Published online Apr 27, 2025. doi: 10.4240/wjgs.v17.i4.100848
Revised: February 8, 2025
Accepted: March 10, 2025
Published online: April 27, 2025
Processing time: 105 Days and 21.1 Hours
Radical gastrectomy (RGE) for gastric carcinoma (GC) has exerted definite therapeutic efficacy in treating patients with GC. However, a notable risk of post
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.
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)].
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.
Multi-channel continuous nursing intervention prevents POCs in patients undergoing RGE for GC as well as significantly alleviates patients’ NEs and boosts their QoL.
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.