Yang XY, Lv HF, Wang XL, Zhang YX. Effectiveness of a standardized nursing pathway in perioperative care for endoscopic submucosal dissection of gastrointestinal tumors. World J Gastrointest Oncol 2026; 18(9): 117864 [DOI: 10.4251/wjgo.117864]
Corresponding Author of This Article
Xiu-Ying Yang, Department of Nursing, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, No. N1 Shangcheng Avenue, Yiwu 322000, Zhejiang Province, China. 8615195@zju.edu.cn
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Medicine, Research & Experimental
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research-article
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Yang XY, Lv HF, Wang XL, Zhang YX. Effectiveness of a standardized nursing pathway in perioperative care for endoscopic submucosal dissection of gastrointestinal tumors. World J Gastrointest Oncol 2026; 18(9): 117864 [DOI: 10.4251/wjgo.117864]
Xiu-Ying Yang, Han-Feng Lv, Xiao-Leng Wang, Department of Nursing, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, Zhejiang Province, China
Yi-Xin Zhang, Department of Gastroenterology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, Zhejiang Province, China
Author contributions: Yang XY and Lv HF designed the research study; Yang XY, Wang XL and Zhang YX performed the research; Wang XL and Lv HF collected and analyzed the data; Yang XY and Zhang YX has been involved in drafting the manuscript and all authors have been involved in revising it critically for important intellectual content. All authors give final approval of the version to be published. All authors have participated sufficiently in the work to take public responsibility for appropriate portions of the content and agreed to be accountable for all aspects of the work in ensuring that questions related to its accuracy or integrity.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Fourth Affiliated Hospital, Zhejiang University School of Medicine, No. K2025310.
Informed consent statement: Individual informed consent was waived by the Ethics Committee due to the retrospective design, minimal risk, and use of de-identified data.
Conflict-of-interest statement: All authors have no conflict of interest related to the manuscript.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: The experimental data used to support the findings of this study are available from the corresponding author upon request.
Corresponding author: Xiu-Ying Yang, Department of Nursing, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, No. N1 Shangcheng Avenue, Yiwu 322000, Zhejiang Province, China. 8615195@zju.edu.cn
Received: January 30, 2026 Revised: March 3, 2026 Accepted: June 23, 2026 Published online: September 15, 2026 Processing time: 207 Days and 4.9 Hours
Abstract
BACKGROUND
Endoscopic submucosal dissection (ESD) is a standard treatment for early gastrointestinal tumors; however, it carries perioperative risks. Conventional fragmented nursing often fails to meet the need for comprehensive care. The efficacy of standardized nursing pathways (SNP) in the perioperative care of patients undergoing ESD remains insufficiently validated.
AIM
To evaluate the effectiveness of a SNP in the perioperative management of patients undergoing ESD for gastrointestinal tumors.
METHODS
This retrospective cohort study included 160 patients who underwent ESD between January and December 2024 and were divided into two groups: Control (routine nursing care, n = 80) and study (SNP, n = 80) groups. The pathway structured perioperative care into six phases (admission to discharge), mandated validated assessment tools (Self-Rating Anxiety Scale for anxiety and Visual Analog Scale for pain) at specified time points, and included structured education and standardized interventions (bowel preparation, dietary progression, mobilization, and discharge criteria). Perioperative indicators, complications, anxiety, pain scores, and nursing satisfaction were compared.
RESULTS
The study group had significantly shorter total and postoperative hospital stays and lower hospitalization and medication costs (all P < 0.05). The incidence of complications was lower in the study group than in the control group (3.75% vs 13.75%; P < 0.05). Anxiety and pain scores on postoperative days 1 and 2 and at discharge were significantly lower in the study group (all P < 0.05). Nursing satisfaction was higher in the study group (98.75% vs 86.25%; P < 0.05).
CONCLUSION
Incorporating SNPs into the endoscopic management of gastrointestinal tumors optimizes medical resources, accelerates postoperative recovery, reduces complication risks, alleviates negative emotional states, and enhances nursing quality and patient satisfaction.
Core Tip: This retrospective cohort study evaluated the efficacy of a standardized nursing pathway (SNP) in the perioperative care of patients undergoing endoscopic submucosal dissection (ESD) for gastrointestinal tumors. Compared with routine nursing, the SNP group demonstrated significantly shorter hospital stay, lower costs, reduced complication rates, and decreased postoperative anxiety and pain. Additionally, patient satisfaction with nursing care was markedly higher. These findings indicate that implementing a SNP optimizes clinical outcomes, enhances recovery, and improves the overall quality of care in ESD procedures.
