反馈式饮食护理在消化道早期癌行内镜黏膜下剥离术后的实施效果

Objective To explore the effect of feedback-based dietary nursing intervention in patients after endoscopic submucosal dissection(ESD) for early gastrointestinal cancer. Methods A total of 84 patients with early gastrointestinal cancer admitted to our hospital from January 2023 to January 2026 were selected as study subjects and randomly divided into two groups using a number table. The study group received feedback-based dietary nursing, while the routine group received standard care. Postoperative recovery indicators, nutritional status, time to first oral intake, days to transition from liquid to semi-liquid diet, caloric target achievement on postoperative day 7, severity of gastrointestinal symptoms, and incidence of complications were compared between the groups. Results The study group had shorter times for first anal exhaust, first defecation, and hospital stay compared with the routine group(P<0.05). After intervention, albumin(ALB), prealbumin(PA), and transferrin(TRF) decreased in both groups but were higher in the study group than in the routine group(P<0.05). The study group had earlier first postoperative oral intake, fewer days to transition from liquid to semi-liquid diet, and higher caloric target achievement compared with the routine group(P<0.05). GSRS scores decreased in both groups after intervention, with the study group scoring lower than the routine group(P<0.05). There was no statistically significant difference in postoperative complications between the two groups(P>0.05). Conclusion Feedback-based dietary nursing intervention can effectively promote gastrointestinal function recovery, improve nutritional status, and relieve gastrointestinal symptoms in patients after ESD for early gastrointestinal cancer without increasing the risk of complications. It is worth promoting in clinical nursing practice.