gastric adenocarcinoma
Conditions
Interventions
Prehabilitation:Physical training: 3 times a day riding a bicycle or brisk walking for 15 minutes. Endurance training: 1. 3 times a day 10 upper limb activities (lift 2, 4, 6kg dumbbells, depending on
three groups each time
2. Lean against the wall 3 times.
Prehabilitation:Nutrition implementation:The dietitian plans the amount and variety of 3 meals a day at 30Kcal/kg/d. 20% of the total energy needs to be supplied by Enteral Nutritional Emulsion(TPF-T)
Prehabilitation:Psychological intervention:According to your own preferences, listen to light music during exercise and before sleep
Traditional group:Preoperative exercise: Quit smoking and alcohol, and instruct patients to take deep breathing exercises
the amount of activity should not be fatigued.
Traditional group:Preoperative nutrition guidance:advise to eat a high-protein, high-calorie diet.
Traditional group:Preoperative psychological care: Understand the patient's psychological expectations, family conditions, and economic status
do a good job of psychological care, for patients with psychological problems, please ask psychosomatic medical experts to guide and adjust, and increase communication.
Sponsors
Ningbo First Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: a. Gastroscopy biopsy revealed gastric adenocarcinoma; b. Not receive neoadjuvant radiotherapy and chemotherapy before surgery; c. assessed as frail (Fried Frailty Index > 2 points); d. Voluntary signed written informed consent.
Exclusion criteria
Exclusion criteria: a. Severe cardiopulmonary dysfunction; b. Too weak to accept physical exercise; c. The lower limbs extremity movement function is lacking; d. Intraoperative exploration cannot perform radical surgery (palliative resection, distant metastasis); e. Upper gastrointestinal obstruction; f. Upper gastrointestinal bleeding that requires emergency surgery; g. American Society of Anesthesiologists (ASA) classification > IV; h. cognitive impairment and cannot complete training.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Postoperative complications above grade IIIa;Postoperative hospital stay;Total cost of hospitalization;Number of Readmission after 30 days;6-minute walk test 30 days after surgery;Number of deaths 90 days after operation;3-years disease free survival rate after surgery;3-year overall survival rate after operation; | — |
Primary
| Measure | Time frame |
|---|---|
| Comprehensive Complications Index (CCI) 30 days after surgery; | — |
Countries
China
Contacts
Public ContactLi Hu
Ningbo First Hospital
Outcome results
None listed