Efficacy of combined psychological and physical nursing in preventing peripherally inserted central catheter-related thrombosis in gastric cancer patients

doi:10.4240/wjgs.v17.i3.100430

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Mar 27, 2025; 17(3): 100430
Published online Mar 27, 2025. doi: 10.4240/wjgs.v17.i3.100430

Efficacy of combined psychological and physical nursing in preventing peripherally inserted central catheter-related thrombosis in gastric cancer patients

Wei-Jing Ni, Yu-Xiu Xi, Yong-Chao Zhou

Wei-Jing Ni, Yu-Xiu Xi, Yong-Chao Zhou, Venous Therapy Nursing Clinic, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China

Co-corresponding authors: Yu-Xiu Xi and Yong-Chao Zhou.

Author contributions: Ni WJ designed the research study; Ni WJ and Xi YX contributed new reagents and analytical tools; Xi YX and Zhou YC jointly designed the research, performed the research super, wrote the manuscript, vised the entire process, interpreted the results, and were responsible for manuscript revision and communication with the journal, ensuring the integrity and quality of the study, they contributed equally to this article, they are the co-corresponding authors of this manuscript; and all authors have read and approved the final manuscript.

Institutional review board statement: This study was approved by the Medical Ethics Committee of Affiliated Hospital of Jiangnan University, approval No. LS2024073.

Informed consent statement: All study participants and their legal guardians provided written informed consent before recruitment.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Data sharing statement: No additional data are available.

Corresponding author: Yu-Xiu Xi, Venous Therapy Nursing Clinic, Affiliated Hospital of Jiangnan University, No. 1000 Hefeng Road, Binhu District, Wuxi 214000, Jiangsu Province, China. xiyuxiu@163.com

Received: November 28, 2024
Revised: December 23, 2024
Accepted: January 6, 2025
Published online: March 27, 2025
Processing time: 88 Days and 2.2 Hours

Abstract

BACKGROUND

Long-term chemotherapy for patients with gastric cancer (GC), facilitated by peripherally inserted central catheter (PICC) catheterization, reduces vascular damage and enhances drug delivery efficiency but carries risks of catheter-related complications. A combination of group psychological nursing and physical movement care significantly mitigates the risk of venous thrombosis and improves psychological well-being, and enhances motor function, underscoring its clinical importance.

AIM

To assess group psychological and physical movement nursing in preventing venous thrombosis in patients with PICC GC.

METHODS

Sixty-five GC patients with PICC, admitted from January 2022 to January 2023, were randomly divided into two groups using the lottery method: A control group (n = 35, routine nursing) and an observation group (n = 30, routine nursing plus psychological nursing and physical movement nursing). Both groups received continuous care for 2 weeks. Pre-nursing and post-nursing data on psychological state, physical function, chemotherapy-related thrombosis incidence, and cancer-related fatigue were analyzed using SPSS 26.0 and GraphPad Prism 8.0.

RESULTS

After nursing, both groups showed reduced Hamilton Anxiety Scale scores and increased General Perceived Self-Efficacy Scale scores, with the observation group performing better (P < 0.05). The Functional Comprehensive Assessment score for the observation group after nursing was (65.42 ± 2.35) points, lower than the control group’s (62.19 ± 4.33) points (P < 0.05). Although no significant difference was observed in the incidence of venous thrombosis between the two groups (χ² = 0.815, P = 0.367), the observation group had lower incidence. Both groups showed decreased Revised Piper Fatigue Scale scores, with the observation group scoring lower (P < 0.05).

CONCLUSION

Group psychological and physical movement nursing for patients with PICC reduces venous thrombosis risk, improves psychological well-being, cancer-related fatigue, and physical function, making it highly promotable.

Keywords: Group psychological nursing; Physical movement nursing; Peripherally inserted central catheter; Gastric cancer; Venous thrombosis; Cancer-related fatigue

Core Tip: In a comprehensive care approach that integrates psychological counseling with physical activity, there is a significant reduction in the risk of thrombosis among gastric cancer patients, particularly those who have undergone percutaneous central venous catheterization. This strategy not only enhances the overall health status of patients but also specifically targets individuals requiring long-term venous therapy due to gastric cancer, offering an effective method for thromboprophylaxis.