Yin CL, Wu Y. Effect of whole-process management based on planned behavior theory on postoperative recovery of acute appendicitis patients. World J Gastrointest Surg 2025; 17(11): 111608 [DOI: 10.4240/wjgs.v17.i11.111608]
Corresponding Author of This Article
Ying Wu, Central Sterile Supply Department, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, No. 32 West Section 2, First Ring Road, Chengdu 610072, Sichuan Province, China. wuyingw0606@163.com
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Emergency Medicine
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Case Control Study
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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/
Nov 27, 2025 (publication date) through Nov 25, 2025
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World Journal of Gastrointestinal Surgery
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1948-9366
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Yin CL, Wu Y. Effect of whole-process management based on planned behavior theory on postoperative recovery of acute appendicitis patients. World J Gastrointest Surg 2025; 17(11): 111608 [DOI: 10.4240/wjgs.v17.i11.111608]
World J Gastrointest Surg. Nov 27, 2025; 17(11): 111608 Published online Nov 27, 2025. doi: 10.4240/wjgs.v17.i11.111608
Effect of whole-process management based on planned behavior theory on postoperative recovery of acute appendicitis patients
Can-Li Yin, Ying Wu
Can-Li Yin, Emergency Intensive Care Unit, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610072, Sichuan Province, China
Ying Wu, Central Sterile Supply Department, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610072, Sichuan Province, China
Author contributions: Yin CL performed most of the experiments and wrote the manuscript; Wu Y designed the study and corrected the manuscript.
Institutional review board statement: This study was approved by the Ethics Committee of Sichuan Academy of Medical Sciences - Sichuan Provincial People’s Hospital.
Informed consent statement: All patients provided written informed consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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 technical appendix, statistical code, and dataset are available from the corresponding author upon reasonable request.
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: Ying Wu, Central Sterile Supply Department, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, No. 32 West Section 2, First Ring Road, Chengdu 610072, Sichuan Province, China. wuyingw0606@163.com
Received: July 4, 2025 Revised: August 19, 2025 Accepted: September 26, 2025 Published online: November 27, 2025 Processing time: 143 Days and 20.1 Hours
Abstract
BACKGROUND
The theory of planned behavior (TPB) and whole-course nursing are mainly used for patients with cancer, chronic diseases, and other conditions that require long-term rehabilitation. There are few studies on diseases, such as acute abdomen, for which patients urgently need surgery. Owing to the particularity of acute abdomen and limited preoperative preparation, patients and their families may not fully realize the significance of postoperative rehabilitation and the development of good treatment behavior. Therefore, this study used acute appendicitis as an entry point to explore the influence of TPB and the whole-process management of acute abdominal disease.
AIM
To examine the impact of TPB-based whole-process management on postoperative rehabilitation and complications in patients with acute appendicitis.
METHODS
A total of 180 patients enrolled between July 2023 and June 2024 were randomly assigned via computer-generated sequence into two groups in a 1:1 ratio, with 90 cases each. In the control group, 17 cases withdrew, leaving 73 cases that ultimately received routine care. In the experimental group, 6 cases withdrew, leaving 84 cases that ultimately received full-process TPB management. The postoperative rehabilitation and complications were compared between the two groups.
RESULTS
The first exhaust time, bowel sound recovery time, first defecation time, first postoperative ground movement time, and postoperative hospital stay were shorter in the experimental group than in the control group (P < 0.05). The Visual Analog Scale scores of the experimental group were lower than those of the control group at 6 hours, 12 hours, 24 hours, and 48 hours postoperatively (P < 0.05). The total incidence of complications was lower in the experimental group than in the control group (P < 0.05). The total satisfaction rate of the experimental group was higher than that of the control group (P < 0.05). In both groups, patients 48 hours postoperatively had lower Self-Rating Anxiety Scale scores than those preoperatively. The Self-Rating Anxiety Scale score of the experimental group at 48 hours was lower than that of the control group (P < 0.05).
CONCLUSION
Whole-process management based on the TPB can shorten the postoperative recovery time in patients with acute appendicitis and reduce the incidence of pain and complications.
Core Tip: The theory of planned behavior, which is widely applied in China as well as globally, is underutilized in acute surgical conditions in clinical nursing. While commonly used for long-term rehabilitation in China, there is minimal research on its application in urgent surgeries such as acute abdominal diseases. Domestic studies primarily focus on preoperative full-course nursing for cancers (e.g., cervical and breast cancers) requiring extensive preparation, thereby neglecting acute cases such as appendicitis with rapid surgical turnover. This study pioneered the theory of planned behavior-based full-process management for patients with acute appendicitis and evaluated its impact on postoperative recovery and complication rates.
