Case Control Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2021; 9(20): 5435-5441
Published online Jul 16, 2021. doi: 10.12998/wjcc.v9.i20.5435
Effects of nursing care in fast-track surgery on postoperative pain, psychological state, and patient satisfaction with nursing for glioma
Yan-Hong Deng, Yi-Mei Yang, Jian Ruan, Lin Mu, Shi-Qiang Wang
Yan-Hong Deng, Jian Ruan, Shi-Qiang Wang, Department of Neurosurgery, Chongqing University Cancer Hospital, Chongqing 400030, China
Yi-Mei Yang, Sterile Supply Center, Chongqing University Cancer Hospital, Chongqing 400030, China
Lin Mu, Department of Anesthesiology, Chongqing University Cancer Hospital, Chongqing 400030, China
Author contributions: Deng YH and Yang YM contributed equally to this manuscript and should be considered as co-first authors; Deng YH, Yang YM, Ruan J, Mu L, and Wang SQ designed the study and wrote the manuscript; all authors approved the revised version of the manuscript.
Institutional review board statement: The study was reviewed and approved by the Chongqing University Cancer Hospital Institutional Review Board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There is no conflict of interest to disclose.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement checklist of items, and the manuscript was prepared and revised according to the STROBE Statement checklist of items.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Hong Deng, BMed, Chief Nurse, Department of Neurosurgery, Chongqing University Cancer Hospital, No. 181 Hanyu Road, Shapingba District, Chongqing 400030, China. dyhmgm789592@163.com
Received: April 1, 2021
Peer-review started: April 1, 2021
First decision: April 23, 2021
Revised: May 7, 2021
Accepted: May 15, 2021
Article in press: May 15, 2021
Published online: July 16, 2021
Abstract
BACKGROUND

The brain is the most complex organ in the human body. Treatment for a glioma always involves a multi-disciplinary team. Nursing care in fast-track surgery or enhanced recovery after surgery is such kind of work implemented by an interdisciplinary team to provide services to patients to improve their outcomes.

AIM

To explore the effects of nursing care in fast-track surgery on postoperative pain, psychological state, and patient satisfaction with nursing for glioma.

METHODS

From June 2018 to June 2020, 138 patients who underwent operation for glioma at Cancer Hospital Affiliated to Chongqing University were selected. They were categorized into groups according to different nursing care that they received. Of them, 69 patients receiving nursing care in fast-track surgery were included in an experimental group, and 69 patients receiving conventional postoperative nursing were included in a control group. Visual analogue scale was used to evaluate postoperative pain in the two groups immediately after the operation and at 3 d after the operation. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the psychological status of patients immediately after operation and on the 3rd postoperative day. A self-made satisfaction scale for patient satisfaction with nursing was used to evaluate and compare patient satisfaction with nursing between the two groups.

RESULTS

Time to excretion, time to out-of-bed activities, and length of hospital stay were significantly shorter in the observation group than in the control group (P < 0.05). There was no significant difference in duration of operative time or intraoperative bleeding between the two groups (P > 0.05). There was no significant difference in postoperative pain score between the two groups (P > 0.05). The pain score was significantly lower in the observation group than in the control group at 3 d after the operation (P < 0.05). There was no significant difference in postoperative SAS or SDS score between the two groups (P > 0.05). SAS and SDS scores were significantly lower in the observation group than in the control group at 3 d after operation (P < 0.05). The rate of patient satisfaction with nursing was 94.2% in the observation group, which was significantly higher than that (81.2%) of the control group (P < 0.05).

CONCLUSION

Nursing care in fast-track surgery can relieve postoperative pain, anxiety, and depression, and improve patient satisfaction with nursing in patients with glioma, which is worthy of clinical application.

Keywords: Nursing care in fast-track surgery, Glioma, Visual analogue scale, Self-rating anxiety scale, Self-rating depression scale

Core Tip: Surgery is the most common initial treatment for gliomas. How to reduce patients’ surgical stress response, optimize organ function, and facilitate their recovery is an important question. Nursing care in fast-track surgery may help to solve the problem. The present study reported the benefits of nursing care in fast-track surgery in patients with glioma. It was found that this kind of service shortened the time to excretion, time to out-of-bed activities, and length of hospital stay, relieved pain, lessened unhealthy emotions, and improved patient satisfaction.