Effects of Individualized Nutritional Strategies in Postoperative Elderly Patients Undergoing Gastrointestinal Surgery
Date Issued
2009
Date
2009
Author(s)
Wang, Man-Shan
Abstract
The prevalence of malnutrition is high among the elderly who underwent gastrointestinal surgery. The aim of this study was to evaluate the effects of nutritional protocol on nutritional status in postoperative elderly patients underwent an elective gastrointestinal surgery. A pre- and post controlled clinical trial design was employed to enroll subjects aged 65 years and older who scheduled for an elective gastrointestinal surgery at a 2000-bed medical center in Taipei. Subjects enrolled during 8/07 to 4/08 were served as the controls (n=82) and subjects enrolled since 5/08 to 12/08 were served as the experimental group (n=82). For the experimental group, a daily nutritional protocol including oral care, diet education and early mobilization were implemented. Educational pamphlet on overcoming malnutrition was also provided. Subjects in the control group received usual care. Mini-Nutritional Assessment (MNA), body weight, body mass index, Barthel index, and hand grip strength were taken at four points: before surgery, at discharge, 1and 3 months after surgery.nalyses were performed to examine the group differences using SPSS. Preliminary results shown that, at discharge, patients at experimental group had significant better MNA scores (21.3±3.0 vs. 13.1±3.4 points, p < 0.001), less body weight loss percentage (2.8%±3.6% vs. 5.0%±4.2%, p= 0.001), better hand grip strength (23.7±8.0 vs. 20.9±8.2 kg, p < 0.05), better in Barthel Index (86.7±9.3 vs. 64.3±13.6 points, p < 0.001), and shorten length of stay (16.9±10.4 vs. 21.8±18.8 days, p < 0.05) compared to the controls. The findings support effects of this nurse-led nutritional protocol in preventing malnutrition for the elderly who underwent gastrointestinal surgery.
Subjects
gastrointestinal surgery
nutritional protocol
oral care
nursing education
early mobilization
SDGs
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