Intestinal Rehabilitation Plan for Patients with Colorectal Cancer During the Perioperative Period: An Evidence...

Area of Science:

• Oncology
• Gastroenterology
• Evidence-Based Practice

Background:

• Colorectal cancer (CRC) surgery necessitates comprehensive perioperative management.
• Intestinal function recovery is critical for patient outcomes post-CRC surgery.
• Standardized evidence-based protocols for perioperative intestinal rehabilitation are needed.

Purpose of the Study:

• To systematically retrieve, evaluate, and synthesize evidence on perioperative intestinal rehabilitation programs for CRC patients.
• To establish a reference for clinical nursing practice in managing intestinal recovery after CRC surgery.

Main Methods:

• A systematic literature search was conducted across multiple databases including Medline, Cochrane Library, and CNKI.
• Included evidence types: clinical guidelines, systematic reviews, evidence summaries, and expert consensus.
• Methodological quality assessment and thematic synthesis of extracted data were performed by two independent researchers.

Main Results:

• 16 articles were included: 2 guidelines, 9 systematic reviews, 3 evidence summaries, and 2 expert consensus documents.
• Evidence synthesis covered six key domains: preoperative nutrition, prehabilitation, intraoperative management, postoperative nutrition, mobility, and symptom management.
• A total of 23 evidence-based recommendations were identified and summarized.

Conclusions:

• This synthesis provides a comprehensive overview of current evidence on perioperative intestinal rehabilitation for CRC patients.
• Nursing professionals should utilize these findings to develop individualized, scientifically sound rehabilitation protocols.
• Implementing these evidence-based practices can advance nursing quality and enhance patient recovery in a multidisciplinary setting.