Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2021; 9(7): 1610-1618
Published online Mar 6, 2021. doi: 10.12998/wjcc.v9.i7.1610
Effects of cooperative nursing and patient education on postoperative infection and self-efficacy in gastrointestinal tumors
Li Qiao, Shu-Qian Zeng, Ning Zhang
Li Qiao, Shu-Qian Zeng, Ning Zhang, Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei Province, China
Author contributions: Qiao L designed this retrospective study; Zeng SQ wrote this paper; Qiao L and Zeng SQ were responsible for sorting the data; all authors revised and approved the manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board at Union Hospital affiliated to Tongji Medical College, Huazhong University of Science and Technology (approval No. 0353).
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: No additional data are available.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ning Zhang, BM BCh, Nurse, Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan 430022, Hubei Province, China. zhangningsci@163.com
Received: November 19, 2020
Peer-review started: November 19, 2020
First decision: November 29, 2020
Revised: December 4, 2020
Accepted: December 22, 2020
Article in press: December 22, 2020
Published online: March 6, 2021
Processing time: 101 Days and 17.8 Hours
Abstract
BACKGROUND

Gastrointestinal tumors have a high incidence rate. The application value of the cooperative nursing care system of medical care has received widespread attention in recent years. However, there are few studies on the value of the joint application of collaborative nursing care and self-efficacy education.

AIM

To explore the effect of cooperative nursing care management/self-efficacy education on postoperative infection and self-efficacy in gastrointestinal tumor surgery patients.

METHODS

A total of 102 patients with gastrointestinal tumors treated in our hospital from October 2018 to February 2020 were selected and divided into a conventional group (n = 51) and a combined group (n = 51) according to the nursing plan. The routine group adopted routine nursing, and the joint group adopted the medical care cooperative responsibility system nursing management combined with self-efficacy education. The self-efficacy scores, coping style scores, self-experience burden scores, and postoperative complication rates of the two groups before and after intervention were counted.

RESULTS

After intervention, the daily life behavior management, cognitive symptom management, and disease management scores of the two groups were higher than those before the intervention, and those of the combined group were higher than those of the conventional group (all P = 0.000). After the intervention, the positive response scores of the two groups were higher than those before the intervention, the negative response scores were lower than those before the intervention, and the combined group was better than the conventional group (all P = 0.000). After the intervention, the two groups’ emotional, economic, and physical factor scores were lower than those before the intervention, and the combined group was lower than the conventional group (all P = 0.000). The incidence of infection in the combined group (1.96%) was lower than that in the conventional group (15.69%) (P = 0.036).

CONCLUSION

Cooperative nursing care management and self-efficacy education improved the physical and mental states of gastrointestinal cancer surgery patients, change the response to disease, and reduce the risk of postoperative infection.

Keywords: Medical care cooperative responsibility system nursing management; Self-efficacy education; Gastrointestinal neoplasms; Postoperative infection; Self-efficacy; Nursing

Core Tip: The application value of the cooperative nursing care system of medical care has received widespread attention in recent years. However, there are few studies on the value of the joint application of collaborative nursing care and self-efficacy education. The effective measures should be taken to intervene in patients with gastrointestinal tumors after surgery.