Effects of quantitative activity intervention on postoperative rehabilitation and cancer-induced fatigue in patients undergoing radical gastrectomy for gastric cancer
ZHOU Yuefeng HONG Shengqi DING Yuan
Ward Second of General Surgery, Xuancheng People’s Hospital of Anhui Province, Anhui Province, Xuancheng 242000, China
Abstract：Objective To explore the effect of quantitative activity intervention in patients undergoing radical gastrectomy for gastric cancer, focusing on the analysis of postoperative rehabilitation and cancer-induced fatigue, so as to guide the formulation of reasonable intervention plan after radical gastrectomy for gastric cancer in the future. Methods A total of 100 patients with gastric cancer who received radical gastrectomy for gastric cancer in Xuancheng People’s Hospital of Anhui Province from June 2016 to May 2020 were selected, the group was divided into experimental group and control group by random number table method, with 50 cases in each group. The control group received conventional care, the experimental group received conventional nursing combined with quantitative activity intervention, all of them were from postoperative intervention to discharge. The recovery of gastrointestinal function and clinical indexes of the two groups were recorded. Before and after the intervention, the piper fatigue correction scale (RPFS) was used to evaluate cancer-induced fatigue in both groups; the incidence of postoperative complications was recorded. Results The recovery time of intestinal sound, exhaust time, diet recovery time and defecation time in the experimental group were shorter than those in the control group (P ＜ 0.05); the catheter removal time, activity time out of bed, postoperative hospital stay and total hospital stay of the experimental group were shorter than those of the control group (P ＜ 0.05); after intervention, RPFS scores of all dimensions in both groups were lower than those before intervention, and the experimental group was lower than the control group (P ＜ 0.05); there were no significant differences in incidence of incision infection, pulmonary infection and anastomotic fistula between the two groups (P ＞ 0.05); the incidence of postoperative bleeding and abdominal distension in the experimental group were lower than those in the control group (P ＜ 0.05). Conclusion The quantitative activity intervention effect of radical gastrectomy for patients with gastric cancer is definite, which is beneficial to improve the gastrointestinal function of patients, reduce the symptoms of cancer-induced fatigue, and reduce postoperative complications, and is worthy of popularization and application.
2021, Vol. 18 
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