Comprehensive perioperative nursing with personalized psychological counseling: Alleviating anxiety/depression following total auricular reconstruction

doi:10.5498/wjp.v16.i6.114610

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World Journal of Psychiatry

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2220-3206

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Observational Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Psychiatry. Jun 19, 2026; 16(6): 114610
Published online Jun 19, 2026. doi: 10.5498/wjp.v16.i6.114610

Comprehensive perioperative nursing with personalized psychological counseling: Alleviating anxiety/depression following total auricular reconstruction

Yan-Qun Wu, Jian-Zhen Lan, Yin Wu, You-Jin Li, Li-Ying Shi, Fang-Wei Li, Yan-Hua Liu, Jian-Bing Li, Ling-Na Yu, Li Tang

Yan-Qun Wu, Jian-Zhen Lan, Yin Wu, You-Jin Li, Li-Ying Shi, Fang-Wei Li, Yan-Hua Liu, Jian-Bing Li, Department of Plastic Surgery, Guangdong Second People’s Hospital, Guangzhou 510317, Guangdong Province, China

Ling-Na Yu, Li Tang, Department of Nursing, Guangdong Second People’s Hospital, Guangzhou 510317, Guangdong Province, China

Co-corresponding authors: Ling-Na Yu and Li Tang.

Author contributions: Wu YQ designed the research and wrote the first manuscript; Wu YQ, Lan JZ, Wu Y, Li YJ, Shi LY, Li FW, Liu YH, and Li JB contributed to conceiving the research and analyzing data; Wu YQ, Yu LN, and Tang L conducted the analysis and provided guidance for the research; Yu LN and Tang L contributed equally to this article, they are the co-corresponding authors of this manuscript; and all authors reviewed and approved the final manuscript.

AI contribution statement: Our article did not use any AI tools.

Supported by the Nursing Quality Improvement Innovation Research Project Fund of Guangdong Second People’s Hospital, No. YH2023-5.

Institutional review board statement: This study was approved by the Medical Ethics Committee of Guangdong Second People’s Hospital, No. 2024-KY-KZ-073-02.

Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.

Data sharing statement: No additional data are available.

Corresponding author: Li Tang, Department of Nursing, Guangdong Second People’s Hospital, No. 466 Xingang Middle Road, Haizhu District, Guangzhou 510317, Guangdong Province, China. 1342049052@qq.com

Received: October 31, 2025
Revised: December 16, 2025
Accepted: February 3, 2026
Published online: June 19, 2026
Processing time: 209 Days and 0.8 Hours

Abstract

BACKGROUND

Congenital microtia is a common craniofacial malformation in children that not only affects facial appearance but also has substantial psychological effects. The emotional consequences of auricle deformities are increasingly recognized in affected children.

AIM

To optimize perioperative nursing for patients undergoing total auricular reconstruction by examining the impact of comprehensive perioperative nursing combined with personalized psychological counseling on anxiety and depression.

METHODS

Eighty patients who underwent total auricular reconstruction from January 2023 to December 2024 were enrolled. The control group (n = 40) received standard perioperative care, while the observation group (n = 40) received the same care plus personalized psychological counseling. Patients were accessed preoperatively and 1 month postoperatively using the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Rosenberg Self-Esteem Scale (SES), and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). Nursing satisfaction was evaluated, and postoperative complications were monitored.

RESULTS

Baseline SAS, SDS, SES, and WHOQOL-BREF scores were compared between groups (P > 0.05). One month postoperation, the observation group demonstrated greater psychological improvement, reflected by lower mean SAS (36.87 ± 3.89 vs 45.21 ± 4.35; t = 9.253, P < 0.05) and SDS (34.21 ± 3.67 vs 43.56 ± 4.12; t = 10.587, P < 0.05) scores. They also showed higher postoperative SES and WHOQOL-BREF results. Nursing satisfaction was higher (97.50% vs 82.50%) and postoperative complications were fewer (5% vs 20%; P < 0.05) in the observation group.

CONCLUSION

Personalized psychological counseling improves patients’ mental health before and after auricular reconstruction, enhances nursing satisfaction, and reduces complications. These findings underscore its clinical significance and support its broader application in perioperative complications.

Keywords: Personalized psychological counseling; Total auricular reconstruction; Comprehensive perioperative nursing; Anxiety/depression; Complications

Core Tip: Congenital microtia is a common craniofacial deformity in children, and auricular reconstruction remains the preferred corrective approach. Because the ear’s anatomy is complex and the reconstructed auricle is fragile postoperatively, children’s mental health becomes crucial, directly influencing cooperation and wound healing. Psychological counseling has been shown to improve emotional well-being. This study aims to investigate the impact of comprehensive perioperative nursing combined with personalized psychological counseling on anxiety and depression in children undergoing surgery.