Analysis of the Effect of Fast Recovery Surgery Concept on Perioperative Nursing Care of Patients with Radical Resection of Cervical Cancer and Its Influence on Psychological Status

Abstract

Objective. To explore the applied effect of fast-track surgery concept in the perioperative nursing of patients undergoing radical cervical cancer surgery and its influence on mental state. Methods. The clinical data of 110 patients undergoing radical cervical cancer surgery in our hospital from May 2015 to May 2017 were retrospectively analyzed, and they were randomly divided into a research group (n = 55) and a reference group (n = 55). The reference group received routine clinical nursing, and the research group received fast-track surgical nursing. Then, we compared their nursing effect and influence on the mental state of patients in the two groups. Results. The Karnofsky performance status (KPS) scores of patients in the two groups after intervention were significantly lower than those before the intervention ( P < 0.001), and after intervention, patients in the research group had significantly lower KPS scores as compared to patients in the reference group ( P < 0.001). There was a significant decrease in the self-rating anxiety scale (SAS) scores and self-rating depression scale (SDS) scores of patients in the two groups after intervention in comparison with before intervention ( P < 0.001), and patients in the research group after intervention had significantly lower SAS and SDS scores compared to the reference group ( P < 0.001). Patients in the research group spent short time on expelling gas, eating, and getting out of bed as compared to the reference group ( P < 0.001); after intervention, compared to patients in the reference group, patients in the research group had significantly higher scores in cognitive function, emotional function, social function, and physical function ( P < 0.05). There was no significant difference in IgA, IgM, and IgG levels before intervention ( P > 0.05). After intervention, the IgA, IgM, and IgG levels of patients in the two groups were all lower than before intervention, and patients in the research group had significantly higher IgA, IgM, and IgG levels as compared to the reference group ( P < 0.001); the complication rate of patients in the research group was significantly lower than that in the reference group ( P < 0.05). Conclusion. The fast-track surgery concept effectively helps improve the negative emotion of patients, shorten recovery time, improve quality of life, and reduce the impact on immune function in the radical cervical cancer surgery, and it is worthy of promotion and application, with a high safety.

Existing psychological supportive care interventions for cervical cancer patients: a systematic review and meta-analysis

“…Strong 9. China, 2020 [ 25 ] RCT 48 48 48.4 ± 7.4 48.6 ± 6.8 IA2- IB2 During CC surgery Comprehensive nursing care (Rehabilitation training, Psychological nursing, Information about their disease, Diet intervention) Nursing staff Routine nursing care ( information and guidance about relevant drugs, recommended to eat a balanced diet, educated about cervical cancer and health and informed about hospital telephone number) Rehabilitation training − 3 times a day, Others not mentioned Hospital ward Morisky Medication Adherence Scale (MMAS-8), MOS 36-Item & Short-Form Health Survey (SF- 36) The respondents’ in observation group got significantly higher MMAS-8 and SF-36 scores than the control group and showed significantly higher total nursing satisfaction than the control group (all P < 0.05). Strong 10.…”

“…Regarding the stages of cancer, two studies included stage Ia–IIb cervical cancer [ 25 , 48 ], two studies included stage I-II cervical cancer [ 6 , 39 ], two studies included stage I-IV cervical cancer [ 30 , 47 ], two studies included stage Ib2-IIb cervical cancer [ 38 , 45 ], four studies included pathological subtype (squamous carcinoma, adenocarcinoma, adenosquamous carcinoma) of cervical cancer [ 23 , 37 , 43 , 44 ] and three studies’ stages of cancer not mentioned [ 31 , 34 , 41 ] and another eleven studies were ranges from I- IV B1 remaining studies.…”

“…Regarding treatment trajectory, nine studies included patients receiving surgical treatment [ 6 , 25 , 27 , 32 – 34 , 36 , 44 , 46 , 48 ], seven studies included patients receiving chemotherapy [ 23 , 24 , 28 , 30 , 35 , 41 , 42 ], three studies included patients receiving surgery plus chemotherapy [ 26 , 40 , 47 ], two studies included patients receiving concurrent radio chemotherapy [ 37 , 39 ], two studies included patients receiving neoadjuvant chemotherapy [ 38 , 45 ], one study included patients receiving comprehensive anti-cancer treatment [ 43 ], one study included patients completed the definitive treatment of cervical cancer before two months [ 29 ] and one study included patients they had just get a diagnosis of cervical cancer and before starting of cancer treatment [ 31 ].…”

“…The studies included in this review used a wide range of interventions for the treatment group. Among these, eleven studies used nursing intervention: comprehensive nursing [ 32 , 36 , 42 ], psychological nursing [ 38 , 40 , 44 , 45 ], whole course standardized nursing [ 27 ], collaborative continuous nursing [ 33 ], empowerment education nursing [ 34 ], crisis intervention nursing [ 46 ] and perioperative nursing care [ 25 ]. Physical exercise was used in five studies: progressive muscle relaxation therapy [ 35 , 36 ], yoga nidra [ 30 ], back massage [ 41 ] and mindfulness-based stress reduction [ 39 ].…”

Retracted: Analysis of the Effect of Fast Recovery Surgery Concept on Perioperative Nursing Care of Patients with Radical Resection of Cervical Cancer and Its Influence on Psychological Status

“…This article has been retracted by Hindawi, as publisher, following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of systematic manipulation of the publication and peer-review process.…”