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Randomized Controlled Trial
. 2025 Mar;27(3):1334-1339.
doi: 10.1007/s12094-024-03673-4. Epub 2024 Aug 26.

Analysis of the effects of postoperative cluster nursing care on the incidence rate of postoperative complications and nutritional indicators in patients with primary laryngeal cancer

Ce Wang  1 , Wen-Juan Bao  2 , Yun Chen  3 , Yong Li  2 , Mo-Li Wu  2 , Kun Wang  4
Affiliations
Randomized Controlled Trial

Analysis of the effects of postoperative cluster nursing care on the incidence rate of postoperative complications and nutritional indicators in patients with primary laryngeal cancer

Ce Wang et al. Clin Transl Oncol. 2025 Mar.

Abstract

Objective: In this study, we investigated the effects of cluster nursing care on postoperative infection risk and nutritional indicators in patients with primary laryngeal cancer.

Methods: This study comprised 50 patients with primary laryngeal cancer diagnosed between March 2020 and December 2022. They were randomly divided into the test and control groups, with each group comprising 25 patients. The test group received cluster nursing care, while the control group received standard nursing care. Indicators for quantitative scoring, such as Patient Generated Subjective Global Assessment (PG-SGA), Zubrod Performance Status (ZPS), Karnofsky score, and Nutrition Risk Screening 2002 (NRS-2002), measurement indicators such as body mass index (BMI), body mass, hip circumference, calf circumference, grip strength, weight loss, and laboratory indicators, such as hemoglobin, albumin, and transaminase levels, were used to analyze change.

Results: Improvements were observed in the scores of PG-SGA, ZPS, and NRS-2002 in the test group following the implementation of nursing care for the test and control groups for 1 week, which were statistically significantly different from those at baseline (P < 0.05), and compared to the control group (P < 0.05). No statistically significant differences were observed in other indicators (P > 0.05). There was a statistically significant difference (P < 0.05) between the incidence rate of infections and complications in the test and control groups, which were 20.00% and 48.00%.

Conclusion: The postoperative nutritional status of patients with primary laryngeal cancer improved in phases through specialized nursing care. It is also a factor closely related to postoperative complications.

Keywords: Cluster nursing care; Infection risk; Nutritional indicators; Postoperative complications; Primary laryngeal cancer.

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Conflict of interest statement

Declarations. Competing interests: The authors declare that they have no competing interests. Ethical approval: The study was conducted in accordance with the Declaration of Helsinki. The study was approved by Ethics Committee of the Hebei General Hospital (No.2017–56). Written informed consent was obtained from all participants.

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