Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1728
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
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.
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.
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.
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.
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.
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.
The results of this study will be confirmed in large cohort studies performed in multiple centers.