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): 99826
Published online Feb 27, 2025. doi: 10.4240/wjgs.v17.i2.99826
Effect of comprehensive perioperative nursing on pain intensity, complication rates, and comfort levels in patients undergoing gallstone surgery
Chen-Yan Bao, Xiao-Kun Ding, Qiao-Fei Qi, Peng Ye, Ze-Jun Fang
Chen-Yan Bao, Xiao-Kun Ding, Qiao-Fei Qi, Peng Ye, Department of General Surgery, Sanmen People’s Hospital, Taizhou 317100, Zhejiang Province, China
Ze-Jun Fang, Central Laboratory, Sanmen People’s Hospital, Taizhou 317100, Zhejiang Province, China
Author contributions: Bao CY designed the research study; Bao CY, Ding XK, Qi QF, Ye P, and Fang ZJ performed the research; Bao CY and Fang ZJ analyzed the data and wrote the manuscript; and all authors have read and approved the final manuscript.
Supported by Science and Technology Program of Sanmen County Public Technology Social Development Project, No. 24227.
Institutional review board statement: This study was approved by the Ethic Committee of Sanmen People’s Hospital.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
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: Ze-Jun Fang, MD, Associate Chief Physician, Central Laboratory, Sanmen People’s Hospital, Taihe Road, Hairun Street, Sanmen County, Taizhou 317100, Zhejiang Province, China. fangzejun@zjsmyy.com
Received: October 9, 2024
Revised: November 4, 2024
Accepted: December 6, 2024
Published online: February 27, 2025
Processing time: 105 Days and 1.2 Hours
Abstract
BACKGROUND

Surgery is the gold standard for gallstone treatment. Nevertheless, the complications associated with the surgical procedure can exert diverse and adverse impacts on patients’ health and quality of life to varying extents. Hence, it is essential to offer perioperative care to patients undergoing gallstone surgery.

AIM

To examine the impact of perioperative comprehensive nursing on pain intensity, complication rates, and patient comfort in individuals undergoing gallstone surgery.

METHODS

From February 2022 to February 2024, 195 patients who underwent gallstone surgery at Sanmen People’s Hospital were selected and divided into two groups: A control group receiving routine nursing care (95 patients) and a research group receiving perioperative comprehensive nursing (100 patients). Key postoperative recovery indicators, including time to first postoperative anal exhaust, oral food intake, and ambulation, were observed, along with pain intensity (measured by the numeric rating scale), complication rate (bleeding, incision infection, recurrence), patient comfort (assessed using the visual analogue scale), and quality of life (measured by the World Health Organization Quality of Life-BREF).

RESULTS

The research group showed significantly shorter times to first postoperative anal exhaust, oral intake, and ambulation. Moreover, numeric rating scale pain scores in the research group were markedly lower post-nursing, and the total complication rate was significantly reduced compared to the control group. Furthermore, comfort levels improved considerably in the research group, and World Health Organization Quality of Life-BREF scores across the physical, psychological, social, and environmental domains were significantly higher compared to the control group following nursing care.

CONCLUSION

Perioperative comprehensive nursing effectively enhances postoperative recovery in patients undergoing gallstone surgery, reducing pain, lowering complications, and improving patient comfort and quality of life, which deserves clinical application.

Keywords: Perioperative comprehensive nursing; Gallstone surgery; Pain intensity; Complication rate; Comfort

Core Tip: Gallstone surgery is the gold-standard treatment for gallstones; however, it may lead to complications and negatively impact patients’ health and quality of life. Perioperative care for patients undergoing gallstone surgery is essential to minimize postoperative complications as much as possible and enhance patient comfort and quality of life. In this study, comprehensive perioperative nursing was implemented for patients undergoing gallstone surgery and compared with routine care. Our results indicated that comprehensive perioperative nursing significantly promotes postoperative recovery, effectively alleviates pain, reduces overall complication rates, and improves patient comfort and quality of life, making it worthy of clinical promotion.