Observational Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2024; 16(7): 2232-2241
Published online Jul 27, 2024. doi: 10.4240/wjgs.v16.i7.2232
Effect of information-motivation-behavioral skills model based perioperative nursing on pain in patients with gallstones
Li Ma, Ying Yu, Bin-Juan Zhao, Yan-Nan Yu, Yu Li
Li Ma, Ying Yu, Department of Nursing, Xi’an International Medical Center Hospital, Xi’an 710100, Shaanxi Province, China
Bin-Juan Zhao, Yan-Nan Yu, Yu Li, Department of Hepatobiliary, Pancreatic and Spleen Surgery, Xi’an International Medical Center Hospital, Xi’an 710100, Shaanxi Province, China
Author contributions: Ma L performed the research and wrote the paper; Yu Y analyzed the data; Zhao BJ and Yu YN contributed new reagents or analytic tools; Li Y designed the research; and all authors have read and approved the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Xi’an International Medical Center Hospital (No. 20230514).
Informed consent statement: Written informed consent from each participant was obtained.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data that support the findings of this study are available from the corresponding author at li999999yu@126.com.
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.
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: Yu Li, Bachelor of Science in Nursing, nurse, Department of Hepatobiliary, Pancreatic and Spleen Surgery, Xi’an International Medical Center Hospital, No. 777 Xitai Road, Xi’an High-tech Zone, Xi’an 710100, Shaanxi Province, China. li999999yu@126.com
Received: February 19, 2024
Revised: May 7, 2024
Accepted: May 31, 2024
Published online: July 27, 2024
Processing time: 154 Days and 4.2 Hours
Abstract
BACKGROUND

The incidence of cholecystolithiasis is on the rise. Use of information, motivation, and behavioral skills can play a positive role in promoting changes in individual health behaviors. However, reports on the effects of information-motivation-behavioral (IMB) skills model based high-quality nursing as a perioperative nursing intervention for patients with gallstones are nonexistent.

AIM

To explore the application of IMB skills model based high-quality nursing in patients with gallstones.

METHODS

Two hundred and sixteen patients with cholecystolithiasis treated at our hospital from January 2022 to January 2023 were enrolled and divided into a control, high-quality, and combined nursing groups, with 72 patients in each group. The control, high-quality, and combination groups received conventional, high-quality, and IMB skills model based perioperative nursing services, respectively. Differences in clinical indicators, stress levels, degree of pain, emotional state, and quality of life were observed, and complications and nursing satisfaction among the three groups were evaluated.

RESULTS

After nursing, the time to recovery of gastrointestinal function in the high-quality and combined nursing groups was significantly shorter than that of the control group, with the recovery of gastrointestinal function being the fastest in the combined nursing group (P < 0.05). After nursing intervention, cortisol and norepinephrine levels in the high-quality and combined nursing groups were closer to normal than those of the control group 24 h after surgery, with the combined nursing group having the closest to normal levels (P < 0.05). After 3 and 7 d of intervention, the patients’ pain significantly improved, which was more prominent in the high-quality and combination groups. Meanwhile, the pain score in the combination group was significantly lower than those of the control and high-quality nursing groups (P < 0.05). After nursing intervention, the emotional states of all patients improved, and the scores of patients in the combination group were significantly lower than those of the control and high-quality nursing groups. The quality of life of patients in the high-quality and combined nursing groups significantly improved after nursing intervention compared to that of the control group, with the combined nursing group having the highest quality of life score. After intervention, the incidence of complications in the high-quality and combination groups was significantly lower than that of the control group (P < 0.05), but the difference between the combination and high-quality nursing groups was not significant. Nursing satisfaction of patients in the high-quality and combination groups was significantly higher than that of the control group, with the nursing satisfaction being the highest in the combination group (P < 0.05).

CONCLUSION

IMB skills model based nursing can improve surgical stress levels, degrees of pain, emotional state, quality of life, and nursing satisfaction of patients with gallstones and reduce the incidence of complications.

Keywords: Biliary calculi, Information-motivation-behavioral skills model, High quality care, Perioperative period, Pain, Application

Core Tip: This observational study investigates the impact of information-motivation-behavioral (IMB) skills model based high-quality nursing care during the perioperative period on pain management in gallstone patients. The findings reveal that the IMB approach significantly improves patients’ recovery times, reduces pain, alleviates stress, enhances emotional well-being, and increases quality of life compared to conventional care. The IMB skills model based nursing also leads to higher nursing satisfaction rates and lowers complication incidences, suggesting its potential as an effective strategy in enhancing perioperative care for gallstone patients.