To summarize the perioperative ERAS nursing experience of a patient with duodenal malignant tumor undergoing radical pancreaticoduodenectomy.
Method
2
The method focuses on individualized and rapid rehabilitation ERAS nursing strategies, providing patients with sufficient preoperative preparation, closely monitoring vital signs, observing changes in the condition, nutritional support, drainage tube care, psychological care, complication care, and assisting with traditional Chinese medicine acupoint embedding combined with acupoint massage after surgery. It actively improves and explores standardized and personalized nursing plans.
Result
2
As a result of careful treatment and nursing, the patient did not experience postoperative complications and successfully recovered and was discharged from the hospital.
Conclusion
2
Based on the ERAS theory, developing personalized perioperative nursing strategies and implementing refined management during the perioperative period can meet the multidimensional health needs of patients in terms of physiology, psychology, and society, thereby achieving rapid recovery.
关键词
十二指肠恶性肿瘤胰十二指肠切除术围手术期ERAS护理
Keywords
malignant tumor of duodenumpancreaticoduodenectomyperioperative periodERAS nursing
SHAO D D, WANG H X, MIN J X, et al. A systematic review of dietary factors and gastrointestinal tract cancer[J]. Genom Appl Biol, 2016, 35(5): 1101-1107.(in Chinese)
SREEDHAR A, NAIR R, SCIALLA W. Paraneoplastic auto-immune hemolytic anemia: an unusual sequela of enteric duplication cyst[J]. Anticancer Res, 2018, 38(1): 509-512.
CHATTERJEE A, BARARIA A, GANGULY D, et al. DNA methylome in pancreatic cancer identified novel promoter hyper-methylation in NPY and FAIM2 genes associated with poor prognosis in Indian patient cohort[J]. Cancer Cell Int, 2022, 22(1): 334.
YANG F, JIN C, HAO S J, et al. Drain contamination after distal pancreatectomy: incidence, risk factors, and association with postoperative pancreatic fistula[J]. J Gastrointest Surg, 2019, 23(12): 2449-2458.
CAO H, CHEN Y J, GU X P, et al. Clinical practice guidelines for enhanced recovery after surgery in China(2021 edition)[J]. Chin J Pract Surg, 2021, 41(9): 961-992.(in Chinese)
JIA Y L, HUANG J B, XIE L Y, et al. Investigation on attitudes of relatives of advanced cancer patients toward diagnostic disclosure[J]. Med Philos, 2014, 35(5): 47-48, 92.(in Chinese)
ZHAO Z H, LI G H. Progress of perioperative rapid rehabilitation intervention in patients with pancreatic cancer[J]. J Nurs China, 2015, 22(9): 30-33.(in Chinese)
LIU L J, WU Y J, XUE Z F, et al. Application of fast track education path in perioperative period of pancreatic cancer patients[J]. China Med Her, 2016, 13(2): 145-149.(in Chinese)
SHEN M Y, LU F Y. Application of accelerated rehabilitation program in laparoscopic pancreaticoduodenectomy[J]. J Nurs Rehabil, 2017, 16(9): 963-965.(in Chinese)
LASSEN K, COOLSEN M M, SLIM K, et al. Guidelines for perioperative care for pancreaticoduodenectomy: enhanced recovery after surgery (ERAS®) society recommendations[J]. Clin Nutr, 2012, 31(6): 817-830.
VAN’T SANT H P, WEIDEMA W F, HOP W C J, et al. Evaluation of morbidity and mortality after anastomotic leakage following elective colorectal surgery in patients treated with or without mechanical bowel preparation[J]. Am J Surg, 2011, 202(3): 321-324.
