Effectiveness of oncology nurse navigator on the incidence of postoperative pulmonary complications in gastric cancer patients undergoing radical gastrectomy
Abstract Background Management of postoperative pulmonary complications (PPCs) can be challenging in gastric cancer patients undergoing radical gastrectomy and is always associated with poor prognosis. Even though oncology nurse navigator (ONN) provide effective and critical individualized care to p...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-023-01291-z |
| _version_ | 1827890559003394048 |
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| author | Yamin Yan Peili Jin Zhenghong Yu Zhaoqing Tang Jingjing Lu Yan Hu Yuxia Zhang |
| author_facet | Yamin Yan Peili Jin Zhenghong Yu Zhaoqing Tang Jingjing Lu Yan Hu Yuxia Zhang |
| author_sort | Yamin Yan |
| collection | DOAJ |
| description | Abstract Background Management of postoperative pulmonary complications (PPCs) can be challenging in gastric cancer patients undergoing radical gastrectomy and is always associated with poor prognosis. Even though oncology nurse navigator (ONN) provide effective and critical individualized care to patients, little is known about their impact on the occurrence of PPCs in gastric cancer patients. This study aimed to determine whether ONN decreases the incidence of PPCs in gastric cancer patients. Methods This was a retrospective review in which data for gastric cancer patients at one centre was evaluated before and after an ONN hired. An ONN was introduced to patients at their initial visit to manage pulmonary complications throughout treatment. The research was conducted from 1 August 2020 to 31 January 2022. The study participants were divided into the non-ONN group (from 1 August 2020 to 31 January 2021) and the ONN group (from 1 August 2021 to 31 January 2022). The incidence and severity of PPCs between the groups were then compared. Results ONN significantly decreased the incidence of PPCs (15.0% vs. 9.8%) (OR = 2.532(95% CI: 1.087–3.378, P = 0.045)), but there was no significant difference in the components of PPCs including pleural effusion, atelectasis, respiratory infection, and pneumothorax. The severity of PPCs was also significantly higher in the non-ONN group (p = 0.020). No significant statistical difference was observed for the major pulmonary complications (grade ≥ 3) between the two groups (p = 0.286). Conclusions Role of ONN significantly decrease the incidence of PPCs in gastric cancer patients undergoing radical gastrectomy. |
| first_indexed | 2024-03-12T21:11:25Z |
| format | Article |
| id | doaj.art-df363160e04045899eaf864493ca947e |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-03-12T21:11:25Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-df363160e04045899eaf864493ca947e2023-07-30T11:11:09ZengBMCBMC Nursing1472-69552023-06-012211810.1186/s12912-023-01291-zEffectiveness of oncology nurse navigator on the incidence of postoperative pulmonary complications in gastric cancer patients undergoing radical gastrectomyYamin Yan0Peili Jin1Zhenghong Yu2Zhaoqing Tang3Jingjing Lu4Yan Hu5Yuxia Zhang6Nursing Department, Zhongshan Hospital, Fudan UniversityNursing Department, Zhongshan Hospital, Fudan UniversityNursing Department, Zhongshan Hospital, Fudan UniversityGeneral Surgery Department, Zhongshan Hospital, Fudan UniversityNursing Department, Zhongshan Hospital, Fudan UniversityNursing Department, Zhongshan Hospital, Fudan UniversityNursing Department, Zhongshan Hospital, Fudan UniversityAbstract Background Management of postoperative pulmonary complications (PPCs) can be challenging in gastric cancer patients undergoing radical gastrectomy and is always associated with poor prognosis. Even though oncology nurse navigator (ONN) provide effective and critical individualized care to patients, little is known about their impact on the occurrence of PPCs in gastric cancer patients. This study aimed to determine whether ONN decreases the incidence of PPCs in gastric cancer patients. Methods This was a retrospective review in which data for gastric cancer patients at one centre was evaluated before and after an ONN hired. An ONN was introduced to patients at their initial visit to manage pulmonary complications throughout treatment. The research was conducted from 1 August 2020 to 31 January 2022. The study participants were divided into the non-ONN group (from 1 August 2020 to 31 January 2021) and the ONN group (from 1 August 2021 to 31 January 2022). The incidence and severity of PPCs between the groups were then compared. Results ONN significantly decreased the incidence of PPCs (15.0% vs. 9.8%) (OR = 2.532(95% CI: 1.087–3.378, P = 0.045)), but there was no significant difference in the components of PPCs including pleural effusion, atelectasis, respiratory infection, and pneumothorax. The severity of PPCs was also significantly higher in the non-ONN group (p = 0.020). No significant statistical difference was observed for the major pulmonary complications (grade ≥ 3) between the two groups (p = 0.286). Conclusions Role of ONN significantly decrease the incidence of PPCs in gastric cancer patients undergoing radical gastrectomy.https://doi.org/10.1186/s12912-023-01291-zGastric cancerRadical gastrectomyOncology nurse navigatorPostoperative pulmonary complications |
| spellingShingle | Yamin Yan Peili Jin Zhenghong Yu Zhaoqing Tang Jingjing Lu Yan Hu Yuxia Zhang Effectiveness of oncology nurse navigator on the incidence of postoperative pulmonary complications in gastric cancer patients undergoing radical gastrectomy BMC Nursing Gastric cancer Radical gastrectomy Oncology nurse navigator Postoperative pulmonary complications |
| title | Effectiveness of oncology nurse navigator on the incidence of postoperative pulmonary complications in gastric cancer patients undergoing radical gastrectomy |
| title_full | Effectiveness of oncology nurse navigator on the incidence of postoperative pulmonary complications in gastric cancer patients undergoing radical gastrectomy |
| title_fullStr | Effectiveness of oncology nurse navigator on the incidence of postoperative pulmonary complications in gastric cancer patients undergoing radical gastrectomy |
| title_full_unstemmed | Effectiveness of oncology nurse navigator on the incidence of postoperative pulmonary complications in gastric cancer patients undergoing radical gastrectomy |
| title_short | Effectiveness of oncology nurse navigator on the incidence of postoperative pulmonary complications in gastric cancer patients undergoing radical gastrectomy |
| title_sort | effectiveness of oncology nurse navigator on the incidence of postoperative pulmonary complications in gastric cancer patients undergoing radical gastrectomy |
| topic | Gastric cancer Radical gastrectomy Oncology nurse navigator Postoperative pulmonary complications |
| url | https://doi.org/10.1186/s12912-023-01291-z |
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