Abstract: Objective To explore the impacts of dietary diary combined with path based eating management on gastrointestinal function and dietary health behavior in postoperative patients with laparoscopic distal gastric cancer.Methods From January 2021 to January 2023, 150 patients who underwent laparoscopic distal gastric cancer surgery were randomly divided into two groups.The control group received routine dietary management intervention,while the observation group received dietary diary combined with path based eating management intervention.The gastrointestinal function and dietary health behavior of the two groups were compared.Results The excellent and good rate of gastrointestinal function recovery was 57.33% in the observation group,which was higher than 47.33% in the control group 3d after operation (P<0.05);One month after surgery and three months after discharge,the scores of dietary health behaviors in the observation group were higher than those in the control group (P<0.05);One month after discharge and three months after discharge,the serum albumin level in observation group was (37.68±5.30) g/L,(38.25±4.82) g/L,and the hemoglobin level was (120.08±20.02) g/L,(124.62±24.23) g/L,which was higher than that in control group [1 month after discharge:(30.32±4.17) g/L,(32.99±4.41) g/L;3 months after discharge:(110.75±16.12) g/L,(115.34±18.44) g/L] (P<0.05);The complication rate of the observation group was lower than that of the control group (P<0.05).Conclusion Dietary diary combined with path based eating management can promote the recovery of gastrointestinal function and improve dietary health behavior in postoperative patients with laparoscopic distal gastric cancer.

Key words: dietary diary;path based eating management;gastric cancer;gastrointestinal function;dietary health behavior