Zhao X. Effect of three-stage fusion nursing intervention the rehabilitation process and psychological stress in patients after gastric cancer surgery. World J Gastrointest Surg 2025; 17(7): 104226 [DOI: 10.4240/wjgs.v17.i7.104226]
Corresponding Author of This Article
Xia Zhao, Associate Chief Physician, Department of Gastroenterology, Shanxi Children’s Hospital, No. 4 Xinmin North Street, Xinghualing District, Taiyuan 030013, Shanxi Province, China. zxx1534066@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Observational Study
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. Jul 27, 2025; 17(7): 104226 Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.104226
Effect of three-stage fusion nursing intervention the rehabilitation process and psychological stress in patients after gastric cancer surgery
Xia Zhao
Xia Zhao, Department of Gastroenterology, Shanxi Children’s Hospital, Taiyuan 030013, Shanxi Province, China
Author contributions: Zhao X designed the study, contributed to the analysis of the manuscript, and contributed to the data and writing of this article.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Shanxi Children’s Hospital, approval No. 2022SXETYY-5252.
Informed consent statement: All study participants and their legal guardians provided written informed consent before recruitment.
Conflict-of-interest statement: The author reports 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: 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: Xia Zhao, Associate Chief Physician, Department of Gastroenterology, Shanxi Children’s Hospital, No. 4 Xinmin North Street, Xinghualing District, Taiyuan 030013, Shanxi Province, China. zxx1534066@126.com
Received: March 21, 2025 Revised: April 17, 2025 Accepted: June 4, 2025 Published online: July 27, 2025 Processing time: 124 Days and 2.8 Hours
Abstract
BACKGROUND
Patients with gastric cancer often experience slow postoperative recovery and psychological stress, necessitating enhanced nursing care to improve their prognosis.
AIM
To analyze the impact of a timing-theory-guided three-stage integrated nursing intervention (TSIN) on the postoperative recovery of patients undergoing gastric cancer surgery.
METHODS
Total 84 patients that underwent gastric cancer surgeries between June 2022 and June 2024 were selected and divided into a control group and an observation group based on perioperative nursing methods. The control group (n = 42) received routine nursing care, whereas the observation group (n = 42) received a timing-theory-guided TSIN. The psychological adjustment capabilities, psychological stress, cancer-related fatigue levels, postoperative recovery, and quality of life of the two groups were compared.
RESULTS
Compared to the control group, the observation group took lesser time to get out of bed, achieve gastrointestinal motility, have the first mealtime, along with a shorter hospital stay (P < 0.05). Before nursing, there were no significant differences between groups’ parameters or scores (P > 0.05). After nursing, the scores for psychological stress and cancer-related fatigue decreased. In contrast, the scores for psychological adjustment capabilities and quality of life increased, with more significant improvements observed in the observation group, showing significant differences within and between the groups (P < 0.05).
CONCLUSION
Timing theory-guided TSIN can improve the psychological adjustment capabilities of patients undergoing gastric cancer surgery, reduce psychological stress and cancer-related fatigue, accelerate postoperative recovery, and improve the quality of life.
Core Tip: This study explored the impact of a timing-theory-guided three-stage integrated nursing intervention (TSIN) on postoperative recovery in gastric cancer patients. Results showed that compared to routine nursing care, TSIN significantly reduced time to get out of bed, achieve gastrointestinal motility, and have the first mealtime, along with a shorter hospital stay. TSIN also improved psychological adjustment capabilities and quality of life while reducing psychological stress and cancer-related fatigue. Timing theory-guided TSIN is beneficial for the postoperative recovery of gastric cancer patients.
