关键词: 胃癌根治术, 三联预康复, 证据总结, 循证护理学

Abstract: Objective: To summarize the best evidence for triple pre-rehabilitation management in patients undergoing radical gastrectomy for gastric cancer based on evidence-based literature search and evaluation. Methods: Using the "5S" evidence model, we searched Chinese and English databases and professional society resources for clinical decision-making documents, guidelines, expert consensus, systematic reviews, and evidence summaries related to triple preoperative rehabilitation for patients undergoing radical gastrectomy for gastric cancer. The search period was from January 1, 2015, to March 1, 2025. After evaluating the quality of the literature, we extracted the evidence. Results: A total of 16 articles were included, including 4 guidelines, 6 expert consensus, 1 systematic review, and 5 evidence summaries, and 30 pieces of best evidence in 8 aspects including multidisciplinary team formation, applicable population, applicable surgical types, initiation timing, psychological management, nutritional management, exercise management, and re-evaluation were formed. Conclusion: The best evidence for triple preoperative rehabilitation management in patients undergoing gastrectomy for gastric cancer has certain clinical practicality and scientific validity. Healthcare professionals should combine clinical workload, time, and patient preferences to provide psychological, nutritional, and exercise guidance for triple preoperative rehabilitation in patients undergoing gastrectomy for gastric cancer, thereby reducing the incidence of postoperative complications and accelerating patient recovery.

Key words: Gastric cancer radical surgery, Triple combination pre-rehabilitation, Evidence summary, Evidence-based nursing