Preventive effect of graded nursing on anastomotic fistula in elderly patients with esophageal cancer

AIM: To evaluate the preventive effect of graded nursing on anastomotic fistula in elderly patients with esophageal cancer.

METHODS: Seventy-eight elderly esophageal cancer patients who underwent surgical treatment at our hospital from March 2014 to February 2015 were involved, including 39 patients receiving routine nursing from March 2014 to August 2014 as a control group, and 39 patients receiving graded nursing from September 2014 to February 2015 as an observation group. The incidence of postoperative anastomotic fistula, patient satisfaction and the nursing level of nursing staff were compared between the two groups.

RESULTS: The incidence of anastomotic fistula after surgery was significantly lower in the observation group than in the control group (2.56% vs 15.38%, P < 0.05). The scores of basic nursing, nursing responsibility, service attitude, nursing guidance and overall satisfaction score were significantly higher in the observation group than in the control group (P < 0.05). The scores of operating skills and illness awareness of nurses in the observation group were significantly higher than those in the control group (P < 0.05).

CONCLUSION: Graded nursing can improve nursing skills, promote standardized nursing and improve the nursing quality in elderly patients with esophageal cancer after surgery, thus reducing the incidence of postoperative anastomotic fistula.

Application of nurse-patient cooperation strategy in postoperative graded nursing in patients with gastric cancer

AIM: To understand the self-care ability and self-care intention of patients with gastric cancer after surgery, and discuss the application of nurse-patient cooperation strategy in graded nursing.

METHODS: Self-care ability evaluation scale and self-designed fundamental nursing menu questionnaire were used to investigate 73 patients with gastric cancer after surgery coming from two general hospitals about their self-care ability, self-care intention and recognition of menu.

RESULTS: The primary care level lacked the dynamic evaluation of self-care ability. The secondary care level determined in accordance with the patients' self-care ability was not enough. The patients with ability to care for severe dependence had self-care intention. The self-care intentions of patients with ability to care for mild dependence differed. Fundamental nursing menu could satisfy the desire of the patients involved in nursing.

CONCLUSION: Evaluating self-care ability when executing the system of graded nursing is necessary. We should respect the wishes of patients involved in nursing. Fundamental nursing menu could express the patient's self-care intention well. Application of nurse-patient cooperation strategy in graded nursing is feasible.