Randomized Clinical Trial
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 28, 2025; 31(8): 102331
Published online Feb 28, 2025. doi: 10.3748/wjg.v31.i8.102331
Evidence-based control of stress response on intraoperative physiological indexes and recovery of patients undergoing gastrointestinal surgery
Chen-Dong Yuan, Bao-Zhu Zhou, Ning-Yan Wang, Qing-Qing Wan, Zhen-Zhen Hu
Chen-Dong Yuan, Department of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China
Bao-Zhu Zhou, Ning-Yan Wang, Qing-Qing Wan, Zhen-Zhen Hu, Department of Anesthesiology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China
Author contributions: Yuan CD, Zhou BZ, and Wang NY was the guarantor and designed the study; Yuan CD and Hu ZZ participated in the acquisition, analysis, and interpretation of the data, and drafted the initial manuscript; Yuan CD and Wan QQ revised the article critically for important intellectual content.
Institutional review board statement: The study was reviewed and approved by the First Affiliated Hospital of Nanchang University, Jiangxi Province.
Clinical trial registration statement: As the author’s organization and ethics committee did not require clinical trial registration prior to the study.
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.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: 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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhen-Zhen Hu, Department of Anesthesiology, The First Affiliated Hospital of Nanchang University, No. 17 Yongwai Main Street, Donghu District, Nanchang 330006, Jiangxi Province, China. ndyfyhzz9989@163.com
Received: November 13, 2024
Revised: December 11, 2024
Accepted: January 14, 2025
Published online: February 28, 2025
Processing time: 70 Days and 21.8 Hours
Core Tip

Core Tip: This study established an evidence-based enhanced recovery after surgery model with stress response nursing care as its foundation, and demonstrated nursing benefits through clinical practice, providing a reference and a guide for optimizing perioperative nursing protocols for older adult patients undergoing gastrointestinal surgery. Our results showed that patients who received the evidence-based nursing measures targeting stress responses showed more stable intraoperative physiological parameters, improved postoperative recovery, and a reduced incidence of complications compared with the control group that received the standard enhanced recovery after surgery nursing model.