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King’s Theory of Goal Attainment focuses on the role of nurse-patient interactions to encourage patients to take the initiative and achieve optimal health. ONS-related guidelines recommend that nutrition education should be enhanced in the implementation of ONS, and it is crucial for the successful implementation of ONS to educate patients about nutrition, but there is less literature on the specific implementation methods of nutrition education. A study showed that only 24.04% of the total number of patients had high adherence of ONS intake (correct method of configuration, temperature, number of doses, single oral dose, and standard daily energy intake of ONS) in the early postoperative period. ONS is more conducive to the restoration of intestinal flora and immune function in patients, which can improve clinical outcomes and is cost-effective, but its therapeutic effect is related to patient adherence. The KEPAN consensus report on oral nutritional supplements (ONS) recommends ONS as the best mode of perioperative nutritional support, and early resumption of oral feeding and early implementation of ONS reduces the incidence of complications, especially infectious complications.

The European Society for Clinical Nutrition and Metabolism guidelines in 2017 suggested that patients at nutritional risk or with malnutrition should all receive nutrition education and nutrition support five-step therapy. In the case of inadequate coverage of the calorie and protein requirement, perioperative nutrition therapy strives for supplementing the primarily oral diet by oral nutritional supplements (ONS) and enteral nutrition. However, current ERAS guidance either does not include a specific recommendation for volume of postoperative oral fluids/foodstuffs or suggests ad-lib fluids. Oral food intake as early as possible is a key intervention of the ERAS program.

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The widespread introduction of the Enhanced Recovery After Surgery (ERAS) program includes a series of evidence-based multimodal interventions aimed at accelerating early postoperative recovery.

Ethics approval and consent to participateĬolorectal cancer (CRC) is one of the most common gastrointestinal tumors, ranking 3rd in incidence and 4th in mortality among malignant tumors worldwide.

Nutritional education based on the goal attainment theory can improve the attainment rate of patients’ oral nutritional intake.

Nutrition education based on the goal attainment theory can improve patient adherence to ONS nutrition support therapy.

Nutrition education based on the goal attainment theory can effectively improve the nutritional status of colorectal cancer patients after surgery.

Comparison of attainment of oral nutritional protein intake between two groups of patients 21 days after surgery.

Comparison of oral nutritional supplementation adherence scores between the two groups of patients at postoperative day 7 and postoperative day 14.Comparison of the nutritional status of the two groups of patients 1 day after surgery and 7 days after surgery.Comparison of preoperative nutritional status between two groups of patients.Comparison of general information between the two groups of patients.Self-made dietary, oral nutritional supplementation record sheet.Observation group: ONS nutritional support program was the same as the control group.Control group: ONS nutritional support + conventional nutrition education.