Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Feb 27, 2025; 17(2): 100322
Published online Feb 27, 2025. doi: 10.4240/wjgs.v17.i2.100322
Humanistic and graded psychological nursing care for patients undergoing endoscopic submucosal dissection of gastrointestinal tumors
Ying Jiang, Bao-Lian Bu, Wei Yang, Yuan Zhi, Hong-Yan Ye
Ying Jiang, Yuan Zhi, Hong-Yan Ye, Department of Endoscopy, Zhejiang Jinhua Guangfu Tumor Hospital, Jinhua 321000, Zhejiang Province, China
Bao-Lian Bu, Department of Gastroenterology, Zhejiang Jinhua Guangfu Tumor Hospital, Jinhua 321000, Zhejiang Province, China
Wei Yang, Department of General Surgery, Zhejiang Jinhua Guangfu Tumor Hospital, Jinhua 321000, Zhejiang Province, China
Author contributions: Jiang Y and Bu BL designed the study; Jiang Y, Yang W, and Zhi Y performed the data collection and analyzed the data; Jiang Y, Bu BL, and Ye HY wrote the manuscript; and all authors reviewed the manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Zhejiang Jinhua Guangfu Tumor Hospital, approval No. 2024-019.
Informed consent statement: The data used in this study were not involved in the privacy information of patients, so the informed consent was waived by the Ethics Committee of Zhejiang Jinhua Guangfu Tumor Hospital. All patient data obtained, recorded, and managed only used for this study, and all patient information are strictly confidential.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bao-Lian Bu, Department of Gastroenterology, Zhejiang Jinhua Guangfu Tumor Hospital, No. 1296 North Ring Road, Wucheng District, Jinhua 321000, Zhejiang Province, China. 15105796202@163.com
Received: August 26, 2024
Revised: October 13, 2024
Accepted: October 28, 2024
Published online: February 27, 2025
Processing time: 149 Days and 1.4 Hours
Abstract
BACKGROUND

Endoscopic submucosal dissection (ESD) has become a widely accepted, minimally invasive treatment for gastrointestinal submucosal tumors. It has been reported that humanistic nursing care with graded psychological interventions can effectively enhance patients’ physical activity in patients, reduce postoperative complications, and improve their postoperative quality of life.

AIM

To investigate the effects of combining humanistic care with graded psychological support on nursing satisfaction and quality of life in patients undergoing ESD for gastrointestinal submucosal tumors.

METHODS

A retrospective analysis was conducted on the clinical data of 180 patients who underwent ESD surgery for gastrointestinal submucosal tumors at our hospital between March 2021 and February 2023. Patients were allocated into groups based on the nursing care they received: The control group, which received routine care (n = 90), and the observation group, which was subjected to humanistic nursing care in combination with graded psychological support (n = 90). Patient anxiety and depression were assessed using the self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Quality of life was evaluated using the short-form 36 health survey, and additional indications such as time to first food intake, surgery duration, length of hospital stay, nursing satisfaction, and adverse reactions were also recorded. Data was analyzed using SPSS22.0, with t-tests employed for continuous variables and χ2 tests for categorical data.

RESULTS

Patients in the observation group experienced significantly shorter times to first postoperative meal, surgery, and hospital stay compared to the control group. After the intervention, the SAS score of the observation group was 43.17 ± 5.68, and the SDS score was 41.57 ± 6.52, both significantly lower than those of the control group, with SAS score of 52.38 ± 5.21 and SDS score of 51.23 ± 8.25. In addition, the observation group scored significantly higher in daily living, physical function, psychological well-being, and social functioning (80.01 ± 6.39, 83.59 ± 6.89, 81.69 ± 5.34, and 85.23 ± 6.05, respectively). Moreover, the observation group also exhibited higher satisfaction and self-efficacy scores and a lower incidence of adverse reactions compared to the control group (P < 0.05).

CONCLUSION

For patients undergoing ESD for gastrointestinal submucosal tumors, humanistic nursing care in combination with graded psychological nursing care significantly shorten the times to first postoperative meal, surgery, and hospital stay, effectively alleviates anxiety and depression, improves quality of life and nursing satisfaction, and mitigate the incidence of adverse reactions.

Keywords: Humanistic nursing care; Minimally invasive treatment; Graded psychological nursing care; Gastrointestinal submucosal tumor; Endoscopic submucosal dissection

Core Tip: Gastrointestinal submucosal tumors are a prevalent condition affecting the digestive system. Endoscopic submucosal dissection efficaciously attenuates the risk of residual or recurrent tumors. The implementation of humanistic care and graded psychological support has shown to dramatically improve the quality of care and the recovery rate in postoperative patients. These approaches can ameliorate negative emotions and boost the overall quality of life. However, research on the effects of humanistic nursing care and graded psychological nursing in patients undergoing gastrointestinal submucosal tumors post-surgery is not fully. Here elucidated, we analyzed data from 180 patients who underwent endoscopic submucosal dissection for gastrointestinal submucosal tumors, focusing on their postoperative emotion state, quality of life, and complications. The results suggest that combining humanistic nursing care with graded psychological nursing care significantly alleviates postoperative negative emotions, shortens hospital stay, lowers complication rates, and improves quality of life scores.