Impact of Neuman model-guided stepped care on elderly gastric cancer patients’ postop recovery

Table 1 Comparison of postoperative recovery between the two groups, mean ± SD

Group	n	First time out of bed	First exhaust time	Time of first feeding
Control	40	2.78 ± 0.65	2.13 ± 0.59	2.81 ± 0.55
Observation	40	2.09 ± 0.57	1.51 ± 0.36	1.95 ± 0.41
t	-	5.048	5.673	7.929
P value	-	< 0.001	< 0.001	< 0.001
Group	n	Time of bowel song recovery	The time of catheter extraction	Length of stay
Control	40	1.71 ± 0.44	1.73 ± 0.39	11.38 ± 2.69
Observation	40	1.29 ± 0.37	1.42 ± 0.26	9.45 ± 2.01
t	-	4.621	4.183	3.635
P value	-	< 0.001	< 0.001	< 0.001

Table 2 Comparison of the anxiety and depression scales in the two groups, mean ± SD

Group	n	SDS		SAS
		Before	After	Before	After
Control	40	58.81 ± 4.53	49.33 ± 1.28	60.78 ± 3.03	52.37 ± 2.71
Observation	40	59.36 ± 4.27	42.47 ± 1.37	61.09 ± 2.77	48.76 ± 3.62
t	-	0.559	23.141	0.478	5.049
P value	-	0.578	< 0.001	0.634	< 0.001

SDS: Self-Rating Depression Scale; SAS: Self-Rating Anxiety Scale.

Table 3 Comparison of the quality of life in the two study groups, mean ± SD

Group	n	Physiologic function			Role-physical		Vitality		General health
		Before	After		Before	After	Before	After	Before	After
Control	40	37.61 ± 5.44	63.92 ± 8.14a		42.19 ± 5.83	65.92 ± 7.04a	48.61 ± 6.43	65.94 ± 5.33a	48.61 ± 4.07	60.39 ± 5.87a
Observation	40	36.94 ± 5.81	69.51 ± 8.46a		42.62 ± 5.75	73.25 ± 7.56a	47.84 ± 6.29	74.39 ± 5.86a	47.72 ± 6.08	67.15 ± 7.12a
t	-	0.532	3.011		0.332	4.488	0.541	6.747	0.769	4.633
P value	-	0.596	0.004		0.741	0.000	0.590	0.000	0.444	0.000
Group	n	Bodily pain			Social functioning		Mental health		Role-emotional
		Before		After	Before	After	Before	After	Before	After
Control	40	54.31 ± 6.18		67.25 ± 5.84a	52.37 ± 6.55	64.95 ± 8.46a	52.67 ± 6.42	68.15 ± 7.49a	57.83 ± 6.05	66.24 ± 7.58a
Observation	40	53.94 ± 6.27		76.29 ± 6.17a	51.76 ± 6.41	71.35 ± 8.27a	52.05 ± 6.53	77.34 ± 8.13a	58.12 ± 6.26	73.29 ± 8.15a
t	-	0.266		6.730	0.421	3.421	0.428	5.258	0.211	4.006
P value	-	0.791		0.000	0.675	0.001	0.670	0.000	0.834	0.000

^aP < 0.05, the comparison between the control group and the observation group.

Table 4 Comparison of adverse reactions in the two study groups, n (%)

Group	n	Infection of incisional wound	Pulmonary infection	Gastrointestinal tract reaction	Anastomotic leakage	Total incidence
Control	40	2 (5.00)	3 (7.50)	4 (10.00)	1 (2.50)	10 (25.00)
Observation	40	0 (0.00)	1 (2.50)	1 (2.50)	0 (0.00)	2 (5.00)
χ2	-	-	-	-	-	4.804
P value	-	-	-	-	-	0.028