Effects of early nutritional intervention on rapid recovery among lung cancer patients

Objective To explore the effects of early nutritional intervention on rapid recovery among lung cancer patients. Methods By convenience sampling, we selected 98 patients with thoracoscopic lobectomy in Department of Chest Surgery at Shanghai Pulmonary Hospital of Tongji University from January 2017 to December 2017 as control group carrying out nutrition support nursing based on routine nursing. We selected 99 patients with the same surgery from January 2018 to October 2018 as observation group implementing fast tract surgery nursing combined with early oral nutrition support. Finally, we compared the clinical recovery indicators, nutritional status indicators and immune function indicators (immunoglobulin IgG, IgA, IgM) of patients between two groups. Results The time out of bed for the first time, time out of bed per day, hospital stay after surgery, time of tube drawing after surgery and effective cough as well as expectoration of observation group were better than those of control group with statistical differences (P<0.05) . Plasma albumin of two groups decreased greatly after surgery, and that of observation group increased evidently at the third day after surgery closely to that before surgery; however, that of control group at the third day and before surgery had a large difference; the differences were statistical (P<0.05) . IgG, IgA and IgM of observation group were higher than those of control group with statistical differences (P<0.05) . Conclusions Early nutritional intervention can promote early ambulation in lung cancer patients after surgery, improve patients' effective cough as well as expectoration and shorten hospital stay, which is worth clinical popularization. Key words: Perioperative nursing; Lung neoplasms; Thoracoscopes; Nutrition; Rapid recovery; Thoracic surgery; Time out of bed; Immune function