Prospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 6, 2023; 11(28): 6763-6773
Published online Oct 6, 2023. doi: 10.12998/wjcc.v11.i28.6763
Effects of humanized nursing care on negative emotions and complications in patients undergoing hysteromyoma surgery
Li Liu, Ya-Hong Xiao, Xue-Hua Zhou
Li Liu, Operating Room, Fudan University Affiliated Obstetrics and Gynecology Hospital, Shanghai 200092, China
Ya-Hong Xiao, Operating Room, Cardiovascular Hospital of The Second Affiliated Hospital of Hainan Medical College, Haikou 571199, Hainan Province, China
Xue-Hua Zhou, Department of Nursing, Chongzuo People's Hospital, Chongzuo 532200, Guangxi Zhuang Autonomous Region, China
Author contributions: Liu L proposed the concept, validated this study, and wrote the first draft; Xiao YH has contributed to data collection; Zhou XH made contributions to formal analysis; Liu L and Xiao YH participated in the survey and contributed to these methods; Xiao YH and Zhou XH contributed to the visualization of this study; All authors jointly guided the research, reviewed and edited the manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional review board of Red House Hospital (No. FDYY-139).
Clinical trial registration statement: This study is registered at Clinical hospital center "www.researchregistry.com" trial registry. The registration identification number is researchregistry9015.
Informed consent statement: All study participants, or their legal guardian, provided written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
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: Xue-Hua Zhou, MNurs, Associate Chief Nurse, Department of Nursing, Chongzuo People's Hospital, No. 6 Longxia East Road, Jiangzhou District, Chongzuo 532200, Guangxi Zhuang Autonomous Region, China. yvwi84@163.com
Received: June 20, 2023
Peer-review started: June 20, 2023
First decision: July 7, 2023
Revised: July 13, 2023
Accepted: August 29, 2023
Article in press: August 29, 2023
Published online: October 6, 2023
Processing time: 97 Days and 3.6 Hours
ARTICLE HIGHLIGHTS
Research background

Uterine fibroids, prevalent benign tumors in women of reproductive age, often require surgical treatment for symptomatic cases like hysteromyoma. This study aimed to assess the impact of humanized nursing care on negative emotions and postoperative complications in patients undergoing hysteromyoma surgery. The humanized nursing care group exhibited significant reductions in anxiety and depression levels and a lower rate of postoperative complications compared to the control group. These findings highlight the effectiveness of humanized nursing care in alleviating negative emotions and reducing postoperative complications, emphasizing its importance in perioperative care for these patients. Further investigation is necessary to explore additional benefits and long-term outcomes associated with the implementation of humanized nursing care in this population.

Research motivation

The motivation for this study stemmed from the need to improve the care and outcomes of patients undergoing hysteromyoma surgery. Uterine fibroids are common benign tumors that can significantly impact a woman's quality of life, necessitating surgical intervention for symptomatic cases. Recognizing the importance of comprehensive patient care, this study aimed to investigate the impact of humanized nursing care on reducing negative emotions and postoperative complications in these patients.

Research objectives

The main objectives of this study were to investigate the impact of humanized nursing care on patients undergoing hysteromyoma surgery and to evaluate its effects on reducing negative emotions and postoperative complications. Specifically, the researchers aimed to compare the outcomes between the humanized nursing care group and the control group receiving traditional nursing care. The study sought to assess changes in anxiety and depression levels through preoperative and postoperative evaluations using the hospital anxiety and depression scale (HADS). Additionally, the researchers aimed to evaluate the incidence of postoperative complications, including infection, bleeding, and deep venous thrombosis, during follow-up assessments. By focusing on these objectives, the researchers aimed to determine whether implementing a comprehensive care plan encompassing psychological support, pain management, and tailored rehabilitation programs could effectively alleviate negative emotions and reduce postoperative complications in patients undergoing hysteromyoma surgery. The findings would provide valuable insights into the potential benefits of humanized nursing care and contribute to improving perioperative care for this patient population.

Research methods

This study employed a randomized controlled trial design at the Fudan University Affiliated Obstetrics and Gynecology Hospital. Two hundred patients undergoing hysteromyoma surgery were randomly assigned to either the control group (n = 100) or the humanized nursing care group (n = 100). The control group received traditional nursing care, while the humanized nursing care group received comprehensive care including psychological support, pain management, and tailored rehabilitation programs. Anxiety and depression levels were assessed using the HADS preoperatively and postoperatively. Postoperative complications were evaluated during follow-up assessments and compared between the two groups. Statistical analysis was conducted to determine significant differences.

Research results

The research findings revealed significant positive outcomes associated with the implementation of humanized nursing care in patients undergoing hysteromyoma surgery. The humanized nursing care group showed a notable decrease in anxiety and depression levels compared to the control group, indicating the effectiveness of this approach in alleviating negative emotions. Additionally, the humanized nursing care group exhibited a significantly lower rate of postoperative complications, including infection, bleeding, and deep venous thrombosis. These results contribute to the existing research in the field by emphasizing the importance of comprehensive patient care that extends beyond the surgical procedure itself. By integrating psychological support, pain management, and tailored rehabilitation programs, humanized nursing care demonstrated its potential to improve patient outcomes and well-being in the perioperative period. However, some unresolved issues remain. Further research is needed to explore additional benefits and long-term outcomes associated with implementing humanized nursing care in this specific population. Long-term follow-up assessments are necessary to evaluate the sustained effects of this care approach on patients' emotional well-being and postoperative recovery. Additionally, studies examining cost-effectiveness and feasibility of implementing humanized nursing care on a broader scale would provide valuable insights for healthcare institutions and policymakers.

Research conclusions

The importance of integrating humanized nursing care as a crucial component of perioperative care for patients with hysteromyoma. By addressing the holistic needs of patients throughout their surgical journey, healthcare providers can enhance emotional well-being and improve overall patient outcomes. However, further research is needed to explore additional benefits and long-term outcomes associated with implementing humanized nursing care in this specific population. Such investigations would provide valuable insights for optimizing perioperative care and improving the overall quality of life for patients undergoing hysteromyoma surgery.

Research perspectives

The findings of this study provide valuable perspectives for future research in the field of nursing care for hysteromyoma surgery patients. Firstly, further investigations should explore the mechanisms by which humanized nursing care interventions alleviate negative emotions and reduce postoperative complications. Understanding the specific components and approaches within humanized nursing care that contribute to these positive outcomes can inform the development of targeted interventions. Secondly, long-term follow-up studies are warranted to evaluate the sustained effects of humanized nursing care on patient well-being beyond the immediate postoperative period. Assessing patient outcomes, quality of life, and the potential for recurrence or long-term complications would provide a comprehensive understanding of the impact of humanized nursing care over time.