Zhuang YY, Chen HY, Zhang JR, Lai SL, Zheng YY, Huang YD. Clinical outcomes of nursing interventions after endoscopic treatment for intestinal polyps and early-stage cancer. World J Gastrointest Oncol 2025; 17(10): 110667 [PMID: 41114098 DOI: 10.4251/wjgo.v17.i10.110667]
Corresponding Author of This Article
Yong-De Huang, MD, Associate Chief Physician, Department of Gastroenterology, The 910th Hospital of the Joint Logistic Support Force of the People's Liberation Army of China, No. 180 Huayuan Road, Fengze District, Quanzhou 362000, Fujian Province, China. zhyy1106@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Yun-Ying Zhuang, Jia-Rong Zhang, Shan-Ling Lai, Yuan-Yuan Zheng, Yong-De Huang, Department of Gastroenterology, The 910th Hospital of the Joint Logistic Support Force of the People's Liberation Army of China, Quanzhou 362000, Fujian Province, China
Hai-Ying Chen, Department of Nursing, The 910th Hospital of the Joint Logistic Support Force of the People's Liberation Army of China, Quanzhou 362000, Fujian Province, China
Author contributions: Zhuang YY and Chen HY contributed equally to the conceptualization, study design, and overall supervision of the research; Zhuang YY led the clinical implementation of the study, including patient enrollment and endoscopic treatment procedures; Chen HY was responsible for the design and execution of the nursing intervention program, as well as data collection related to postoperative care; Lai SL participated in patient management and assisted in data acquisition; Zheng YY and Zhang JR contributed to statistical analysis and interpretation of the results; Huang YD, as the corresponding author, provided critical clinical oversight, coordinated the research activities, and contributed substantially to the revision and final approval of the manuscript. All authors reviewed and approved the final version of the manuscript.
Institutional review board statement: This research has been approved by the Ethics Committee of the 910th Hospital of the Joint Service Support Force of the Chinese People's Liberation Army.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors do not have any possible conflicts of interest.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong-De Huang, MD, Associate Chief Physician, Department of Gastroenterology, The 910th Hospital of the Joint Logistic Support Force of the People's Liberation Army of China, No. 180 Huayuan Road, Fengze District, Quanzhou 362000, Fujian Province, China. zhyy1106@163.com
Received: July 8, 2025 Revised: August 7, 2025 Accepted: August 26, 2025 Published online: October 15, 2025 Processing time: 97 Days and 23.9 Hours
Abstract
BACKGROUND
Implementing nursing interventions in patients undergoing endoscopic treatment for intestinal polyps and early stage cancer can serve as a reference for reducing the incidence of complications, accelerating the recovery process, and improving the quality of life.
AIM
To impact of systematic nursing intervention on recovery, complications prevention, and quality of life after endoscopic surgery for intestinal polyps.
METHODS
This retrospective study included 157 patients who underwent endoscopic mucosal resection or endoscopic submucosal dissection at our hospital. The patients were divided into intervention and conventional groups, with no significant differences in age, sex, or surgical methods. The intervention group received multidimensional nursing interventions, including preoperative evaluation, intraoperative cooperation, postoperative rehabilitation, psychological support and nutritional management. The conventional group received standardized care. Clinical efficacy, inflammation and infection indicators, complication rates, rehabilitation indicators, and visual analog scale (VAS) scores were compared.
RESULTS
On the 7th day after surgery, C-reactive protein (CRP) and white blood cell levels were lower in the intervention group than in the conventional group. Complications occurred in 9.33% of the patients in the intervention group and 23.17% in the conventional group, with significant differences in fever and abdominal distension. The intervention group had shorter first exhaust and hospitalization durations than the control group. By day 3 post-surgery, the intervention group showed lower VAS scores and reduced anxiety and depression. High-risk factors included diabetes [relative risk (RR) = 2.43, 95%CI: 1.21-4.86], laparotomy (RR = 2.86, 95%CI: 1.22-6.71), CRP > 15 mg/L (RR = 3.12, 95%CI: 1.54-6.33), and procalcitonin > 0.5 ng/mL 1 day after surgery (RR = 2.91. 95%CI: 1.31-6.44), while systematic nursing interventions (OR = 0.40, 95%CI: 0.18-0.89) reduced the complication risk by 60%.
CONCLUSION
Multidimensional nursing interventions have clinical value in endoscopic treatment of intestinal polyps and early stage cancer, reducing complications and hospital stay. This study provides a basis for establishing patient-centered guidelines.
Core Tip: This retrospective study highlights the significant role of systematic nursing interventions in improving clinical outcomes in patients undergoing endoscopic treatment for intestinal polyps and early stage cancer. By incorporating preoperative assessment, intraoperative cooperation, postoperative rehabilitation, psychological support, and nutritional guidance, the intervention group showed reduced inflammatory markers, lower complication rates, faster recovery, and less postoperative pain than the conventional care group. These findings support the establishment of patient-centered, evidence-based nursing pathways to enhance recovery quality and safety, and provide valuable reference data for future clinical nursing practices and guideline development.
