KẾT QUẢ CHĂM SÓC NGƯỜI BỆNH SAU CẮT TÁCH DƯỚI NIÊM MẠC THỰC QUẢN ĐIỀU TRỊ UNG THƯ THỰC QUẢN SỚM VÀ CÁC YẾU TỐ LIÊN QUAN TẠI BỆNH VIỆN K

Abstract

Objective: Evaluate the results of nursing care and some related factors in early-stage esophageal cancer patients treated with endoscopic submucosal dissection (ESD) method at K Hospital. Methods: Prospective descriptive study on 123 patients diagnosed with early-stage esophageal cancer treated with ESD method at Hospital K from August 2022 to August 2023. Results: Average intervention time was 46 minutes. Complications during intervention include: bleeding (18.7%) and perforation (0.8%). 100% of cases achieved en bloc and negative resection margin. Symptoms after intervention are mainly mild-moderate pain (29.2%), followed by burning (12.2%), vomiting (8.1%). Post-intervention complications include: esophageal bleeding (3.3%) and infection (0.8%). Vital signs after intervention were stable in the majority of patients, with only 3 cases of hypertension recorded at 1 hour after intervention. The average length to stay in hospital was 2.0 days; Lesion size >3cm increases the risk of hospital stay >2 days by 24.28 times (p<0.001). The average feeding time after intervention is 28.7 hours; In most cases, feeding occurs within 24-36 hours after intervention (87.8%). Conclusion: Patient care after ESD is a process that benefits the patient's quality of life and minimizes the risk of post-intervention complications..