging disposal, management of the nutrition temperature, and infusion speed choice. ResultsPostoperative nutritional status of all the 60 patients were improved. Their plasma albumin level reached (34.58±5.29) g/L, plasma hemoglobin reached the level of (113.90±19.12) g/L, and score of nutrition risk screening 2002 reached 3.47±0.71. Meanwhile, earlier recovery of enteric function made shorter average hospitalization. Decreasing use of parenteral nutrition avoided related complications. ConclusionApplication of the three-lumen gastrojejunal tube in postoperative patients with gastric carcinoma for enteral nutrition can improve their nutritional status and promote their recovery at an early time.
ObjectiveTo explore the impact of the preoperative nutritional status on quality of life of colorectal cancer patients. MethodsIn this study, patients diagnosed definitely as colorectal cancer were enrolled from September 2012 to December 2012 in this hospital.NRS-2002 was used to assess the preoperative nutritional status, and QLQ-C30 was used to assess the quality of life. ResultsForty-four patients were enrolled in this study and divided into two groups based on NRS-2002 preoperative nutritional status evaluation scores:mild nutritional risk group had 27 patients who got 1 point, and moderate-severe nutritional risk group had 17 patients who got 2 point or over it.Patients in moderate-severe nutritional risk group were significantly older than the mild nutritional risk group (P=0.001), but there were no statistical differences between the two groups in gender (P=0.718), TNM stage (P=0.302), differentiation degree (P=0.564), preoperative medical complications (P=0.070), postoperative complications[NS (not significant)], and stoma (P=0.786).There were no statistical differences between the two groups in quality of life, too (P > 0.05). ConclusionsThis study don't get the conclusion that there is any relationship between nutritional status and quality of life of the colorectal cancer patients.And maybe it is effected by the too small sample size and single time of accessing.Therefore, the further research by expanding sample size, using more kinds of assessment tools, and selecting different time to explore the impact of the preoperative nutritional status on quality of life of colorectal cancer patients are necessary.