Clinical application value of narrative nursing model in patients undergoing laparoscopic radical gastrectomy for gastric cancer

doi:10.4240/wjgs.v17.i9.106514

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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

Randomized Controlled Trial

World J Gastrointest Surg. Sep 27, 2025; 17(9): 106514
Published online Sep 27, 2025. doi: 10.4240/wjgs.v17.i9.106514

Clinical application value of narrative nursing model in patients undergoing laparoscopic radical gastrectomy for gastric cancer

Li-Na Shi, Liang Wang, Yu-Bo Gao, Dong-Hua Ma, Yu-Ling Mao, Ya-Qin Wang, Yue Wang, Qi-Xian Guo, Rui-Min He, Jia-Ming Chen

Li-Na Shi, Liang Wang, Dong-Hua Ma, Yu-Ling Mao, Ya-Qin Wang, Yue Wang, Qi-Xian Guo, Department of Gastrointestinal Oncology Surgery, Affiliated Hospital of Qinghai University, Xining 810000, Qinghai Province, China

Yu-Bo Gao, Graduate School of Qinghai University, Affiliated Hospital of Qinghai University, Xining 810000, Qinghai Province, China

Rui-Min He, Department of Breast and Thyroid Tumor Surgery, Affiliated Hospital of Qinghai University, Xining 810000, Qinghai Province, China

Jia-Ming Chen, Department of Orthopedic Surgery, Third People’s Hospital of Xining City, Xining 810000, Qinghai Province, China

Co-first authors: Li-Na Shi and Liang Wang.

Co-corresponding authors: Rui-Min He and Jia-Ming Chen.

Author contributions: Chen JM and He RM contributed to the study concept and design, sharing the co-corresponding authorship; Wang L revised and reviewed the manuscript; Shi LN, Wang L and Gao YB co-wrote the manuscript, sharing the first authorship; Ma DH, Mao YL, Wang YQ, Wang Y and Guo QX collected the data and reviewed the literature; Wang L was responsible for the data analysis and making figure; All authors contributed to the article and approved the submitted version.

Institutional review board statement: The study was reviewed and approved by the Affiliated Hospital of Qinghai University Institutional Review Board, (No. SL-2025114).

Clinical trial registration statement: As the author’s organization and ethics committee did not require clinical trial registration prior to the study, this study was not registered.

Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.

Conflict-of-interest statement: The authors declare that they have no conflict 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: The raw data supporting the conclusions of this article will be made available by the authors without undue reservation.

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: Jia-Ming Chen, PhD, Doctor, Department of Orthopedic Surgery, Third People’s Hospital of Xining City, No. 377 Chaidamu Road, Chengbei District, Xining 810000, Qinghai Province, China. 357173622@qq.com

Received: February 28, 2025
Revised: April 7, 2025
Accepted: July 16, 2025
Published online: September 27, 2025
Processing time: 208 Days and 22 Hours

Abstract

BACKGROUND

Narrative nursing uses narrative methods to establish an interaction between nursing staff and patients, in which the experience of the patient’s illness is understood and comprehended. By listening, the patient’s understanding, comprehension, and acceptance of their own disease symptoms, quality of life, and living conditions are understood, thereby providing a basis for formulating corresponding nursing plans for the patient, further promoting the psychological and physical rehabilitation of the patient.

AIM

To explore the impact of the new narrative nursing model on postoperative recovery, psychological status, and satisfaction of patients.

METHODS

A total of 108 patients with resectable gastric cancer who were treated from January 2024 to December 2024 were selected as the study subjects. They were divided into a routine nursing group and a narrative nursing group using a random number table method. Postoperative recovery indicators were compared between the two groups, and questionnaires and position and postoperative nausea and vomiting were conducted on the day of discharge.

RESULTS

There were statistically significant differences in visual analogue scale pain scores at 12-96 hours postoperatively, the time of first ambulation postoperatively, and the length of postoperative hospital stay between the two groups (P < 0.05). There were statistically significant differences in postoperative self-rating anxiety scale, self-rating depression scale, and satisfaction scores between the two groups (P < 0.05). Further analysis using a binary logistic regression model found that the new narrative nursing model adopted postoperatively could improve patients’ satisfaction with the work of nursing staff during their hospitalization.

CONCLUSION

The new narrative nursing model not only eliminated the negative emotions of patients, but also further promoted their postoperative recovery, and gained patients’ trust and satisfaction with the nursing staff.

Keywords: Gastric cancer; Routine nursing; Narrative nursing; Satisfaction; Humanistic care

Core Tip: The narrative nursing model addresses the limitations of conventional nursing, significantly improving the psychological state of patients after laparoscopic radical gastrectomy for gastric cancer. It not only mitigates the impact of negative emotions but also promotes postoperative recovery. Effective communication and humanistic care enhance patient satisfaction with nursing staff during hospitalization.