Document Type : Original Article
Authors
1
Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt
2
Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt
3
Assistant Professor, Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Al-Rajhi Liver and Gastroenterology Assiut University Hospital, Assiut, Egypt
4
Assistant lecturer, Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Al-Rajhi Liver and Gastroenterology Assiut University Hospital, Assiut, Egypt
5
Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt *Correspondence: Rasha Ali Ahmed Abdelmowla, Faculty of Nursing, Assiut University, Assiut, Egypt,
Abstract
Background: Adequate dietary oral intake is important to maintain nutritional status for
patients after pancreaticoduodenectomy. Aim: This study was conducted to evaluate the effect
of nursing instructions and oral postoperative nutritional supplementation on outcomes of
patients following pancreaticoduodenectomy. Patients and methods: Research design: Quasi
experimental (non-randomized) design. Sample and setting: Thirty-four adult patients
diagnosed with pancreatic cancer and underwent pancreaticoduodenectomy. Patients were
assigned non-randomly into 2 groups. Admitted patients during the first six months in
hepatobiliary surgical unit at Al-Rajhi Liver and Gastroenterology Assiut University Hospital
were included as control group (16 patients), while patients admitted during the next six
months were included as study group (18 patients). Tools: Patient assessment sheet, short-form
mini nutritional assessment scale, and Clavien-Dindo classification of surgical complications.
Results: Study finding revealed a statistical significant difference (p = 0.0001) with
improvement in study group after 3 months postoperatively regarding nutritional status and
albumin and protein levels. Reduced length of hospital stay for study group 10 (55.6%) less
than 10 days compared to control group 10 (62.5%) from 10-15 days. Complications did not
occur in about one-third of study group 6 (33.3%) compared to 3 (18.8%) in control group.
Conclusion: Nursing instructions and oral postoperative nutritional supplementation reduced
hospital stay, improved nutritional status, albumin and protein levels and reduced postoperative
complications. Recommendation: Nursing instructions (educational booklet) and oral
postoperative nutritional supplementation should be utilized in all liver and gastroenterology
hospitals as teaching guide for patients undergoing pancreaticoduodenectomy
)
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