Effects of a Nurse–led Rehabilitation Program on Clinical Outcomes in Patients with Upper GI Cancers Undergoing Surgery
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Abstract
This one group pretest –posttest research design examined the effect of rehabilitation program in surgical patients with upper gastrointestinal cancer on body weight, albumin level, postoperative complications, days of hospital stay, and quality of life after discharge. The rehabilitation program integrated the Enhanced Recovery after Surgery (ERAS) and Orem’s supportive educative nursing system as the conceptual framework. The study sample was 12 esophageal cancer patients and 8 gastric cancer patients. They received the rehabilitation program at least 1 week before surgery, during hospital stay, and after 30 days of hospital discharge. Data were analysed using descriptive statistics, Friedman’s test, and Wilcoxon Signed-rank test. Results showed that most of the patients gained their weights and albumin levels on both at one day before surgery and at 30 days after hospital discharge. Eight postoperative complications were found. Most complications found in the samples with esophagel cancer were pulmonary complications and chyle leakage, while intestinal obstruction was found the most in samples with gastric cancer. The numbers of hospital stay were 18.60 ± 10.89 days. The patients with esophageal cancer had the number of hospital stay less than the patients with gastric cancer (17.33 ± 7.30 days vs. 20.50 ± 9.45 days). Ninety percents of the patients could completely perform the programme activities. The quality of life after surgery, EORTC QLQ –OG25 mean score, was in a good level. These revealed that the program help improve nutritional status of patients with upper GI cancer before and after surgery, and the quality of life after surgery.
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