Application effect of continuous nursing in patients with advanced esophageal cancer after esophageal stent implantation

Lijun Chen; Weiyu Wang

Application effect of continuous nursing in patients with advanced esophageal cancer after esophageal stent implantation

Am J Transl Res. 2021 Aug 15;13(8):9743-9749. eCollection 2021.

Authors

Lijun Chen¹, Weiyu Wang²

Affiliations

¹ Department of Nursing, Wanbei Vocational College of Health Suzhou, Anhui Province, China.
² Department of Interventional Oncology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine Shanghai, China.

PMID: 34540104
PMCID: PMC8430137

Abstract

Objective: To explore the advantages of continuous nursing for patients with advanced esophageal cancer after esophageal stent implantation.

Methods: A total of 48 patients with advanced esophageal cancer who successfully received esophageal stent implantation in the Department of Oncology, at the First People's Hospital Affiliated with Shanghai Jiao Tong University were divided into the control group (24 cases, receiving routine discharge guidance) and the experimental group (24 cases, receiving continuous nursing through the issuance of a home nursing instruction handbook, dietary transition guidance after discharge, nutrition and food evaluation, and guidance on daily activities, medication, and prevention of complications, etc.). The quality of life (EORTCQLQ-C30), nutritional status (MNA score and the levels of hemoglobin (Hb), serum total protein (TP) and albumin (Alb)), anxious/depressive mental state (HAMA, HAMD), complications and satisfaction were compared between the two groups.

Results: EORTCQLQ-C30, HAMA and HAMD scores of the two groups three months after discharge were lower than those before discharge, and those of the experimental group were lower than those of the control group (all P<0.05). The MNA score and the levels of Hb, TP and Alb in the experimental group three months after discharge had no significant changes compared with those before discharge (all P>0.05), while the MNA score and the levels of Hb, TP and Alb in the control group three months after discharge were lower than those before discharge and those in the experimental group (all P<0.05). The experimental group's nursing satisfaction was higher than that of the control group (P<0.05).

Conclusion: The application of continuous nursing in patients with advanced esophageal cancer after esophageal stent implantation can effectively improve the patients' adverse mental state, nutritional status and quality of life.

Keywords: Advanced esophageal cancer; continuous nursing; esophageal stent implantation; nutritional status; quality of life.