Randomized Controlled Trial
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2023; 15(12): 2844-2854
Published online Dec 27, 2023. doi: 10.4240/wjgs.v15.i12.2844
Holistic conditions after colon cancer: A randomized controlled trial of systematic holistic care vs primary care
Jing Wang, Jian-Hong Qiao
Jing Wang, Department of General Surgery, Sunshine Union Hospital, Weifang 261205, Shandong Province, China
Jian-Hong Qiao, Department of Clinic, The First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital), Jinan 250014, Shandong Province, China
Author contributions: Wang J and Qiao JH designed the research study, contributed new reagents and analytic tools; Wang J performed the research, analyzed the data and wrote the manuscript; and all authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Sunshine Union Hospital.
Clinical trial registration statement: This study is currently not registered.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
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: Jian-Hong Qiao, MNurs, Chief Nurse, Department of Clinic, The First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital), No. 16766 Jingshi Road, Jinan 250014, Shandong Province, China. jiahui15869@163.com
Received: October 23, 2023
Peer-review started: October 23, 2023
First decision: November 8, 2023
Revised: November 17, 2023
Accepted: December 6, 2023
Article in press: December 6, 2023
Published online: December 27, 2023
Processing time: 65 Days and 9.7 Hours
Abstract
BACKGROUND

Study showed that systemic holistic care not only aids in disease treatment and physical recovery to a certain extent but also effectively enhances patient psychological well-being, social support, and overall quality of life (QoL).

AIM

To assess systematic holistic care impact on the recovery and well-being of postoperative patients with colon cancer.

METHODS

Our randomized controlled trial included 98 postoperative patients with colon cancer admitted to our hospital from June 2021 to June 2022. Patients were divided into control and study groups. The control group received conventional postoperative nursing care, whereas the study group received systematic holistic nursing care. We monitored gastrointestinal function recovery, and recorded changes in serum albumin (ALB), prealbumin (PA), psychological state, self-management, self-efficacy, QoL, and the occurrence of complications in patients before, at discharge, and 2 wk post-discharge. Spearman analysis assessed correlations between psychological state, self-management, self-efficacy, and QoL of patients in the study group 2 wk post-discharge.

RESULTS

Following the nursing intervention, we observed significantly shorter postoperative bowel sound recovery time, anal exhaust time, and defecation time in the study group than in the control group (P < 0.05). Patient ALB and PA levels, psychological status, self-management ability, self-efficacy and QoL at discharge and 2 wk post-discharge significantly improved, with greater improvements observed in the study group (P < 0.05). Both groups experienced complications post-interventions, but the intervention group had significantly lower complication rate (3/49, 6.12%) (P < 0.05). In the study group, patient anxiety, depression, self-management and QoL scores at 2 wk post-discharge exhibited a significant negative correlation (3/49, 6.12%) with QoL scores, with correlation coefficients of r = -0.273, -0.522, -0.344, and P < 0.01, respectively. Conversely, patient self-efficacy scores 2 wk post-discharge showed a positive correlation with QoL scores (r = 0.410, P = 0.000).

CONCLUSION

Systemic holistic nursing significantly benefits postoperative patients with colon cancer by promoting gastrointestinal recovery, improving post-operation well-being, reducing complications, and enhancing QoL.

Keywords: Systemic holistic care; Colon cancer; Postoperative; Randomized controlled; Quality of life

Core Tip: Systemic holistic care was reported as a comprehensive approach, with a focus on their physical and mental health. This approach not only aids in disease treatment and physical recovery to a certain extent but also effectively enhances patient psychological well-being, social support, and overall quality of life. Consequently, this study employed a randomized controlled trial to investigate the effects of systemic holistic care on the overall condition of postoperative patients with colon cancer.