Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2023; 15(8): 1728-1738
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1728
Enhanced recovery nursing and mental health education on postoperative recovery and mental health of laparoscopic liver resection
Dong-Xia Li, Wei Ye, Yi-Lu Yang, Lei Zhang, Xiang-Jun Qian, Ping-Hua Jiang
Dong-Xia Li, Lei Zhang, Xiang-Jun Qian, Ping-Hua Jiang, Department of Pancreatic Hepatobiliary Surgery, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong Province, China
Dong-Xia Li, Wei Ye, Yi-Lu Yang, Lei Zhang, Xiang-Jun Qian, Ping-Hua Jiang, Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong Province, China
Wei Ye, Yi-Lu Yang, Department of Orthopedics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong Province, China
Author contributions: Li DX and Ye W contributed equally to this work; Li DX, Ye W, and Jiang PH designed the research study; Li DX, Yang YL, Zhang L and Qian XJ performed the research; Li DX, Jiang PH and Yang YL analyzed the data and wrote the manuscript; All authors have read and approved the final manuscript.
Supported by National Key Clinical Discipline; and the National Science Foundation of China, No. 82002587.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of The Sixth Affiliated Hospital of Sun Yat-sen University, No. 2023ZSLYEC-046.
Informed consent statement: The ethics committee reviewed and approved the waiver of informed consent/informed consent signing.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Technical appendix, statistical code, and dataset are available from the corresponding author at jiangph3@mail.sysu.edu.cn.
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: Ping-Hua Jiang, BSc, Nurse, Department of Pancreatic Hepatobiliary Surgery, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, No. 26 Erheng Road, Yuancun, Tianhe District, Guangzhou 510655, Guangdong Province, China. jiangph3@mail.sysu.edu.cn
Received: May 19, 2023
Peer-review started: May 19, 2023
First decision: June 1, 2023
Revised: June 9, 2023
Accepted: July 11, 2023
Article in press: July 11, 2023
Published online: August 27, 2023
ARTICLE HIGHLIGHTS
Research background

Laparoscopic tumor resection is a common surgical treatment method for liver metastasis of colorectal cancer in clinical practice. However, surgical treatment cannot completely control the disease, and patients will also need to accept chemotherapy and other rehabilitation maintenance, and there is still a risk of postoperative recurrence.

Research motivation

These patients will have negative emotions such as fear and anxiety. The surgical method is in the abdomen of the patient, so it will affect the digestive function after surgery. Therefore, early nursing and psychological intervention are necessary.

Research objectives

To analyze the effect of accelerated rehabilitation surgical nursing combined with mental health education on postoperative recovery and mental health of patients undergoing laparoscopic resection of colorectal cancer liver metastases.

Research methods

One hundred and twenty patients who underwent laparoscopic resection of liver metastases of colorectal cancer were selected and divided into two groups. The control group was given routine nursing combined with mental health education intervention, while the observation group was given accelerated rehabilitation surgical nursing combined with mental health education intervention. The differences in postoperative recovery-related indices, complications and pain degrees, and mental health-related scores were compared between groups. The T lymphocyte subset levels of the two groups were also compared.

Research results

The results in the observation group were better in postoperative recovery-related indices, complications, pain degrees, and mental health-related scores than those in the control group. The nursing satisfaction of the observation group was higher than that of the control group. The physical, psychological, and social well-being, and the total FLIC scores of the observation group were higher than those in the control group after surgery.

Research conclusions

Enhanced recovery nursing combined with mental health education can promote the recovery of gastrointestinal function, improve the mental health and quality of life of patients after laparoscopic resection of colorectal cancer liver metastases, and reduce the incidence of complications.

Research perspectives

The results of this study will be confirmed in large cohort studies performed in multiple centers.