Effect of whole-process management protocol in preventing device-related intraoperative pressure injuries in patients undergoing gastrointestinal surgery

doi:10.4240/wjgs.v18.i7.121291

Advanced Search

BPG is committed to discovery and dissemination of knowledge

Home / Archive / Volume 18, Issue 7

This Article

(4)

(3)

(0)

(18)

Peer-Review Report of This Article

CrossCheck and Google Search of This Article

Academic Rules and Norms of This Article

Citation of this article

Corresponding Author of This Article

Research Domain of This Article

Article-Type of This Article

Open-Access Policy of This Article

Times Cited Counts in Google of This Article

Journal Information of This Article

Publication Name

World Journal of Gastrointestinal Surgery

ISSN

1948-9366

Publisher of This Article

Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Jul 27, 2026; 18(7): 121291
Published online Jul 27, 2026. doi: 10.4240/wjgs.v18.i7.121291

Effect of whole-process management protocol in preventing device-related intraoperative pressure injuries in patients undergoing gastrointestinal surgery

Juan Ge, Zhen-Lin Wang

Juan Ge, Zhen-Lin Wang, Department of Anesthesiology and Surgery, Lanzhou University Second Hospital, Lanzhou 730030, Gansu Province, China

Author contributions: Ge J and Wang ZL designed the research study; Ge J performed the research, analyzed the data and wrote the manuscript; Wang ZL reviewed and edited the manuscript; and all authors have read and approve the final manuscript.

AI contribution statement: The main text and the response to reviewers were written entirely by the authors based on original data and analysis. AI tools were only used for language refinement and translation support, not for content generation.

Institutional review board statement: This study was reviewed and approved by the Medical Ethics Committee of Lanzhou University Second Hospital (Approval No. 2026A-440).

Informed consent statement: This is a retrospective study based on anonymized clinical data. Ethical approval was obtained from the institutional ethics committee. The requirement for informed consent was waived due to the retrospective study design.

Conflict-of-interest statement: The authors declare that they have no conflicts of interest regarding this work.

Data sharing statement: The datasets used and analyzed during the current study are available from the corresponding author upon reasonable request.

Corresponding author: Zhen-Lin Wang, Department of Anesthesiology and Surgery, Lanzhou University Second Hospital, No. 82 Cuiyingmen, Chengguan District, Lanzhou 730030, Gansu Province, China. wangzhl1829@163.com

Received: March 23, 2026
Revised: April 16, 2026
Accepted: May 26, 2026
Published online: July 27, 2026
Processing time: 129 Days and 2 Hours

Abstract

BACKGROUND

Intraoperative device-related pressure injuries are common in gastrointestinal surgery, and conventional nursing has limited preventive efficacy. A comprehensive perioperative strategy is urgently needed.

AIM

To evaluate the efficacy of a whole-process management protocol in preventing device-related pressure injuries during gastrointestinal surgery.

METHODS

This retrospective cohort study included 104 patients undergoing gastrointestinal surgery. The observation group (n = 53) received a whole-process management protocol, while the control group (n = 51) received standard care. The primary outcome was incidence of intraoperative pressure injuries. Secondary outcomes included postoperative complications, recovery indices, inflammatory markers, anxiety, sleep quality, and quality of life. Between-group comparisons were performed using the χ² test, independent t-test, or Mann-Whitney U test, as appropriate. Repeated measures were analyzed using mixed-effects models.

RESULTS

The observation group had significantly lower pressure injury incidence at 1 day postoperatively (5.66% vs 27.45%, P = 0.003) and fewer total complications (50.94% vs 80.39%, P = 0.002). Times to flatus, regular diet, and wound healing were shorter in the observation group (all P < 0.05). Mixed-effects models revealed significant group-by-time interactions favoring the observation group for high-sensitivity C-reactive protein (P = 0.004), anxiety scores (P = 0.008), and all domains of quality of life (P < 0.01).

CONCLUSION

The whole-process management protocol significantly reduces device-related pressure injuries and improves postoperative recovery, inflammation, anxiety, sleep, and quality of life in patients undergoing gastrointestinal surgery.

Keywords: Whole-process management protocol; Gastrointestinal surgery; Device-related pressure injury; Perioperative management; Postoperative complications; Quality of life

Core Tip: This retrospective study evaluated a whole-process management protocol for preventing device-related pressure injuries in gastrointestinal surgery. In 104 patients, the protocol significantly reduced pressure injury incidence at 1 day postoperatively (27.45%-5.66%), lowered complication rates (80.39%-50.94%), and improved quality of life. These findings support proactive, multimodal perioperative prevention.