Holistic conditions after colon cancer:A randomized controlled trial of systematic holistic care vs primary care

作     者：Jing Wang Jian-Hong Qiao 

作者机构：Department of General SurgerySunshine Union HospitalWeifang 261205Shandong ProvinceChina Department of ClinicThe First Affiliated Hospital of Shandong First Medical University(Shandong Provincial Qianfoshan Hospital)Jinan 250014Shandong ProvinceChina 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2023年第15卷第12期

页      面：2844-2854页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Systemic holistic care Colon cancer Postoperative Randomized controlled Quality of life 

摘      要：BACKGROUND Study showed that systemic holistic care not only aids in disease treatment and physical recovery to a certain extent but also effectively enhances patient psychological well-being,social support,and overall quality of life(QoL).AIM To assess systematic holistic care impact on the recovery and well-being of postoperative patients with colon *** Our randomized controlled trial included 98 postoperative patients with colon cancer admitted to our hospital from June 2021 to June *** were divided into control and study *** control group received conventional postoperative nursing care,whereas the study group received systematic holistic nursing *** monitored gastrointestinal function recovery,and recorded changes in serum albumin(ALB),prealbumin(PA),psychological state,selfmanagement,self-efficacy,QoL,and the occurrence of complications in patients before,at discharge,and 2 wk *** analysis assessed correlations between psychological state,self-management,self-efficacy,and QoL of patients in the study group 2 wk *** Following the nursing intervention,we observed significantly shorter postoperative bowel sound recovery time,anal exhaust time,and defecation time in the study group than in the control group(P0.05).Patient ALB and PA levels,psychological status,self-management ability,self-efficacy and QoL at discharge and 2 wk post-discharge significantly improved,with greater improvements observed in the study group(P0.05).Both groups experienced complications post-interventions,but the intervention group had significantly lower complication rate(3/49,6.12%)(P0.05).In the study group,patient anxiety,depression,self-management and QoL scores at 2 wk post-discharge exhibited a significant negative correlation(3/49,6.12%)with QoL scores,with correlation coefficients of r=-0.273,-0.522,-0.344,and P0.01,***,patient self-efficacy scores 2 wk postdischarge showed a positive co