Thực trạng nuôi dưỡng người bệnh sau phẫu thuật đường tiêu hoá tại Bệnh viện Đại học Y Hà Nội năm 2024 - 2025

Abstract

A cross-sectional descriptive study was conducted on 98 patients who underwent elective gastrointestinal surgery at Hanoi Medical University Hospital in 2024 - 2025. The primary objective was to characterize the status of post-operative nutritional support. The study cohort consisted of 60.2% males and 39.8% females. The mean time to initiation of oral nutrition was post-operative day 2,2 ± 1,2, with the earliest commencement recorded at first day after surgery. The median time to first flatus in the group that commenced oral feeding within the first 24 hours post-operatively was 22 hours (significantly earlier than the group receiving nutrition after 24 hours post-op, at 34.5 hours, p < 0.05). The energy provision only achieved 48.8 - 65.6% and protein provision reached 50 - 66.7% of the recommended requirements. Furthermore, vitamin and mineral intake was also insufficient compared to the needs. The findings indicate that even though the patients initiated enteral nutrition earlier, the nutritional regimen remained suboptimal and did not fully satisfy the recommended requirements.