肝移植患者食管癌根治术后的营养和持续护理干预:病例报告。

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL AME Case Reports Pub Date : 2024-07-04 eCollection Date: 2024-01-01 DOI:10.21037/acr-24-2
Jiaxing Wang, Peng Su, Zhen Zhang, Ziqiang Tian, Congying Fu, Fengxia Liu
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引用次数: 0

摘要

背景:合理的营养干预对促进食管癌根治术患者的伤口愈合和康复非常重要。本报告旨在总结一名肝移植术后食管癌根治术患者的营养和持续护理干预经验,在类似的临床实践中检验优化护理计划的综合方法。我们希望家庭肠内营养的实施能改善术后患者的营养状况和生活质量:河北医科大学第四医院收治了一名肝移植患者,进行术后护理。随后对护理干预进行了总结和分析。2023 年 7 月,患者成功接受了食道癌根治性切除术。术后,在家属的同意下,患者接受了常规药物治疗和现场营养干预。出院时,患者的前白蛋白、白蛋白、总蛋白和血红蛋白值偏低,体重为 91 千克。患者的营养风险筛查(NRS2022)评分为 5 分,患者主观全面评估(PG-SGA)评分为 4 分。出院后,患者继续接受家庭肠内营养治疗、饮食指导和心理护理。出院 4 周后的随访显示,患者的 NRS2022、白蛋白、总蛋白、血红蛋白和体重均有所改善:结论:加强术后营养干预对促进肝移植后食管癌根治术患者的康复至关重要。
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Nutrition and continuous nursing intervention following radical resection of esophageal cancer in a patient after liver transplantation: a case report.

Background: Reasonable nutritional intervention is very important to promote wound healing and rehabilitation in patients with radical esophagectomy for esophageal cancer. This report aims to summarize the experience of nutritional and continuous nursing intervention in a patient who underwent radical resection of esophageal cancer after liver transplantation, by testing a comprehensive approach to optimize nursing plans in similar clinical practice. We hope that the implementation of home enteral nutrition can improve the nutrition status and quality of life of postoperative patients.

Case description: A patient with liver transplantation was admitted to The Fourth Hospital of Hebei Medical University for postoperative care. The nursing intervention were subsequently summarized and analyzed. In July 2023, the patient successfully underwent radical resection for esophageal cancer. Following the operation, the patient received regular medication and on-site nutritional intervention with the consent of her family. At discharge, the prealbumin, albumin, total protein and hemoglobin values of the patient were low, and body weight was 91 kg. The patient's nutritional risk screening (NRS2022) score was 5 points, and the Patient-Generated Subjective Global Assessment (PG-SGA) score was 4 points. After discharge, the patient continued to receive family enteral nutrition treatment, dietary guidance and psychological nursing. A follow-up review conducted 4 weeks after discharge showed improvements in the patient's NRS2022, albumin, total protein, hemoglobin, and body weight.

Conclusions: Strengthening postoperative nutritional intervention are vital for promoting rehabilitation in patients who undergo radical resection of esophageal cancer after liver transplantation.

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