Chen LY. Impact of Neuman model-guided stepped care on elderly gastric cancer patients’ postop recovery. World J Gastrointest Surg 2025; 17(10): 107935 [DOI: 10.4240/wjgs.v17.i10.107935]
Corresponding Author of This Article
Ling-Yu Chen, Doctorate Student, Department of Nephrology and Geriatrics, Fenyang Hospital, Shanxi Province, No. 186 Shengli Road, Fenyang 032200, Shanxi Province, China. chenkai74159@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Clinical Trials Study
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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/
Oct 27, 2025 (publication date) through Oct 24, 2025
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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
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Chen LY. Impact of Neuman model-guided stepped care on elderly gastric cancer patients’ postop recovery. World J Gastrointest Surg 2025; 17(10): 107935 [DOI: 10.4240/wjgs.v17.i10.107935]
World J Gastrointest Surg. Oct 27, 2025; 17(10): 107935 Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.107935
Impact of Neuman model-guided stepped care on elderly gastric cancer patients’ postop recovery
Ling-Yu Chen
Ling-Yu Chen, Department of Nephrology and Geriatrics, Fenyang Hospital, Shanxi Province, Fenyang 032200, Shanxi Province, China
Author contributions: Chen LY designed the research study, performed the research, contributed new reagents and analytical tools; Chen LY analyzed the data and wrote the manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Fenyang Hospital, Shanxi Province, approval No. 2025006.
Clinical trial registration statement: The study was registered at the Clinical Trial Center (www.researchregistry.com) with registration number: Researchregistry11330.
Informed consent statement: All study participants and their legal guardians provided written informed consent before recruitment into the study.
Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.
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: 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: Ling-Yu Chen, Doctorate Student, Department of Nephrology and Geriatrics, Fenyang Hospital, Shanxi Province, No. 186 Shengli Road, Fenyang 032200, Shanxi Province, China. chenkai74159@163.com
Received: May 23, 2025 Revised: June 29, 2025 Accepted: August 8, 2025 Published online: October 27, 2025 Processing time: 153 Days and 16.6 Hours
Core Tip
Core Tip: This study innovatively applied the Neuman Systems Model to stepped care interventions during postoperative recovery for elderly gastric cancer patients. By systematically assessing patients’ stressors and hierarchically activating the physiological-psychological defense mechanisms, the Neuman Systems Model-guided approach could significantly accelerate functional recovery (32% reduction in bowel sound recovery time, 24% shorter hospitalization) and reduce anxiety/depression rates by 41%. Concurrently, it showed improvement in the quality of life scores (36-item short form health survey increased by 18.6 points), thereby establishing a theoretically driven practical paradigm for perioperative management in cases of geriatric oncology.
