Su WX, Li YF, Zhu YJ, Li DW. Nursing care for patients with liver cirrhosis undergoing surgery for esophageal variceal bleeding in an integrated healthcare system. World J Gastrointest Surg 2025; 17(4): 100400 [DOI: 10.4240/wjgs.v17.i4.100400]
Corresponding Author of This Article
Yun-Fei Li, Department of Critical Medicine, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, No. 109 Xueyuan West Road, Lucheng District, Wenzhou 325000, Zhejiang Province, China. lyf15088556065hjj@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Randomized Controlled Trial
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. Apr 27, 2025; 17(4): 100400 Published online Apr 27, 2025. doi: 10.4240/wjgs.v17.i4.100400
Nursing care for patients with liver cirrhosis undergoing surgery for esophageal variceal bleeding in an integrated healthcare system
Wen-Xiu Su, Yun-Fei Li, Yi-Jun Zhu, Di-Wen Li
Wen-Xiu Su, Yun-Fei Li, Yi-Jun Zhu, Di-Wen Li, Department of Critical Medicine, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China
Author contributions: Su WX designed the study; Su WX, Li YF, Zhu YJ, and Li DW analyzed the data; Su WX and Li YF were involved in the data collection and writing of this article; All authors have read and approved the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Boards of the Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, No. W2022011209.
Clinical trial registration statement: This study was registered at the Clinical Trial Center (www.researchregistry.com) with the registration number: Researchregistry10933.
Informed consent statement: All study participants and their legal guardians provided written informed consent before recruitment.
Conflict-of-interest statement: The authors report no relevant conflicts of interest.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
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: Yun-Fei Li, Department of Critical Medicine, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, No. 109 Xueyuan West Road, Lucheng District, Wenzhou 325000, Zhejiang Province, China. lyf15088556065hjj@163.com
Received: November 28, 2024 Revised: December 23, 2024 Accepted: February 11, 2025 Published online: April 27, 2025 Processing time: 121 Days and 0.1 Hours
Abstract
BACKGROUND
Globally, Liver cirrhosis is the 14th leading cause of death and poses a significant threat to human health.
AIM
To investigate the effects of a multidisciplinary collaboration model on postoperative recovery and psychological stress in patients with liver cirrhosis undergoing esophageal variceal bleeding (EVB) surgery within an integrated healthcare system.
METHODS
Between January 2022 and March 2024, a total of 180 patients with cirrhosis and EVB were admitted and randomly assigned to either a control group (standard care) or an observation group (standard care plus the multidisciplinary collaboration model), with 90 patients in each group. Postoperative recovery indicators (time to symptom improvement, time to start eating, time to bowel sound recovery, time to first flatus, and hospital stay), psychological stress responses [self-rating anxiety scale (SAS); self-rating depression scale (SDS)], subjective well-being, and incidence of complications were compared between the two groups.
RESULTS
Compared to the control group, the observation group showed earlier symptom improvement, earlier return to eating, bowel sound recovery, first flatus, and a shorter hospital stay. Pre-intervention SAS and SDS scores were not significantly different between the groups, but post-intervention scores were significantly lower in the observation group. Similarly, there was no significant difference in the subjective well-being scores before the intervention between the two groups. After the intervention, both groups showed improved scores, with the observation group scoring significantly higher than the control group.
CONCLUSION
The observation group also had a lower incidence of complications. Therefore, for patients with liver cirrhosis undergoing EVB surgery, a multidisciplinary collaboration model within an integrated healthcare system can promote early postoperative recovery, reduces psychological stress, improves subjective well-being, and reduces complications and rebleeding.
Core Tip: Effective nursing interventions play a crucial role for patients with cirrhosis who undergo esophageal variceal bleeding surgery. These interventions can significantly promote faster postoperative recovery and help reduce psychological stress, ultimately enhancing the overall well-being and quality of life of these patients.
