Systematic nursing interventions in gastric cancer: A randomized controlled study

Abstract

BACKGROUND Scientific and effective nursing methods can effectively mitigate negative emotions in patients. Related studies have shown that systematic nursing interventions are beneficial in enhancing the self-efficacy and self-care abilities of patients and improving their physical and mental state, thereby alleviating their fatigue and improving their quality of life. AIM To explore the effects of systematic nursing intervention on cancer-related fatigue, self-efficacy, self-nursing ability, and quality of life in gastric cancer (GC) patients during the perioperative period. METHODS In this study, sample size was based on the multivariable scale. The sample size was 10 times the acceptable variable, with an additional 20% added to account for an expected loss of patients in follow-up for a final sample size of 168 patients. Conventional nursing measures were used in the control group, while the systematic nursing intervention Adopted Cancer Fatigue Scale (CFS), General Self-Efficacy Scale-Schwarzer (GSES), Self-Care Agency Scale (ESCA), and simple health scale (SF-36) were used in the observation group. The questionnaires were administered on admission and discharge. RESULTS At admission, there was no statistically significant difference in the scores on each scale between the groups. At discharge, the CFS and GSES scores in the observation group were 21.56 ± 2.24 and 51.16 ± 11.71, while those in the control group were 29.61 ± 3.48 and 41.58 ± 8.54, respectively, with statistically significant differences. The ESCA score in the observation and control groups was 112.09 ± 11.72 and 97.87 ± 9.26, respectively. Moreover, the scores in all dimensions (self-concept, self-responsibility, health knowledge level, and self-care skills) in the observation group were higher than those in the control group, with statistically significant differences. The SF-36 score in the observation and control groups was 75.51 ± 3.63 and 63.24 ± 3.41, respectively, with statistically significant differences. The scores in all dimensions (mental health, vitality, physical function, physical pain, social function, emotional function, and overall health level) in the observation group were higher than those in the control group, with statistically significant differences. CONCLUSION Systemic nursing intervention for GC patients during the perioperative period could alleviate cancer-related fatigue, improve self-efficacy and self-nursing ability, and improve quality of life, which all have clinical value.

Systematic nursing strategy for chronic rhinosinusitis patients with polyps undergoing endoscopic sinus surgery and its effect on their outcomes

“…This finding agreed with Jin et al, (2021) (6) (25), focusing on "Improved perioperative quality of life in endoscopic sinus surgery by application of enhanced recovery after surgery," where it was reported that applying enhanced recovery after surgery led to an improved perioperative quality of life in endoscopic sinus surgery. These findings also concurred with He & He (2022) (26), who conducted a randomized controlled study on "Systematic nursing interventions in gastric cancer" and found that after applying the systematic nursing interventions, the scores in all aspects of quality of life within the observation group were significantly higher than those in the control group. These outcomes substantiate the third research hypothesis.…”

Influence of standardized nursing intervention combined with mindfulness stress reduction training on the curative effect in patients with acute pancreatitis

“…In patients with pancreatitis, the trypsin in the pancreas is activated, leading to edema and bleeding in the tissues around the pancreas, and even produce necrotic inflammatory reactions, which seriously reduces the life quality of patients[ 13 , 14 ]. In addition to clinical treatment, scientific nursing intervention is equally important, while the nursing intervention alone cannot achieve an ideal effect[ 15 , 16 ]. Therefore, on the basis of standardized nursing, more comprehensive and high-quality intervention measures should be taken.…”

Evaluation of patient preparation for hospital discharge after gastrectomy

“…Self-efficacy affects the quality of life of gastric cancer survivors, and it is one of the resources that should be assessed in patients before implementing interventions to improve the quality of life of gastric cancer survivors [18]. A study by He and He showed the positive importance of nursing interventions for perioperative gastric cancer patients based on education, psychological support taking into account the individuality of perioperative gastric cancer patients for improving their sense of self-efficacy, self-care ability, and quality of life [28]. In this study, the respondents obtained a score indicating an average level of disease acceptance.…”