Effects of postoperative quantitative assessment strategy-based nursing in patients with colorectal cancer

Table 1 Nursing interventions based on quantitative evaluation strategies

Item	Specific operation
Pain assessment	VAS[9]
Functional recovery assessment	Barthel index[10]
Psychological state assessment	SAS; SDS[11]
Complications assessment	Record the occurrence and severity of postoperative complications

VAS: Visual analog scale; SAS: Self-rating anxiety scale; SDS: Self-rating depression scale.

Table 2 Comparison of general characteristics of the patients, n (%)

Characteristic	QASN group (n = 68)	RN group (n = 72)	P value
Age (year), mean ± SD	60.10 ± 9.60	59.67 ± 8.89	0.947
BMI (kg/m²), mean ± SD	24.75 ± 3.94	25.50 ± 3.69	0.777
Gender	-	-	0.247
Male	35 (51.9)	29 (40.0)	-
Female	33 (48.1)	43 (60.0)	-
Disease type	-	-	0.518
Colon cancer	35 (51.9)	42 (57.8)	-
Rectal cancer	33 (48.1)	30 (42.2)	-
TNM staging	-	-	0.319
Phase I	25 (36.5)	18 (24.4)	-
Phase II	22 (32.7)	27 (37.8)	-
Phase III	21 (30.8)	27 (37.8)	-
Educational level	-	-	0.507
College degree or above	33 (48.5)	29 (40.0)	-
High school/vocational	22 (32.3)	24 (33.3)	-
Junior high school or below	13 (19.2)	19 (26.7)	-
Complications	-	-	0.471
Hypertension	21 (30.8)	29 (40.0)	-
Type 2 diabetes	25 (36.5)	21 (28.9)	-
Lacunar cerebral infarction	16 (23.1)	16 (22.2)	-
Hypothyroidism	6 (9.6)	6 (8.9)	-
Dukes stage	-	-	0.867
A	17 (25.0)	14 (20.0)	-
B	27 (40.4)	29 (40.0)	-
C	16 (23.1)	19 (26.7)	-
D	8 (11.5)	10 (13.3)	-

QASN: Quantitative assessment strategy nursing; RN: Routine nursing; BMI: Body mass index; TNM: Tumor node metastasis.

Table 3 Comparison of postoperative complication rates between the two groups, n (%)

Complication	QASN group (n = 68)	RN group (n = 72)	P value
Incision infection	2 (2.94)	3 (4.17)	-
Pulmonary infection	0 (0.00)	2 (2.78)	-
Intestinal obstruction	1 (1.47)	1 (1.39)	-
Anastomotic fistula	1 (1.47)	1 (1.39)	-
Uroschesis	0 (0.00)	2 (2.78)	-
Urinary tract infection	1 (1.47)	1 (1.39)	-
Postoperative bleeding	0 (0.00)	1(1.39)	-
Deep vein thrombosis	0 (0.00)	1 (1.39)	-
Malnutrition	0 (0.00)	2 (2.78)	-
Total	5 (7.35)	14 (19.44)	0.041

QASN: Quantitative assessment strategy nursing; RN: Routine nursing.

Table 4 Comparison of functional recovery and pain level between the two groups of patients, mean ± SD

Item	Classification	Preoperative	Postoperative
			1 day	7 days	14 days	28 days	56 days
BI	QASN group (n = 68)	68 ± 10	40 ± 7	52 ± 8	61 ± 10	75 ± 12	80 ± 13
	RN group (n = 72)	68 ± 9	40 ± 8	45 ± 9	52 ± 9	65 ± 10	70 ± 11
	P value	0.999	0.999	0.371	0.039	0.013	0.009
VAS	QASN group (n = 68)	3.1 ± 1	6.8 ± 1	5.7 ± 0.8	4.5 ± 0.8	3.5 ± 0.7	2.5 ± 0.5
	RN group (n = 72)	3.0 ± 0.8	7.0 ± 1.1	5.8 ± 1	5.5 ± 0.9	5.0 ± 0.8	4.5 ± 0.7
	P value	0.899	0.827	0.899	0.015	0.007	0.001

BI: Barthel Index; VAS: Visual analog scale; QASN: Quantitative assessment strategy nursing; RN: Routine nursing.

Table 5 Comparison of postoperative psychological assessment between the two groups

Classification	Item	Preoperative	Postoperative
QASN Group (n = 68)	SAS	55.3 ± 10.2	34.2 ± 7.5
RN Group (n = 72)		54.7 ± 9.8	42.6 ± 8.1
P value		0.945	0.021
QASN Group (n = 68)	SDS	60.1 ± 11.5	38.1 ± 8.4
RN Group (n = 72)		59.4 ± 10.9	45.3 ± 8.9
P value		0.938	0.019

QASN: Quantitative assessment strategy nursing; SAS: Self-rating anxiety scale; RN: Routine nursing; SDS: Self-rating depression scale.