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): 101297
Published online Feb 27, 2025. doi: 10.4240/wjgs.v17.i2.101297
Comprehensive influence of individualized nutrition support and nursing strategy on rehabilitation of patients with liver cancer after operation
Xue-Li Zhang, Hai-Yan Ma
Xue-Li Zhang, Hai-Yan Ma, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430079, Hubei Province, China
Author contributions: Zhang XL designed the research study; Zhang XL analyzed the data and wrote the manuscript; Ma HY was responsible for revising the manuscript; and all authors read and approved the final version.
Institutional review board statement: The study was reviewed and approved by the Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: The authors declare no conflicts of interest for this article.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at haiyan198805@163.com. Participants gave informed consent for data sharing.
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: Hai-Yan Ma, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 116 Zhuodaoquan South Road, Hongshan District, Wuhan 430079, Hubei Province, China. haiyan198805@163.com
Received: October 23, 2024
Revised: December 3, 2024
Accepted: December 30, 2024
Published online: February 27, 2025
Processing time: 90 Days and 23.4 Hours
Abstract
BACKGROUND

Hepatocellular carcinoma ranks among the most prevalent malignant neoplasms. Surgical intervention constitutes a critical therapeutic approach for this condition. Nonetheless, postoperative recovery is frequently influenced by the patient's nutritional status and the quality of nursing care provided.

AIM

To examine the comprehensive impact of personalized nutritional support and nursing strategies on the postoperative rehabilitation of patients with liver cancer.

METHODS

In this study, a retrospective comparative analysis was conducted involving 60 post-operative liver cancer patients. The subjects were selected as subjects and divided into two groups based on differing nursing interventions, with each group comprising 30 patients. The control group received standard nutritional support and care, whereas the experimental group received individualized nutritional support and nursing strategies. The study aimed to evaluate the impact of individualized nutrition by comparing the rehabilitation indices, nutritional status, quality of life (QoL), and complication rates between the two groups.

RESULTS

The results showed that the recovery index of the experimental group was significantly better than that of the control group 2 weeks after surgery, and the average liver function recovery index of the experimental group was 85. significantly higher than that of the control group (73.67 ± 7.19). In terms of nutritional status, the serum albumin level and body weight stabilization rate of the experimental group were also significantly higher than those of the control group, which were 42.33 ± 2.4 g/L and 93.3%, respectively, compared with 36.01 ± 3.85 g/L and 76.7% of the control group. In addition, the average QoL score of the experimental group was 84.66 ± 3.7 points, which was significantly higher than that of the control group (70.92 ± 4.28 points). At the psychological level, the average anxiety score of the experimental group was 1.17 ± 0.29, and the average depression score was 1.47 ± 0.4, which were significantly lower than the 2.26 ± 0.42 and 2.57 ± 0.45 of the control group. This showed that patients in the experimental group were better relieved of anxiety and depression under the individualized nutrition support and nursing strategy. More importantly, the complication rate in the experimental group was only 10%, much lower than the 33.3% in the control group.

CONCLUSION

Personalized nutritional support and tailored nursing strategies significantly enhance the postoperative rehabilitation of liver cancer patients. Consequently, it is recommended to implement and advocate for these individualized approaches to improve both the recovery outcomes and QoL for these patients.

Keywords: Liver cancer; After surgery; Individualized nutritional support; Nursing strategy; Rehabilitation effect

Core Tip: Hepatocellular carcinoma (HCC) is a highly prevalent and malignant neoplasm globally, posing a significant threat to human health. Surgical resection is a potential treatment option; however, the postoperative recovery process is prolonged and intricate, influenced by a multitude of factors. Among these, nutritional status plays a crucial role in the rehabilitation of patients following liver cancer surgery. This study aims to investigate the implementation and efficacy of individualized nutritional support and nursing strategies in the postoperative recovery of patients with HCC.