Randomized Controlled Trial
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2023; 15(12): 2844-2854
Published online Dec 27, 2023. doi: 10.4240/wjgs.v15.i12.2844
Holistic conditions after colon cancer: A randomized controlled trial of systematic holistic care vs primary care
Jing Wang, Jian-Hong Qiao
Jing Wang, Department of General Surgery, Sunshine Union Hospital, Weifang 261205, Shandong Province, China
Jian-Hong Qiao, Department of Clinic, The First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital), Jinan 250014, Shandong Province, China
Author contributions: Wang J and Qiao JH designed the research study, contributed new reagents and analytic tools; Wang J performed the research, analyzed the data and wrote the manuscript; and all authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Sunshine Union Hospital.
Clinical trial registration statement: This study is currently not registered.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
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: Jian-Hong Qiao, MNurs, Chief Nurse, Department of Clinic, The First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital), No. 16766 Jingshi Road, Jinan 250014, Shandong Province, China. jiahui15869@163.com
Received: October 23, 2023
Peer-review started: October 23, 2023
First decision: November 8, 2023
Revised: November 17, 2023
Accepted: December 6, 2023
Article in press: December 6, 2023
Published online: December 27, 2023
ARTICLE HIGHLIGHTS
Research background

Colon cancer surgery is a common treatment. However, patients often need to face many difficulties after surgery, including postoperative pain, nutritional support during recovery, mental and emotional adjustment, and the prevention of complications. Traditional basic care mainly focuses on postoperative wound healing and monitoring of complications, while systemic holistic care may consider the patient’s physical and mental health more comprehensively, including psychosocial support, nutrition and exercise guidance, pain management, etc. By conducting a randomized controlled trial study of these two types of care, the impact of systematic holistic care on patients after colon cancer surgery can be more objectively assessed. Such a study has a positive significance for improving the quality of postoperative care for colon cancer patients and promoting the rehabilitation of patients.

Research motivation

Bowel cancer surgery is a major trauma and patients face many physical and psychological challenges after surgery. Traditional basic nursing focuses on wound management and complication prevention after surgery, but neglects the overall physical and mental needs of patients. Systematic holistic care is more comprehensive, focusing on patient nutrition, pain management, psychological support and other aspects, can more comprehensively meet the needs of patients. However, there are still few reports about the application of systematic holistic care in postoperative patients with colon cancer.

Research objectives

In addition to the physical recovery of patients after colon cancer surgery, their mental state and quality of life (QoL) are also very important. Therefore, this study evaluated the effect of systematic holistic care in promoting patient recovery by comparing the impact of systematic holistic care and basic care on postoperative patients with colon cancer.

Research methods

In order to analyze the differences between systematic holistic care and basic care in the care of patients with colon cancer after surgery, 98 patients with colon cancer after surgery admitted to our hospital from June 2021 to June 2022 were selected as research objects in this clinical trial, and a randomized controlled trial was carried out.

Research results

Through this study, it can be found that the application of systematic holistic nursing in patients with colon cancer surgery has a significant effect, which can not only promote the recovery of gastrointestinal function of patients, but also adjust the overall status of patients after surgery to a certain extent, reduce the occurrence of complications in patients, and thus improve the QoL of patients. The successful implementation of this study is expected to provide new ideas for the exploration of nursing models, and it will also help improve the quality of rehabilitation of patients with colon cancer after surgery.

Research conclusions

In the study, we found that systematic holistic care can significantly improve the recovery process in patients after colon cancer surgery and has a positive impact on psychosocial support and QoL. Through this study, we propose a new theory of personalized care intervention strategies and describe in detail the details of systematic holistic care, while also developing a personalized systematic holistic care plan for patients after colon cancer surgery.

Research perspectives

Based on research evidence, the medical community and strategies for the care and rehabilitation of patients after colon cancer surgery are updated and adjusted to better meet the needs of patients and improve the quality of recovery. At the same time, the successful implementation of this study can also lay a foundation for the standardization of systematic holistic nursing model, so as to further develop specific implementation guidelines for systematic holistic nursing, train medical staff to improve their implementation capabilities, and establish related quality assessment and improvement mechanisms.