Objective: To explore the influence of the “H2H” (Hospital to Home) nutrition management model based on the Internet platform on the nutritional status and quality of life of patients after esophageal cancer surgery, and to provide evidence-based evidence for the continuous nutrition management after esophageal cancer surgery. Methods: From August 2025 to April 2026, 138 postoperative patients with esophageal cancer in our hospital were randomly divided into a control group of 71 cases and an observation group of 67 cases by convenient sampling method. The control group received conventional nutritional management, while the observation group implemented the “H2H” nutritional management model based on the Internet platform on this basis. The intervention period was 3 months after discharge. The nutritional indicators, the score of Nutritional Risk Screening 2002 (NRS2002) and the score of the Quality of Life Questionnaire for Cancer Patients (QLQ-C30) of the two groups of patients before the intervention (1 day before discharge) and after the intervention (3 months after discharge) were compared. Results: Before the intervention, there were no statistically significant differences in various nutritional indicators, NRS2002 scores and scores of each functional domain of QLQ-C30 between the two groups of patients (P > 0.05). After the intervention, the levels of body weight, prealbumin, serum albumin and hemoglobin in the observation group were significantly higher than those in the control group (P < 0.05), and the standardized scores of physical, cognitive, emotional, social and role functions in the QLQ-C30 scale were significantly higher than those in the control group (P < 0.05). There was no statistically significant difference in transferrin levels and NRS2002 scores between the two groups (P > 0.05). Conclusion: The “H2H” nutrition management model based on the Internet platform can effectively improve the core nutritional indicators of postoperative patients with esophageal cancer, enhance their quality of life, and has high patient compliance. It is an efficient postoperative continuous nutrition management model and is worthy of promotion and application in the field of clinical tumor care.
Han B, Zheng R, Zeng H, et al., 2024, Cancer Incidence and Mortality in China, 2022. Journal of the National Cancer Center, 4(1): 47–53.
Sung H, Ferlay J, Siegel RL, et al., 2021, Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3): 209–249.
Qi J, Li M, Wang L, Hu Y, Liu W, Long Z, Zhou Z, Yin P, Zhou M, 2023, National and Subnational Trends in Cancer Burden in China, 2005–20: An Analysis of National Mortality Surveillance Data. The Lancet Public Health, 8(12): e943–e955.
Chinese Society of Nutritional Oncology, Chinese Society for Parenteral and Enteral Nutrition, Nutrition and Supportive Therapy Group of Chinese Association for Therapeutic Radiation Oncologists, 2020, Guidelines for Nutritional Therapy of Patients with Esophageal Cancer. Chinese Journal of Clinical Oncology, 47(1): 1–10.
Wang Y, Zhou X, Feng Y, et al., 2022, Application of Whole-Process Nutritional Management in Patients Undergoing Esophageal Cancer Surgery. Modern Oncology Medicine, 30(21): 3900–3904.
Shao Q, Jing P, Gu Z, et al., 2024, Application of Bundled Intervention in Enteral Nutrition Management of Patients After Resection of Mid-Lower Esophageal Cancer. Chongqing Medical Journal, 53(3): 371–374.
Wang Y, Ma H, Meng Z, Wen C, Yan T, Ruan D, Xie T, 2023, Application of Patient-Centered “Internet+” Whole-Course Management Model for Tumors. Chinese Journal of Oncology, 32(11): 856–862.
Jing X, Liu Y, Rao Z, et al., 2016, Constructing an “H2H” Nutritional Management Model—Taking Cancer Patients as an Example. Modern Preventive Medicine, 43(2): 243–245.
Guidelines for the Diagnosis and Treatment of Esophageal Cancer, 2019, Guidelines for the Diagnosis and Treatment of Esophageal Cancer (2018 Edition). Chinese Journal of Gastroenterology and Imaging (Electronic Edition), 9(4): 158–192.
Liu J, Han Y, Yang Y, et al., 2022, Effects of the “H2H” Nutritional Management Model on the Nutritional Status and Quality of Life of Patients After Radical Resection of Gastric Cancer. Parenteral and Enteral Nutrition, 29(2): 116–120.
Wei L, An G, Wang S, 2016, The Role of NRS2002 Scale in Nutritional Screening and Assessment of Patients Undergoing Surgery for Malignant Tumors. Chinese Journal of Gerontology, 36(23): 5901–5902.
Wang Y, Zhu L, Chen P, 2015, Evaluation of the Uyghur Version of the EORTC QLQ-C30 Quality of Life Measurement Scale for Cancer Patients. Chinese Journal of Health Statistics, 32(3): 512–513.
Yan Y, Wang T, Cheng M, 2022, Application of Systematic Nutritional Support Management in Patients with Esophageal Cancer Undergoing Concurrent Chemoradiotherapy. Nursing Research, 36(9): 1660–1664.
Wang S, Xu Y, Li F, et al., 2016, Effect of Psychological Nursing Intervention on Anxiety, Depression and Quality of Life in Patients Undergoing Radical Esophageal Cancer Surgery. Chinese Journal of Clinical Oncology and Rehabilitation, 23(9): 1108–1111.
Liu H, Yue S, Liu H, et al., 2025, Research on the Home Rehabilitation Experience of Patients with Esophageal Cancer Surgery Within One Month After Discharge. Chinese Nursing Management, 25(7): 1024–1029.
Chen C, 2026, Effect of Dietary Management Intervention on Nutritional Status and Health Behavior Level of Patients After Esophageal Cancer Surgery. Journal of Hebei Northern University (Natural Science Edition), 42(4): 44–46.
Zhang Z, Yang B, Niu R, et al., 2026, Research Progress on Perioperative Malnutrition in Patients with Esophageal Cancer. Chinese Clinical Journal of Thoracic and Cardiovascular Surgery, 33(1): 157–162.
Liu Y, Lu J, Guo J, 2025, Analysis of Risk Factors and Establishment of Prediction Model for Enteral Nutrition Intolerance in Patients After Radical Resection of Esophageal Cancer. Guizhou Medicine, 49(12): 1959–1961.
Zhang W, Yang X, Huo Q, et al., 2025, Research on Journey Map of Nutritional Management of Esophageal Cancer Patients. Journal of Nursing, 32(23): 67–72.
Lin L, Cai Y, Huang X, et al., 2025, Construction and Application of Prevention and Management Plan for Early Enteral Nutrition Feeding Intolerance in Patients with Esophageal Cancer After Surgery. Journal of Nursing, 40(21): 105–110.
Wang X, Zhao T, 2025, Effect of Self-Rehabilitation Management Intervention Based on Family Participation Model on Self-Efficacy and Nutritional Level of Patients After Esophageal Cancer Surgery. Henan Journal of Surgery, 31(5): 63–66.
Wang Z, Liu X, Liu H, et al., 2026, The Effect of Continuous Nutritional Supplementation Under the H2H Nutritional Management Model on the Improvement of Postoperative Nutritional Status and Quality of Life in Patients with Esophageal Cancer. Modern Food Science and Technology, 1–7.