Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Aug 27;15(8):1728-1738.
doi: 10.4240/wjgs.v15.i8.1728.

Enhanced recovery nursing and mental health education on postoperative recovery and mental health of laparoscopic liver resection

Dong-Xia Li  1   2 , Wei Ye  2   3 , Yi-Lu Yang  2   3 , Lei Zhang  1   2 , Xiang-Jun Qian  1   2 , Ping-Hua Jiang  1   4
Affiliations

Enhanced recovery nursing and mental health education on postoperative recovery and mental health of laparoscopic liver resection

Dong-Xia Li et al. World J Gastrointest Surg. .

Abstract

Background: Patients undergoing laparoscopic resection of liver metastases of colorectal cancer are prone to negative emotions and decrease of digestive function. Early nursing and psychological intervention are necessary.

Aim: To observe the effect of enhanced recovery nursing combined with mental health education on postoperative recovery and mental health of patients undergoing laparoscopic resection of liver metastases of colorectal cancer.

Methods: One hundred and twenty patients who underwent laparoscopic resection of liver metastases of colorectal cancer at our hospital between March 2021 and March 2023, were selected as participants. The patients admitted from March 1, 2021 to February 28, 2022 were set as the control group, and they were given routine nursing combined with mental health education intervention. While the patients admitted from March 1, 2022 to March 31, 2023 were set as the observation group, they were given accelerated rehabilitation surgical nursing combined with mental health education intervention. The differences in postoperative recovery-related indices, complications and pain degrees, and mental health-related scores were compared between groups. The T lymphocyte subset levels of the two groups were also compared.

Results: The postoperative exhaust, defecation, eating and drainage time of the observation group were shorter than those of the control group. The pain scores of the observation group were lower than those of the control group at 6, 12, 24, 48, and 72 h after surgery. The cumulative complication rate of the observation group was lower than that of the control group (P < 0.05). The CD4+/CD8+ in the observation group was higher than that in the control group 3 d after surgery (P < 0.05). After intervention, the self-rating depression scale, self-rating anxiety scale, avoidance dimension, and yielding dimension in Medical coping style (MCMQ) scores of the two groups were lower than those prior to intervention, and the scores in the observation group were lower than those in the control group (P < 0.05). The face dimension score in the MCMQ score was higher than that before intervention, and that of the observation group was higher than that of the control group (P < 0.05). After intervention, the total scores of the life function index scale (FLIC) and psychological well-being scores of cancer patients in the two groups, and the physical and social well-being scores in the observation group, were higher than those before intervention. The nursing satisfaction of the observation group was higher than that of the control group (P < 0.05). The physical, psychological, and social well-being, and the total FLIC scores of the observation group were higher than those in the control group after surgery (P < 0.05).

Conclusion: Enhanced recovery nursing combined with mental health education can promote the recovery of gastrointestinal function, improve the mental health and quality of life of patients after laparoscopic resection of colorectal cancer liver metastases, and reduce the incidence of complications.

Keywords: Accelerated surgical rehabilitation; Gastrointestinal function; Laparoscopy; Liver metastasis of colorectal cancer; Mental health; Mental health education.

PubMed Disclaimer

Conflict of interest statement

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Figures

Figure 1
Figure 1
Comparison of pain degree between two groups. VAS: Visual analogue scale.
Figure 2
Figure 2
Comparison of self-rating anxiety scale scores between two groups. SAS: Self-rating anxiety scale.
Figure 3
Figure 3
Comparison of self-rating depression scale scores between two groups. SDS: Self-rating depression scale.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Biller LH, Schrag D. Diagnosis and Treatment of Metastatic Colorectal Cancer: A Review. JAMA. 2021;325:669–685. - PubMed
    1. Li J, Ma X, Chakravarti D, Shalapour S, DePinho RA. Genetic and biological hallmarks of colorectal cancer. Genes Dev. 2021;35:787–820. - PMC - PubMed
    1. Baidoun F, Elshiwy K, Elkeraie Y, Merjaneh Z, Khoudari G, Sarmini MT, Gad M, Al-Husseini M, Saad A. Colorectal Cancer Epidemiology: Recent Trends and Impact on Outcomes. Curr Drug Targets. 2021;22:998–1009. - PubMed
    1. Inoue Y, Ishii M, Fujii K, Nihei K, Suzuki Y, Ota M, Kitada K, Kuramoto T, Shima T, Kodama H, Matsuo K, Miyaoka Y, Miyamoto T, Yokohama K, Ohama H, Imai Y, Tanaka R, Sanda M, Osumi W, Tsuchimoto Y, Terazawa T, Ogura T, Masubuchi S, Yamamoto M, Asai A, Shirai Y, Inoue M, Fukunishi S, Nakahata Y, Takii M, Goto M, Kimura F, Higuchi K, Uchiyama K. Safety and Efficacy of Laparoscopic Liver Resection for Colorectal Liver Metastasis With Obesity. Am Surg. 2021;87:919–926. - PubMed
    1. Mahamid A, Sawaied M, Berger Y, Halim NA, Goldberg N, Abu-Zaydeh O, Bitterman A, Sadot E, Haddad R. Hand-assisted Laparoscopic Surgery for Colorectal Liver Metastasis: Analysis of Short-term and Long-term Results. Surg Laparosc Endosc Percutan Tech. 2021;31:543–549. - PubMed