Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Apr 27, 2025; 17(4): 100848
Published online Apr 27, 2025. doi: 10.4240/wjgs.v17.i4.100848
Analysis of the effect of multi-channel continuous nursing intervention on patients post-radical gastrectomy
Huan-Li Luo, Huan-Ling Luo
Huan-Li Luo, Department of Nursing, Henan Vocational College of Nursing, Anyang 455000, Henan Province, China
Huan-Ling Luo, Department of International Education, Henan Vocational College of Nursing, Anyang 455000, Henan Province, China
Author contributions: Luo HL designed the research and wrote the first manuscript; Luo HL and Luo HL contributed to conceiving the research and analyzing data, 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 Henan Vocational College of Nursing.
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: Huan-Ling Luo, Associate Professor, Department of International Education, Henan Vocational College of Nursing, No. 480 South Section of Zhonghua Road, Anyang 455000, Henan Province, China. luohuanling008@163.com
Received: December 13, 2024
Revised: February 8, 2025
Accepted: March 10, 2025
Published online: April 27, 2025
Processing time: 105 Days and 21.1 Hours
Abstract
BACKGROUND

Radical gastrectomy (RGE) for gastric carcinoma (GC) has exerted definite therapeutic efficacy in treating patients with GC. However, a notable risk of postoperative complications (POCs) persists among middle-aged and elderly patients with compromised physiological functions. Hence, developing and implementing reliable nursing interventions to optimize the comprehensive management of these patients is deemed imperative.

AIM

To analyze the association of multi-channel continuous nursing intervention with POCs, negative emotions (NEs), and quality of life (QoL) of patients undergoing RGE for GC.

METHODS

This retrospective study selected 99 patients who underwent RGE for GC in our hospital from May 2020 to May 2023. Participants were categorized into the control (n = 49 cases) and research groups (n = 50 cases) receiving routine and multi-channel continuous nursing care, respectively. Comparative analysis involved data on postoperative rehabilitation (time to first anal exhaust, oral feeding and ambulation, and hospital stay), complications (nausea and vomiting, delayed gastric emptying, and abdominal distension), NEs [Self-rating Anxiety (SAS)/Depression Scale (SDS)], treatment compliance, self-efficacy, and QoL [World Health Organization QoL Brief Version (WHOQOL-BREF)].

RESULTS

Compared to the control group, the research group demonstrated earlier first postoperative anal exhaust, oral feeding, and ambulation, shorter hospital stay, lower POC rate, and more reduced SAS and SDS scores postintervention, which was significantly lower than the baseline. The treatment compliance scores were significantly higher in the research group than in the control group in terms of medication adherence, daily exercise, reasonable diet, and regular review. Further, the research group demonstrated increased self-efficacy scores in terms of positive attitude, self-stress relief, and self-decision-making, as well as the overall score postintervention, which were higher than the control group. Moreover, the research group reported notably higher WHOQOL-BREF scores in domains such as physiology, psychology, social relations, and environment.

CONCLUSION

Multi-channel continuous nursing intervention prevents POCs in patients undergoing RGE for GC as well as significantly alleviates patients’ NEs and boosts their QoL.

Keywords: Radical gastrectomy; Multi-channel continuous nursing; Postoperative complications; Negative emotions; Quality of life

Core Tip: This study enrolled 99 patients who underwent radical gastrectomy (RGE) for gastric carcinoma (GC). A comprehensive analysis involved the clinical advantages of multi-channel continuous nursing intervention from multiple dimensions, including postoperative rehabilitation, complications, negative emotions, treatment compliance, self-efficacy, and quality of life. Our data support that the application of multi-channel continuous nursing intervention in patients post-RGE effectively facilitates postoperative recovery, reduces the risk of postoperative complications, alleviates negative psychological states, and significantly improves treatment compliance, self-efficacy, and the overall quality of life. The results provide effective measures and recommendations for treating patients post-RGE for GC. Moreover, it is considered a reference for providing more optimal nursing care alternatives in the postoperative nursing interventions for such patients, thereby contributing to overall quality of care and patient outcome improvements.