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Journal of Nursing ›› 2025, Vol. 32 ›› Issue (2): 74-78.doi: 10.16460/j.issn1008-9969.2025.02.074

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Construction of perioperative frailty management program for elderly patients with gastrointestinal tumors

YAN Ya-ling1, LE Mei-ni2a, YAO Tao-qin1, WANG Xue-lian1, JIANG Jian-ling2b, XIN Yi1   

  1. 1. Wuxi School of Medicine, Jiangnan University, Wuxi 214122, China;
    2a. Dept. of Surgery and Anesthesia, Tongren Hospital, Shanghai Jiao Tong University School of Medicine; 2b. Dept. of General Surgery, Shanghai 200050, China
  • Received:2024-05-20 Online:2025-01-25 Published:2025-02-20

Abstract: Objective To construct a perioperative frailty management program for elderly patients with gastrointestinal tumors, and to provide reference for improving the perioperative frailty of patients. Methods Evidence-based methods were used to systematically retrieve the literature, extract and summarize the best evidence to form the first draft of a perioperative frailty management plan for elderly patients with gastrointestinal tumors. Two rounds of consultation were conducted in 17 experts with Delphi method. Results The effective recovery rate of the 2 rounds of expert correspondence was 100%, and the degree of expert authority 0.805; the Kendall's harmony coefficients of the 2 rounds of consultation were 0.221 and 0.279, respectively (P<; 0.001). The final management program consisted of 5 first-level indicators including perioperative assessment, preoperative prehabilitation, intraoperative care, postoperative management and discharge management, 12 secondary-level indicators and 35 third-level indicators. Conclusion The perioperative frailty management program for elderly patients with gastrointestinal tumors covers the whole process of perioperative management. It is scientific, targeted and practical. Further clinical studies could be conducted for its validation.

Key words: frailty, elderly, gastrointestinal tumors, perioperative, evidence-based care

CLC Number: 

  • R473.6
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