Dai ZH, Xu L, Yang Y, He XN, Chen K. Effects of integrated management on surgical outcomes and mental health of patients following endoscopic submucosal dissection. World J Clin Cases 2024; 12(20): 4034-4040 [PMID: 39015912 DOI: 10.12998/wjcc.v12.i20.4034]
Corresponding Author of This Article
Ke Chen, MD, Doctor, Department of Gastroenterology, Ningbo Yinzhou No. 2 Hospital, No. 998 Qianhe Road, Yinzhou District, Ningbo 315000, Zhejiang Province, China. 13429322668@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
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World J Clin Cases. Jul 16, 2024; 12(20): 4034-4040 Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4034
Table 1 Patient characteristics between the management group and control group
Variable
Management group (n = 60)
Control group (n = 60)
P value
Age (yr, mean ± SD)
45.6 ± 3.5
44.3 ± 3.2
NS
Gender distribution, n (%)
32 (53.3)
30 (50.0)
NS
BMI (kg/m2, mean ± SD)
22.1 ± 2.1
21.8 ± 2.0
NS
Disease duration (month, mean ± SD)
4.7 ± 0.9
4.9 ± 0.9
NS
Disease type, n (%)
NS
Rectal leiomyoma
18 (30.0)
21 (35.0)
NS
Rectal adenoma
18 (30.0)
17 (28.3)
NS
Colorectal cancer
14 (23.3)
13 (21.7)
NS
Rectal stromal tumor
10 (16.7)
9 (15.0)
NS
Table 2 Operation duration, fasting time, and length of hospital stay in the control group and management group
Variable
Management group (n = 60)
Control group (n = 60)
P value
Operation duration (min, mean ± SD)
62.8 ± 9.7
65.4 ± 9.6
NS
Fasting time (d, mean ± SD)
1.6 ± 0.3
2.2 ± 0.4
< 0.01
Length of hospital stay (d, mean ± SD)
3.6 ± 0.5
4.8 ± 0.6
< 0.01
Postoperative complications, n (%)
3 (5.0)
11 (18.3)
0.043
Table 3 Uncertainty scores for disease knowledge and patient satisfaction in the control group and management group
Variable
Management group (n = 60)
Control group (n = 60)
P value
Uncertainty score for disease knowledge (mean ± SD)
Baseline
93.4 ± 7.8
92.8 ± 7.5
NS
12 h after surgery
69.3 ± 6.5
78.5 ± 7.0
< 0.01
Patient satisfaction (mean ± SD)
47.2 ± 2.1
44.6 ± 2.3
< 0.01
Table 4 Self-Rating Depression Scale and Self-Rating Anxiety Scale scores in the control group and management group
Variable
Management group (n = 60)
Control group (n = 60)
P value
SDS (mean ± SD)
Baseline
53.7 ± 6.2
54.1 ± 6.0
NS
12 h after surgery
38.6 ± 3.0
45.6 ± 3.5
< 0.01
SAS (mean ± SD)
Baseline
57.2 ± 5.1
58.0 ± 5.2
NS
12 h after surgery
44.6 ± 3.3
52.2 ± 4.8
< 0.01
Citation: Dai ZH, Xu L, Yang Y, He XN, Chen K. Effects of integrated management on surgical outcomes and mental health of patients following endoscopic submucosal dissection. World J Clin Cases 2024; 12(20): 4034-4040