The Impact of Perioperative Comfort Nursing Combined With Targeted Operating Room Nursing on Postoperative Stress Response and Nursing Satisfaction in Colorectal Cancer Patients

Ann Ital Chir. 2025 Aug 10;96(8):1089-1102. doi: 10.62713/aic.4112.

ABSTRACT

AIM: This study aims to explore the impact of perioperative comfort nursing combined with targeted operating room nursing on the stress response and nursing satisfaction in colorectal cancer patients, emphasizing the importance of precision nursing in enhancing postoperative recovery.

METHODS: This retrospective study analyzed clinical data of colorectal cancer patients (n = 165) who underwent laparoscopic colorectal surgery at our hospital between February 2022 and February 2024. Grouped according to different perioperative nursing methods, and the patients were divided into two groups: the experimental group (n = 85) and the control group (n = 80). The control group received routine operating room nursing, while the experimental group received comfort nursing in addition to targeted operating room care. The differences in the impact of the two nursing models on patients’ surgical-related indicators, stress response measured by Serum Amyloid A (SAA), Interleukin-6 (IL-6), and C-reactive protein (CRP) levels, pain scores, as well as nursing satisfaction, postoperative follow-up status, were evaluated and compared between the two groups.

RESULTS: The experimental group demonstrated significantly shorter postoperative times to first flatus, first out-of-bed activity, first oral intake, length of hospital stay, anastomotic healing time, and postoperative infection rate compared to the control group (p < 0.05). On days 1 and 2 after surgery, SAA, IL-6, and CRP levels were elevated in both groups compared to their preoperative levels, with the experimental group showing significantly lower levels than the control group (p < 0.05). Furthermore, on postoperative days 1, 3, and 7, the Visual Analog Scale (VAS) scores were significantly lower in the experimental group (p < 0.05). In contrast, nursing satisfaction was significantly higher in the experimental group than in the control group (p < 0.05). Six months and one year after surgery, the experimental group showed significantly higher scores on the Barthel index and the Quality-of-Life Questionnaire Core 30 (QLQ-C30) compared to the control group, while their Hamilton Anxiety Scale (HAMA) and Self-Rating Depression Scale (SDS) scores were significantly lower (p < 0.05).

CONCLUSIONS: Integrating comfort nursing with a targeted operating room nursing approach during laparoscopic colorectal cancer surgery helps promote early recovery, alleviate postoperative pain and stress response, improve nursing satisfaction, and promote patient recovery. The effectiveness of nursing interventions may partly depend on the stability of surgical techniques; further verification is needed through multi-center, large-sample studies. The synergistic effect of both factors contributes to the patient’s recovery.

PMID:40820621 | DOI:10.62713/aic.4112