Clinical Application Of Nutritional Nursing In Pancreaticoduodenectomy Patients Under The Concept Of ERAS

Objective: To investigate the clinical application of nutritional care in PD patients under the ERAS concept by studying the effects of nutritional care on postoperative recovery,cancer-related fatigue,burden of self-perception,and quality of life of PD patients under the ERAS concept.Methods: This study uses a class of experimental research design,taking PD patients from January 2018 to December 2019 as the research object,and randomly selected 30 cases in the control group and the test group according to the inclusion and exclusion criteria.The group underwent routine perioperative nutritional care,and the experimental group underwent nutritional care under the ERAS concept to observe the prognosis of gastrointestinal function recovery,nutritional status and immune indexes,daily life activities,and complications during the 3,7,and 10 days after surgery.And psychological conditions such as cancer-induced fatigue,burden of self-perception and quality of life.Collect the collected data into Epidate and import it into SPSS 24.0 for statistical analysis of the data to evaluate the clinical application of nutritional care for PD patients under the ERAS concept.Results: Before perioperative nutritional care,there was no statistically significant difference in the basic data of the two groups of patients;after perioperative nutritional care,PD patients implemented nutritional care under the ERAS concept under postoperative nutrition and immunity,liver function,gastrointestinal function recovery,hospital stay and cancer relief Due to fatigue and other aspects are better than conventional perioperative nutritional care(P<0.05).In terms of nutritional status and immune indicators: the content of ALB and LYM # in both groups decreased after the operation,but the test group increased to a normal level more quickly.The absolute value of ALB and LYM # in the test group was higher than that of the control group 10 days after the operation(P<0.05).In terms of liver function: the levels of AST,ALT,TBIL,and DBIL before operation in both groups of patients were higher than normal,and the postoperative experimental group decreased rapidly.The levels of AST,ALT,and 7 days after operation in the experimental group were lower than that of DBIL and TBIL.Control group(P<0.002).In terms of gastrointestinal function recovery: the time of first bowel sounds,exhaust time and defecation time in the experimental group was significantly shorter than that in the control group(P<0.001).Nutritional care under the ERAS concept can promote the recovery of gastrointestinal function in patients.In terms of postoperative complications: the incidence of incision infection and pleural effusion in the test group was lower than that in the control group(P<0.05).The ADL of the experimental group was significantly better than that of the control group at 10 days after operation(P<0.05),and the score of the MFS scale at 7 days after operation was also lower than that of the control group(P<0.05).The hospitalization time of patients in the experimental group was significantly shorter than that of the control group(P<0.05),and the hospitalization cost was also less than that of the control group,but the difference was not statistically significant.The two groups of patients had statistically significant differences in physical fatigue dimension,emotional fatigue dimension,and total score of cancer-induced fatigue(P<0.001).There is a statistically significant difference between the experimental group and the control group in the economic burden dimension(P<0.05),and the experimental group is higher than the control group;but there is no difference in the physical burden dimension,emotional burden dimension and total score of the self-feeling burden Academic significance(P>0.05).The quality of life of the experimental group was better than that of the control group,and the difference was statistically significant(P<0.001).It is mainly reflected in the physiological function dimension,emotional function dimension,vitality dimension,mental health dimension,physical health and mental health dimension.Conclusion: The application of nutritional care in PD patients under the ERAS concept is safe and effective,and can be further promoted in the clinic.