Colorectal neoplasms
Conditions
Interventions
Intervention group:Nutritional intervention: NRS2002 assessment scale = 3 points
it is recommended that patients consume 1.2g/kg protein per day
on the basis of general diet, the corresponding ONS will be given according to the patient's basic disease and intestinal function
Intervention group:Sports intervention: 1) Grip exercise: Provide a 10kg grip dynamometer, and ask patients to exercise 20 times a day for the left and right hands.
Intervention group:Exercise intervention: 2) Aerobic exercise: walking: provide patients with step counting devices, and recommend patients to walk at least 7,500 steps (about 1 hour) a day.
Intervention group:Exercise intervention: 3) Resistance exercise: Climbing stairs exercise: It is recommended that patients climb stairs 3 times a day, up and down 5 floors each time.
Intervention group:Sports intervention: 4) Spinning exercise: It is recommended that patients ride the bicycle 3 times a day for 30 minutes each time.
Intervention group:Sports intervention: 5) Respiratory function exercise: Provide patients with balloons and require patients to perform balloon blowing exercises at least 30 times a day.
Intervention group:Mental sleep intervention: daily before going to bed: ? 2 minutes of breathing exercises, 10 minutes of progressive muscle relaxation exercises and 15 minutes of pleasant guided ima
Intervention group:Psychological sleep intervention: daily before going to bed: ?Combined with the patient's usual preferences, choose light music, 15-30 minutes before going to bed every day.
Intervention group:Psychological sleep intervention: daily before going to bed: ?Use sedative and sleeping drugs for patients with difficulty falling asleep and sleep disorders.
Control group:Nutritional evaluation before surgery: assess the nutritional status of the patient, instruct the patient to eat a high-protein, high-calorie, high-vitamin diet
eat a small amount of meals, and give supplementary parenteral nutrition su
Sponsors
Department of Gastrointestinal Surgery, Shanghai Tenth People's Hospital
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patients with early and advanced colorectal cancer within a limited period; 2. Initial treatment patients, have not received chemotherapy and other anti-tumor treatments before surgery; 3. Aged >= 65 years, male or female; 4. American Society of Anesthesiologists (ASA) classification <= III; 5. Sign the written informed consent voluntarily.
Exclusion criteria
Exclusion criteria: 1. Patients undergoing non-radical surgery; 2. Patients with preoperative disability or physical disability who cannot complete skeletal muscle functional exercise; 3. People with mental disorders and history of drug abuse; 4. Women during lactation and pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Complications within 30 days after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative quality of life;Postoperative hospital stay;Hospital costs;Readmission rate; | — |
Countries
China
Contacts
Public ContactWu QIan
Shanghai Tenth People's Hospital
Outcome results
None listed