Research on the application of evidence-based triple prehabilitation strategy in patients undergoing radical resection for oral cancer

JIANG Jie; LIANG Huakun; LIU Lulu; XU Jincheng; LI Jiancheng; LI Xiuchuan

doi:10.16766/j.cnki.issn.1674-4152.003819

Volume 22 Issue 12

Dec. 2024

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Article Navigation > Chinese Journal of General Practice > 2024 > 22(12): 2153-2157

JIANG Jie, LIANG Huakun, LIU Lulu, XU Jincheng, LI Jiancheng, LI Xiuchuan. Research on the application of evidence-based triple prehabilitation strategy in patients undergoing radical resection for oral cancer[J]. Chinese Journal of General Practice, 2024, 22(12): 2153-2157. doi: 10.16766/j.cnki.issn.1674-4152.003819

Citation:

JIANG Jie, LIANG Huakun, LIU Lulu, XU Jincheng, LI Jiancheng, LI Xiuchuan. Research on the application of evidence-based triple prehabilitation strategy in patients undergoing radical resection for oral cancer[J]. Chinese Journal of General Practice, 2024, 22(12): 2153-2157. doi: 10.16766/j.cnki.issn.1674-4152.003819

Citation:

JIANG Jie, LIANG Huakun, LIU Lulu, XU Jincheng, LI Jiancheng, LI Xiuchuan. Research on the application of evidence-based triple prehabilitation strategy in patients undergoing radical resection for oral cancer[J]. Chinese Journal of General Practice, 2024, 22(12): 2153-2157. doi: 10.16766/j.cnki.issn.1674-4152.003819

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Research on the application of evidence-based triple prehabilitation strategy in patients undergoing radical resection for oral cancer

doi: 10.16766/j.cnki.issn.1674-4152.003819

JIANG Jie^{1, 2}
, LIANG Huakun²
, LIU Lulu²
, XU Jincheng²
, LI Jiancheng²
, LI Xiuchuan^{3
,
,}

1.
School of Nursing, Bengbu Medical University, Bengbu, Anhui 233030, China

Funds:

KJ2021ZD0088

Byycx22087

Received Date: 2023-12-26
Available Online: 2025-01-20

Abstract

Abstract

Objective To investigate the effectiveness of triple prehabilitation in improving physical and psychological functioning and clinical outcomes in patients undergoing radical oral cancer surgery. Methods A total of eighty-four patients undergoing radical resection at the First Affiliated Hospital of Bengbu Medical University were selected by random number table method to either an intervention group (n=42) or a control group (n=42) from March to November 2023. Patients in the control group received routine nursing, while those in the intervention group received triple prehabilitation intervention. Activity levels, nutritional levels, anxiety and depression, and postoperative clinical outcome indicators were compared between the two groups at baseline and post-intervention. Results In the intervention group, the 6-minute walk distance (6MWD) one day preoperatively was significantly higher than on admission day, with significantly higher 6MWD and improvement rates compared to the control group (P<0.05). The serum levels of serum prealbumin (PA), albumin (ALB) and total protein (TP) in the intervention group were increased one day preoperatively and one day before discharge, all indexes were higher than those in the control group (P<0.05). Hospital anxiety and depression scale (HADS) scores in both intervention and control groups increased from admission to one day preoperatively, but were lower in the intervention group compared to the control group, and significantly lower in the intervention group one day before discharge (P<0.05). The intervention group also experienced shorter times to extubation pots-tracheotomy, first ambulation, first oral intake, lower incidence of complications, and shorter total hospital stay compared to the control group (P<0.05). Conclusion The application of triple prehabilitation in oral cancer radical surgery patients can improve preoperative physical function and perioperative nutritional status, relieve anxiety and depression, promote postoperative recovery, and optimize clinical outcomes to a significant extent.
- Triple prehabilitation,
- Oral cancer,
- Rehabilitation,
- Clinical outcomes,
- Nursing

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References(22)