Hepatobiliary and pancreatic Surgery Committee of Chinese Society of Research Hospitals. Expert consensus on enhanced recovery after hepatopancreatobiliary surgery (2015 edition)[J]. Chin J Dig Surg, 2016, 15(1): 1-6.(in Chinese)
CHENG T T, LIU L L, YU S Y, et al. Influence on nutritional index and prognosis of patients with early enteral nutrition support after gastrectomy under reform theory nursing[J]. China Med Her, 2024, 21(17): 158-160, 164.(in Chinese)
ZHANG X J, LI J, SONG D D. Evaluation of enteral nutrition tolerance and effect of management regimen on patients after pancreaticoduodenectomy[J]. Nurs Pract Res, 2021, 18(17): 2605-2608.(in Chinese)
ZHANG Z Z, WANG Y. Focusing on emotional pathogenesis theory of traditional Chinese medicine: advantages and prospects of traditional Chinese medicine in regulating emotional stress to prevent recurrence and metastasis of malignant tumors[J]. Shanghai J Tradit Chin Med, 2023, 57(6): 1-5.(in Chinese)
QIU Q, LIAO L T, WEN C Y, et al. Effect of health education based on traditional Chinese medicine sentiment nursing combined with five-tone therapy on anxiety, depression and sleep quality in patients after percutaneous coronary intervention[J]. China Mod Med, 2024, 31(26): 179-183.(in Chinese)
YU X C, ZHANG J J, PAN Q K, et al. Curative effect of midnight-noon ebb-flow acupoint selection five element music therapy combined with agomelatine on quality of life ofthe elderly with generalized anxiety disorder[J]. Hebei J Tradit Chin Med, 2024, 46(8): 1301-1304.(in Chinese)
HU J M, ZHANG X L, SUN J N, et al. Supportive care needs of patients with temporary ostomy in enhanced recovery after surgery: a mixed-methods study[J]. J Nurs Res, 2024, 32(3): e329.
LIU L, XU Q, CHEN L. Early ambulation in patients following abdominal surgery: a review[J]. Chin J Nurs, 2013, 48(4): 368-371.(in Chinese)
LISHOVA E A, NIKODA V V, BONDARENKO A V, et al. Recent advances of monitoring and glycaemia control during early postoperative period in patients after pancreas surgery[J]. Anesteziol Reanimatol, 2013(5): 30-34.
PAPPAS S, KRZYWDA E, MCDOWELL N. Nutrition and pancreaticoduodenectomy[J]. Nutr Clin Pract, 2010, 25(3): 234-243.
CHEN L, CHEN Y J, DONG H L, et al. Chinese consensus and clinical guidelines for Enhanced Recovery After Surgery(2018 editon)[J]. Chin J Pract Surg, 2018, 38(1): 1-20.(in Chinese)
Surgery Society of Chinese Medical Association, Anesthesiology Society of Chinese Medical Association. Consensus on ERAS and guidelines for pathway management in China(2018)[J]. Chin J Anesthesiol, 2018, 38(1): 8-13.(in Chinese)
CHEN J Y, TIAN Y H, ZOU A Y, et al. Effect of intradermal thumbtack needle buried in Zusanli(ST36) and Neiguan(PC6)on gastrointestinal function after laparoscopic hysterectomy[J]. Liaoning J Tradit Chin Med, 2024, 51(3): 173-176.(in Chinese)
WEIMANN A, BRAGA M, CARLI F, et al. ESPEN practical guideline: Clinical nutrition in surgery[J]. Clin Nutr, 2021, 40(7): 4745-4761.
LASSEN K, REVHAUG A. Early oral nutrition after major upper gastrointestinal surgery: why not?[J]. Curr Opin Clin Nutr Metab Care, 2006, 9(5): 613-617.
LI J, XIE B, WANG H, et al. Comparative study of the early oral nutrition and enteral nutrition via jejunal feeding tube in patients with gastric cancer after total gastrectomy[J]. J Bengbu Med Coll, 2021, 46(8): 1007-1010.(in Chinese)
TAO F Z, CHEN W T, LIN X B, et al. Effect of different enteral nutrition approaches on the tolerance of stomach and intestine in critical patients[J]. Clin Educ Gen Pract, 2017, 15(3): 259-261.(in Chinese)