Randomized Controlled Trial
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Mar 27, 2025; 17(3): 100302
Published online Mar 27, 2025. doi: 10.4240/wjgs.v17.i3.100302
Effects of postoperative quantitative assessment strategy-based nursing in patients with colorectal cancer
Xiao-Qin Tan, Xiao-Lu Huang
Xiao-Qin Tan, Xiao-Lu Huang, Department of Colorectal and Anal Surgery, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, Hubei Province, China
Author contributions: Tan XQ drafted the manuscript and gave final approval of the version to be published; Huang XL designed this study, collected and analyzed the data; Tan XQ and Huang XL took part in this study as endoscopic operators or assistants; and all authors thoroughly reviewed and endorsed the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, approval No. LW-2024-054.
Informed consent statement: Signed informed consent was obtained from all participants.
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: 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: Xiao-Lu Huang, Department of Colorectal and Anal Surgery, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, No. 158 Wuyang Avenue, Enshi 445000, Hubei Province, China. txq917218548@163.com
Received: November 21, 2024
Revised: December 20, 2024
Accepted: January 9, 2025
Published online: March 27, 2025
Processing time: 94 Days and 18.7 Hours
Abstract
BACKGROUND

Scientifically sound and reasonable care strategies in surgical nursing play a crucial role in facilitating postoperative recovery and preventing complications. This study focused on the application of quantitative assessment strategies to postoperative care. By quantitatively analyzing the effects of nursing interventions, we explored their feasibility and effectiveness at improving postoperative recovery quality and reducing the incidence of complications. This study provides a scientific basis for nursing practice and offers new insights into nursing management with significant clinical value.

AIM

To analyze the efficacy of postoperative quantitative assessment strategy-based nursing care for patients with colorectal cancer (CRC).

METHODS

This randomized controlled trial evaluated the ability of nursing interventions using a quantitative assessment strategy to prevent postoperative complications and enhance patient recovery. Patients with CRC were randomly divided into routine nursing (RN) and quantitative assessment strategy nursing (QASN) groups. The RN group received standard care, while the QASN group also underwent screenings for visual analog scale for pain, Barthel Index for functional recovery, and self-rating anxiety scale and self-rating depression scale for psychological status. Follow-ups were conducted on postoperative days 1, 7, 14, 28, and 56.

RESULTS

The participants’ baseline characteristics did not significantly differ between study groups, thereby ensuring the reliability of the results. The QASN vs RN group showed significant improvements in pain management (visual analog scale scores) and psychological status (self-rating anxiety scale and self-rating depression scale scores) and a reduced incidence of postoperative complications (P < 0.05). The follow-up evaluations at specified intervals confirmed these findings, indicating that quantitative assessment strategies significantly enhanced patients’ postoperative pain management and psychological well-being.

CONCLUSION

Nursing interventions using structured quantitative assessments demonstrated significantly improved postoperative recovery and quality of life in patients with CRC, supporting their integration into standard postoperative care protocols.

Keywords: Postoperative; Colorectal cancer; Quantitative assessment strategy-based nursing; Patient recovery; Pain management; Nursing evaluation

Core Tip: In this study, we developed individualized interventions based on the patients' actual conditions. By quantitatively assessing the patient’s overall condition, dynamic adjustments were made based on the patient’s change in condition, pain level, and postoperative complications. The study demonstrated that care based on quantitative assessment strategies significantly reduces postoperative complications and improves recovery in patients with colorectal cancer, and the findings support the benefits of combining care plans based on quantitative assessment strategies with standard postoperative care protocols.