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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2025; 17(12): 113611
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.113611
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.113611
Effect of microenvironment theory-based nursing on prognosis in intensive care unit patients with postoperative severe acute pancreatitis
Huan Liu, Department of Nursing, The Fourth Affiliated Hospital of Soochow University (Suzhou Dushu Lake Hospital), Suzhou 215131, Jiangsu Province, China
Min-Jian Gu, Kua-Xin Xu, Xiao-Hui Yang, Department of Critical Care Medicine, The Fourth Affiliated Hospital of Soochow University (Suzhou Dushu Lake Hospital), Suzhou 215131, Jiangsu Province, China
Author contributions: Liu H performed most of the experiments and wrote the manuscript; Gu MJ designed the study and corrected the manuscript; Xu KX conducted the data analysis; Yang XH served as a scientific advisor and participated in the collection of human material; all of the authors read and approved the final version of the manuscript to be published.
Institutional review board statement: This study was approved by Ethics Committee of the Fourth Affiliated Hospital of Soochow University (Suzhou Dushu Lake Hospital).
Clinical trial registration statement: In this nursing study, the effect of a microenvironment theory-based nursing intervention on the postoperative recovery of patients with severe acute pancreatitis in the intensive care unit was prospectively observed. The intervention consisted exclusively of optimized nursing practices (e.g., sensory modulation, early mobilization, psychological support, and environmental comfort measures) and did not involve any additional invasive procedures or deviations from standard medical care. Therefore, it did not increase the risk beyond that associated with routine treatment. This study was reviewed and approved by the hospital’s Ethics Committee. As it is classified as a quality improvement nursing project that does not fall within the scope of an interventional clinical trial, it was not registered in the Chinese Clinical Trial Registry.
Informed consent statement: All patients gave informed consent.
Conflict-of-interest statement: No benefits in any form have been received or will be received from any commercial party directly or indirectly related to the subject of this article.
CONSORT 2010 statement: We have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Data sharing statement: The technical appendix, statistical code, and dataset are available from the corresponding author.
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: Xiao-Hui Yang, Associate Chief Nurse, Department of Critical Care Medicine, The Fourth Affiliated Hospital of Soochow University (Suzhou Dushu Lake Hospital), No. 9 Chongwen Road, Industrial Park, Suzhou 215131, Jiangsu Province, China.
Received: September 9, 2025
Revised: October 11, 2025
Accepted: November 11, 2025
Published online: December 27, 2025
Processing time: 106 Days and 17.8 Hours
Revised: October 11, 2025
Accepted: November 11, 2025
Published online: December 27, 2025
Processing time: 106 Days and 17.8 Hours
Core Tip
Core Tip: This study focuses on patients with postoperative severe acute pancreatitis in the intensive care unit and innovatively introduces the microenvironment theory into the field of nursing. Traditional nursing models have limitations in addressing the complex physiological, psychological, and environmental needs of these patients. The intervention model based on microenvironment theory comprehensively considers the physiological microenvironment (e.g., sensory stimuli, physical conditions), psychological microenvironment (alleviating anxiety, reducing psychological stress), and therapeutic microenvironment (multidisciplinary collaboration, procedural protocols). Compared with routine care alone, this approach provides more comprehensive and nuanced nursing interventions.