References

[1]	SIEGEL R L, MILLER K D, FUCHS H E, et al. Cancer statistics, 2022[J]. CA Cancer J Clin, 2022, 72(1): 7-33. doi: 10.3322/caac.21708
[2]	JAIN N, DUTT U, RADENKOV I, et al. WHO ' s global oral health status report 2022: actions, discussion and implementation[J]. Oral Dis, 2023, 30(2): 73-79.
[3]	李小莹, 孙沫逸, 郭伟, 等. 口腔颌面部肿瘤术后吞咽障碍的评估和康复管理专家共识[J]. 实用口腔医学杂志, 2024, 40(1): 5-14. LI X Y, SUN M Y, GUO W, et al. Expert consensus on the evaluation and management of dysphagia after oral and maxillofacial tumor surgery[J]. J Pract Stomatol, 2024, 40(1): 5-14.
[4]	庄燕, 阚卫娟, 吴祥冰. 口腔颌面部损伤患者自我认同感与病耻感及美学修复倾向的相关性分析[J]. 中华全科医学, 2024, 22(1): 46-49. doi: 10.16766/j.cnki.issn.1674-4152.003328 ZHUANG Y, KAN W J, WU X B. Correlation analysis of self-identity, shame, and aesthetic restoration tendency in patients with oral and maxillofacial injuries[J]. Chinese Journal of General Practice, 2024, 22(1): 46-49. doi: 10.16766/j.cnki.issn.1674-4152.003328
[5]	YUAN L, PAN B, WANG W, et al. Prevalence and predictors of anxiety and depressive symptoms among patients diagnosed with oral cancer in China: a cross-sectional study[J]. BMC Psychiatry, 2020, 20(1): 394. DOI: 10.1186/s12888-020-02796-6.
[6]	LI C, CARLI F, LEE L, et al. Impact of a trimodal prehabilitation program on functional recovery after colorectal cancer surgery: a pilot study[J]. Surg Endosc, 2013, 27(4): 1072-1082. doi: 10.1007/s00464-012-2560-5
[7]	易治国, 李琳, 邓建冬, 等. 基于快速康复外科理念的超声引导胸椎旁阻滞在胸腔镜肺叶切除术中的应用价值评估[J]. 中国现代医学杂志, 2022, 32(14): 89-94. YI Z G, LI L, DENG J D, et al. Application of ultrasound-guided thoracic paravertebral block in VATS lobectomy based on ERAS concept[J]. China Journal of Modern Medicine, 2022, 32(14): 89-94.
[8]	戴秀娟, 吴茜. 三联预康复在胃肠肿瘤外科中应用的研究进展[J]. 中国实用护理杂志, 2021, 37(4): 317-321. DAI X J, WU Q. Review on application of trimodal prehabilitation in gastrointestinal cancer patients undergoing elective surgery[J]. Chin J Prac Nurs, 2021, 37(4): 317-321.
[9]	中华医学会外科学分会, 中华医学会麻醉学分会. 中国加速康复外科临床实践指南(2021)(五)[J]. 协和医学杂志, 2021, 12(5): 658-665. Chinese Society of Surgery, Chinese Society of Anesthesiology. Clinical practice guidelines for ERAS in China (2021) (Ⅴ)[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(5): 658-665.
[10]	GUSTAFSSON U O, SCOTT M J, HUBNER M, et al. Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS^Ⓡ) society recommendations: 2018[J]. World J Surg, 2019, 43(3): 659-695. doi: 10.1007/s00268-018-4844-y
[11]	苏琳, 杨西宁, 曾琪茜, 等. 约翰霍普金斯跌倒风险评估工具的特点及其在临床中的应用进展[J]. 护理实践与研究, 2023, 20(9): 1304-1309. SU L, YANG X N, ZENG Q Q, et al. The characteristics of the Johns Hopkins fall risk assessment tool and its clinical application progress[J]. Nursing Practice and Research, 2023, 20(9): 1304-1309.
[12]	中国康复医学会肿瘤康复专业委员会, 江苏省整合医学研究会. 以功能障碍为中心的中国癌症患者运动康复专家共识[J]. 中国康复医学杂志, 2023, 38(1): 1-7. Cancer Rehabilitation Professional Committee of Chinese Association of Rehabilitation Medicine, Jiangsu Integrated Medical Research Association. Expert consensus on exercise rehabilitation of cancer patients in China centered with dysfunction[J]. Chinese Journal of Rehabilitation Medicine, 2023, 38(1): 1-7.
