Li H, Gao HJ, Wan MD, Wang WZ, Wu X. Fast-track rehabilitation plus humanized nursing improves gastrointestinal function and quality of life in post-surgical gastric cancer patients. World J Gastrointest Surg 2025; 17(10): 106389 [PMID: 41178853 DOI: 10.4240/wjgs.v17.i10.106389]
Corresponding Author of This Article
Xia Wu, Graceland Medical Center, The Sixth Affiliated Hospital, Sun Yat-sen University, No. 26 Erheng Road, Yuancun, Tianhe District, Guangzhou 510655, Guangdong Province, China. wuxia2@mail.sysu.edu.cn
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/
Oct 27, 2025 (publication date) through Nov 17, 2025
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Journal Information of This Article
Publication Name
World Journal of Gastrointestinal Surgery
ISSN
1948-9366
Publisher of This Article
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Li H, Gao HJ, Wan MD, Wang WZ, Wu X. Fast-track rehabilitation plus humanized nursing improves gastrointestinal function and quality of life in post-surgical gastric cancer patients. World J Gastrointest Surg 2025; 17(10): 106389 [PMID: 41178853 DOI: 10.4240/wjgs.v17.i10.106389]
Hua Li, Hai-Jie Gao, Mei-Dai Wan, Wan-Zhen Wang, Xia Wu, Graceland Medical Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong Province, China
Co-first authors: Hua Li and Hai-Jie Gao.
Author contributions: Li H and Gao HJ contributed equally as co-first author; Li H designed the research and wrote the first manuscript; Li H, Gao HJ, and Wan MD contributed to conceiving the research and analyzing data; Wang WZ and Wu X conducted the analysis and provided guidance for the research; all authors reviewed and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethic Committee of The Sixth Affiliated Hospital, Sun Yat-sen University.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: Xia Wu, Graceland Medical Center, The Sixth Affiliated Hospital, Sun Yat-sen University, No. 26 Erheng Road, Yuancun, Tianhe District, Guangzhou 510655, Guangdong Province, China. wuxia2@mail.sysu.edu.cn
Received: May 23, 2025 Revised: July 1, 2025 Accepted: August 25, 2025 Published online: October 27, 2025 Processing time: 153 Days and 23.1 Hours
Abstract
BACKGROUND
Postoperative complications (POCs) can arise in patients who underwent surgery for gastric cancer (GC). Effective nursing may help in minimizing these negative outcomes.
AIM
To elucidate the influence of fast-track rehabilitation (FTR) plus humanized nursing on gastrointestinal (GI) function and quality of life (QOL) of patients who underwent GC surgery.
METHODS
The study participants were 102 patients admitted between December 2018 and December 2020 for GC surgery, of which 52 and 50 patients who received FTR + humanized nursing (research group) and routine nursing (control group), respectively. GI function, QOL, POCs (abdominal distension, infection, GI bleeding, anastomotic leakage, and deep vein thrombosis) and nursing satisfaction were compared between the two groups.
RESULTS
Compared with the control group, the research group had better GI function, which was mainly manifested by earlier food intake, shorter bowel sound recovery time, short time to first postoperative anal exhaustion and defecation, and shorter length of stay. Besides, the research group exhibited better QOL, lower overall POC rate, and higher nursing satisfaction than the control group.
CONCLUSION
FTR + humanized nursing not only improve the GI function and QOL of patients undergoing GC surgery but also reduce the incidence of POCs and improve nursing satisfaction. Thus, this intervention deserves popularization in clinical practice.
Core Tip: Few studies have examined how fast-track rehabilitation (FTR) accompanied by humanized nursing affects gastrointestinal recovery and quality of life of patients who underwent gastric cancer (GC) surgery. This clinical study of 102 patients who underwent GC surgery compared outcomes between patients receiving FTR with humanized nursing and those receiving standard care. Through a series of analyses, this study revealed the greater clinical benefits of FTR plus humanized care, which is an effective alternative for optimizing postoperative care in patients who underwent GC surgery.
