Wu HY, Jin J, Chen C, Xu JJ, Jiang Q, Lu DM. Effects of three-dimensional quality assessment nursing intervention on efficacy and disease management of patients undergoing esophageal cancer surgery. World J Gastrointest Surg 2024; 16(9): 2979-2985 [PMID: 39351578 DOI: 10.4240/wjgs.v16.i9.2979]
Corresponding Author of This Article
Dong-Mei Lu, BMed, Doctor, Department of Cardiothoracic Surgery, Huai'an First People's Hospital, No. 1 Huanghe West Road, Huaiyin District, Huai'an 223300, Jiangsu Province, China. ludongmei_6002@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Prospective 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/
World J Gastrointest Surg. Sep 27, 2024; 16(9): 2979-2985 Published online Sep 27, 2024. doi: 10.4240/wjgs.v16.i9.2979
Effects of three-dimensional quality assessment nursing intervention on efficacy and disease management of patients undergoing esophageal cancer surgery
Hai-Yan Wu, Jie Jin, Chen Chen, Jing-Jing Xu, Qi Jiang, Dong-Mei Lu
Hai-Yan Wu, Jie Jin, Chen Chen, Jing-Jing Xu, Qi Jiang, Dong-Mei Lu, Department of Cardiothoracic Surgery, Huai'an First People's Hospital, Huai'an 223300, Jiangsu Province, China
Author contributions: Wu HY designed the research study; Wu HY, Jin J, Chen C, Xu JJ, Jiang Q, and Lu DM performed the research; Wu HY, Jin J, Chen C, Xu JJ, Jiang Q, and Lu DM contributed new reagents and analytic tools; Wu HY and Lu DM analyzed the data and wrote the manuscript. All authors have read and approved the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Committee of Huai'an First People’s Hospital.
Clinical trial registration statement: The latest clinical trials registered in the esteemed research registry 10280.
Informed consent statement: All study participants or their legal guardians provided written informed consent before enrollment.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: There is no additional data 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: Dong-Mei Lu, BMed, Doctor, Department of Cardiothoracic Surgery, Huai'an First People's Hospital, No. 1 Huanghe West Road, Huaiyin District, Huai'an 223300, Jiangsu Province, China. ludongmei_6002@163.com
Received: June 13, 2024 Revised: July 15, 2024 Accepted: July 22, 2024 Published online: September 27, 2024 Processing time: 96 Days and 23.9 Hours
Abstract
BACKGROUND
Esophageal cancer is one of the most common malignant tumors. The three-dimensional quality structure model is a quality assessment theory that includes three dimensions: Structure, process, and results.
AIM
To investigate the effects of nursing interventions with three-dimensional quality assessment on the efficacy and disease management ability of patients undergoing esophageal cancer surgery.
METHODS
In this prospective study, the control group received routine nursing, and the intervention group additionally received a three-dimensional quality assessment intervention based on the above routine care. Self-efficacy and patient disease management abilities were evaluated using the General Self-Efficacy Scale (GSES) and Exercise of Self-Care Agency scale, respectively. IBM SPSS Statistics for Windows, version 17.0, was used for the data processing.
RESULTS
This study recruited 112 patients who were assigned to the control and experimental groups (n = 56 per group). Before the intervention, there was no significant difference in GSES scores between the two groups (P > 0.05). After the intervention, the GSES scores of both groups increased, with the experimental group showing higher values (P < 0.05). At the time of discharge and three months after discharge, the scores for positive attitudes, self-stress reduction, and total score of health promotion in the experimental group were higher than those in the control group (P < 0.05).
CONCLUSION
The implementation of a three-dimensional quality structure model for postoperative patients with esophageal cancer can effectively improve their self-management ability and self-efficacy of postoperative patients.
Core Tip: Esophageal cancer diagnosis and surgery can lead to anxiety, fear, worry, despair, and other negative emotions. These negative emotions result in long-term negative coping, consequently reducing the patients’ physical function and quality of life. The three-dimensional quality structure nursing evaluation model can improve the postoperative self-efficacy and disease self-management ability of patients with esophageal cancer, enabling them to better deal with the stress caused by the disease and maintain a better psychological status and, ultimately, a higher quality of life.