[13]	杨晶, 毕小琴, 陶静, 等. 四肢功能训练对游离股前外侧皮瓣移植修复口腔癌患者的影响[J]. 齐鲁护理杂志, 2022, 28(22): 7-9. YANG J, BI X J, TAO J, et al. Effect of limb function training on rehabilitation in patients with oral cancer treated with free anterolateral thigh flap transplantation[J]. Journal of Qilu Nursing, 2022, 28(22): 7-9.
[14]	GILLIS C, LI C, LEE L, et al. Prehabilitation versus rehabilitation: a randomized control trial in patients undergoing colorectal resection for cancer[J]. Anesthesiology, 2014, 121(5): 937-947. doi: 10.1097/ALN.0000000000000393
[15]	中华医学会心血管病学分会, 中国康复医学会心肺预防与康复专业委员会, 中华心血管病杂志编辑委员会. 六分钟步行试验临床规范应用中国专家共识[J]. 中华心血管病杂志, 2022, 50(5): 432-442. Chinese Society of Cardiology, Chinese Medical Association, Professional Committee of Cardiopulmonary Prevention and Rehabilitation of Chinese Rehabilitation Medical Association, Editorial Board of Chinese Journal of Cardiology. Chinese expert consensus on standardized clinical application of 6-minute walk test[J]. Chinese Journal of Cardiology, 2022, 50(5): 432-442.
[16]	张亚蒙, 翟佳, 李秀秀. 术前三联预康复策略在老年结直肠癌患者中的应用效果[J]. 中国肛肠病杂志, 2023, 43(2): 59-61. ZHANG Y M, ZHAI J, LI X X. The efficacy of 3-union advance tactics about rehabilitation preoperatively applied in senior patients with colorectal cancer[J]. Chin J Coloproctol, 2023, 42(2): 59-61.
[17]	戴田, 毕清泉, 吴德全, 等. 三联预康复护理策略在腹腔镜胃癌根治术患者中的应用效果[J]. 中国实用护理杂志, 2022, 38(12): 924-930. DAI T, BI Q Q, WU D Q, et al. Application effect study of three mode pre-rehabilitation nursing strategy in laparoscopic radical gastrectomy for gastric cancer[J]. Chin J Prac Nurs, 2022, 38(12): 924-930.
[18]	汪夏云, 顾一帆, 陈红, 等. 术前三联预康复对老年结直肠肿瘤病人康复的影响[J]. 护理研究, 2022, 36(18): 3233-3238. WANG X Y, GU Y F, CHEN H, et al. Effect of preoperative trimodal prehabilitation on rehabilitation of elderly patients with colorectal cancer[J]. Chinese Nursing Research, 2022, 36(18): 3233-3238.
[19]	KLIMOVA B, NOVOTNY M, VALIS M. The impact of nutrition and intestinal microbiome on elderly depression: a systematic review[J]. Nutrients, 2020, 12(3): 710. DOI: 10.3390/nu12030710.
[20]	中华医学会外科学分会, 中华医学会麻醉学分会. 中国加速康复外科临床实践指南(2021)(一)[J]. 协和医学杂志, 2021, 12(5): 624-631. Chinese Society of Surgery, Chinese Society of Anesthesiology. Clinical practice guidelines for ERAS in China (2021) (Ⅰ)[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 624-631.
[21]	蔡天怡, 章文博, 于尧, 等. 头颈部游离组织瓣移植术后预防性气管切开的临床分析[J]. 北京大学学报(医学版), 2022, 54(2): 363-368. CAI T Y, ZHANG W B, YU Y, et al. Clinical analysis of selective tracheostomy necessary for patients undergoing head and neck surgery with free flap reconstruction[J]. Journal of Peking University(Health Sciences), 2022, 54(2): 363-368.
[22]	LIU C, LU Z, ZHU M, et al. Trimodal prehabilitation for older surgical patients: a systematic review and meta-analysis[J]. Aging Clin Exp Res, 2022, 34(3): 485-494. doi: 10.1007/s40520-021-01929-5

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Research on the application of evidence-based triple prehabilitation strategy in patients undergoing radical resection for oral cancer

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