فهرست نشریات علمی دسترسی آزاد ایران

Background and Objectives: Given the limitations of standalone enteral or parenteral nutrition, we hypothesized that combining both with PDCA nursing might enhance recovery and reduce complications This study assessed the effects of Plan-Do-Check-Act nursing alongside combined enteral and parenteral nutrition on patients undergoing laparoscopic radical gastrectomy.   Methods: A randomized controlled trial (RCT) study from August 2019 to July 2022, 92 patients were randomly divided into two groups. The control group received routine nursing with early enteral nutrition, whereas the intervention group received PDCA (Plan-Do-Check-Act) nursing with both early enteral and parenteral nutrition. We compared the recovery of gastrointestinal function, postoperative recovery, pain levels, psychological status, complication rates during hospitalization, nutritional status, immune function, and patient satisfaction with nursing care. The comparison of groups was tested by the Chi-square Pair and Independent independent samples t-test.   Results: The results of this study showed that the intervention group had a faster improvement in gastrointestinal function and physical recovery compared to the control group, and this improvement was statistically significant between the two groups (P≤0.05). Also, the quality of life scores, nutritional indices and immune indices were significantly higher in the intervention group, and the severity of pain, anxiety, depression, and the incidence of complications were also reported to be lower, and these differences between the two groups were statistically significant (P≤0.05). Patients' satisfaction with nursing care was also higher in this group (P≤0.05).   Conclusion: These findings suggest that Plan-Do-Check-Act nursing combined with dual nutritional support enhances postoperative outcomes, supporting its broader clinical application.