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Chinese Journal of Digestion and Medical Imageology(Electronic Edition) ›› 2023, Vol. 13 ›› Issue (06): 525-529. doi: 10.3877/cma.j.issn.2095-2015.2023.06.033

• Clinical Nursing • Previous Articles     Next Articles

Effects of predictive care on perioperative quality of life, mood, and complication in patients undergoing radical colorectal cancer surgery

Xiaona Wang(), Wei Tan, Yue Li, Wenyan Jiang   

  1. Second Department of Surgery, Huairou District Hospital of Traditional Chinese Medicine, Beijing 101400, China
    Department of Colorectal Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China
  • Received:2023-05-23 Online:2023-12-01 Published:2023-12-30
  • Contact: Xiaona Wang

Abstract:

Objective

To analyze the effects of predictive care on perioperative quality of life, mood, and complication rates in patients undergoing radical surgery for colorectal cancer.

Methods

A total of 106 patients who underwent radical surgery for colorectal cancer in Huairou District Hospital of Traditional Chinese Medicine of Beijing were selected from January 1, 2018 to December 31, 2022.Excluding 5 unwilling participators and 1 with incomplete data, 100 patients were finally included as study subjects.All the patients were divided into control group and observation group with 50 cases in each group according to the method of randomized alphabetical list, and the patients of the control group were provided with routine care, and those of the observation group were provided with predictive care.The general baseline data of the patients of the two groups were compared.The scores of the Colorectal Cancer Quality of Life Specific Scale(EORTC QLQ-CR38), the Hamilton Anxiety Scale(HAMA), the Hamilton Depression Scale(HAMD), the incidence of perioperative complications, and satisfaction with nursing services of the two groups were compared.

Results

There was no statistically significant difference in general baseline data between the two groups(P>0.05). There was no significant difference in the EORTC QLQ-CR38 scores, HAMA and HAMD scores between the two groups 1 week before the intervention; 1 week after the intervention, the scores of the two groups in the domains of health status, role functioning, and body image increased, and the scores of pain sensation, HAMA, and HAMD scores decreased, with statistically significant differences(P<0.05). The incidence of complications such as incision infection, abdominal cavity infection, abdominal pain and the total incidence of complications during the perioperative period in the observation group were significantly lower than those in the control group(P<0.05). The nursing service satisfaction of the observation group was higher than that of the control group(P<0.05).

Conclusion

The use of predictive nursing intervention for patients undergoing radical surgery for colorectal cancer can improve patients′ quality of life, reduce negative emotions, lower the risk of complications, and improve nursing satisfaction.

Key words: Radical resection of colorectal cancer, Predictive care, Negative emotions, Quality of life, Complications

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