Đánh giá kết quả chăm sóc người bệnh sau phẫu thuật cắt dạ dày tại Khoa Ngoại bụng 2, Bệnh viện K năm 2024

Gastric cancer remains a significant global health challenge, consistently ranking among the leading causes of cancer-related mortality despite advances in treatment. Surgical resection, particularly gastrectomy, stands as a cornerstone therapy for this malignancy, offering the most effective outcomes, especially in early stages. However, the complexity of managing patients following such extensive surgery necessitates meticulous and comprehensive postoperative care, encompassing aspects from nutrition and wound management to pain control and psychological support. Given the high patient volume in specialized oncology hospitals like K Hospital, understanding the efficacy and quality of care provided is paramount. This study therefore aims to evaluate the outcomes of postoperative care for gastric cancer patients who have undergone gastrectomy, providing insights into current practices and their impact on patient recovery.

This paper is intended for healthcare professionals, including surgeons, oncologists, nurses, and hospital administrators involved in the management and care of gastric cancer patients. It also serves as a valuable resource for researchers and policymakers interested in surgical outcomes, quality of care, and patient management protocols in oncology.

This cross-sectional descriptive study rigorously evaluated the outcomes of postoperative care for 57 gastric cancer patients undergoing gastrectomy at K Hospital's Abdominal Surgery Department 2. Utilizing standardized medical records and direct observation, the research meticulously collected data on the care process and clinical conditions. Key findings reveal effective patient management, with an average hospital stay of 8.5 ± 1.98 days for total gastrectomy and 7.91 ± 2.01 days for subtotal gastrectomy. Postoperative complications were notably low, with only 3.5% experiencing early bleeding. The study highlighted the diligent implementation of care protocols, including continuous monitoring of vital signs, meticulous wound care, and effective management of gastric tubes, abdominal drainage, and urinary catheters. Crucially, pain management was highly successful, with 56.1% of patients reporting no pain and 40.3% experiencing only mild pain at discharge. Furthermore, health education was universally provided to all patients. These results underscore that the postoperative care practices at K Hospital are well-implemented, leading to positive patient outcomes and significantly contributing to the overall success of the treatment process for gastric cancer patients. The findings offer valuable insights for enhancing care protocols and improving patient quality of life in similar oncology settings.