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World J Gastrointest Surg. Oct 27, 2026; 18(10): 122147
Published online Oct 27, 2026. doi: 10.4240/wjgs.122147
Published online Oct 27, 2026. doi: 10.4240/wjgs.122147
Individual and family self-management for high-risk gastrointestinal bleeding in older adults
Ji-Mei Zhang, Department of General Medicine, Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu Province, China
Yan-Nan Li, Xiao-Hui Cui, Department of Emergency, Affiliated Nantong Hospital 3 of Nantong University, Nantong Third People's Hospital, Nantong 226000, Jiangsu Province, China
Xiao-Ming Sheng, Department of Emergency, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China
Jun Shan, College of Nursing and Rehabilitation, Nantong University, Nantong 226001, Jiangsu Province, China
Co-first authors: Ji-Mei Zhang and Yan-Nan Li.
Co-corresponding authors: Jun Shan and Xiao-Hui Cui.
Author contributions: Zhang JM and Li YN, as co-first authors, contributed equally to this study, including the study design, data collection, statistical analysis, and manuscript drafting and revision; Shan J and Cui XH, as co-corresponding authors, jointly provided overall research guidance, conducted critical review and final revision of the manuscript, and took full responsibility for the study’s academic rigor; Sheng XM participated in data collation, literature review, and manuscript proofreading; and all authors have read and approved the final version of the manuscript.
AI contribution statement: The authors declare that no AI tools were used in the development or writing of this manuscript and take full responsibility for its integrity, accuracy, and originality.
Supported by Nantong Science and Technology Bureau Project, No. MSZ2025032 and No. MS2023027; Nantong Municipal Health Commission Project, No. QNZ2023019 and No. QN2022042; and College level Project of Nursing and Rehabilitation College, Nantong University, No. HK2025-03.
Institutional review board statement: This study has been reviewed and approved by the Medical Ethics Committee of Affiliated Hospital of Nantong University.
Clinical trial registration statement: This study is a randomized controlled trial. Based on the characteristics of the research design and the scope of clinical activities involved, the study was not registered with the clinical trial registry prior to its initiation.
Informed consent statement: All the individuals who participated in this study provided their written informed consent prior to study enrolment.
Conflict-of-interest statement: The authors declare no conflicts 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: No additional data are available.
Corresponding author: Xiao-Hui Cui, Associate Chief Physician, Department of Emergency, Affiliated Nantong Hospital 3 of Nantong University, Nantong Third People's Hospital, No. 60 Qingnian Middle Road, Chongchuan District, Nantong 226000, Jiangsu Province, China. 5300712@ntu.edu.cn
Received: June 5, 2026
Revised: July 8, 2026
Accepted: July 27, 2026
Published online: October 27, 2026
Processing time: 131 Days and 10.4 Hours
Revised: July 8, 2026
Accepted: July 27, 2026
Published online: October 27, 2026
Processing time: 131 Days and 10.4 Hours
Core Tip
Core Tip: This study applied an evidence-based chronic disease management quality improvement based on the individual and family self-management theory to 150 older patients at high-risk gastrointestinal bleeding. The model significantly improved patients’ self-management ability and reduced anxiety, depression, and the rebleeding rate, suggesting its clinically valuable.