Effects of Quantitative Nursing Combined with Psychological Intervention in Operating Room on Stress Response, Psychological State, and Prognosis of Patients Undergoing Laparoscopic Endometrial Cancer Surgery

Abstract

Objective. To investigate the effects of quantitative nursing and psychological interventions on stress response, mental health, and prognosis in endometrial cancer patients having laparoscopic surgery. Methods. The random number table approach was used to identify and split 98 patients with endometrial cancer undergoing laparoscopic surgery at our hospital’s Obstetrics and Gynecology Hospital ( n = 49 ) into observation and control groups ( n = 49 ) from May 2020 to February 2022. Both groups received standard care in the operating room, while those in the observation group received quantitative and psychological interventions in the operating room. Both groups were compared for perioperative markers, stress indicators, coping strategies, and pain levels. Results. In terms of age, TNM stage, or pathology, there was no statistically significant difference between the two groups ( P > 0.05 ). Both the observation and control groups experienced statistically significant ( P < 0.05 ) reductions in the perioperative markers of operation time, intraoperative blood loss, and overall hospital stay. Both groups’ SAS and SDS scores were lower than they had been prior to surgery, but the observation group had lower scores than the control group, and these differences were statistically significant ( P < 0.05 ). Postsurgery, the observation group’s cortisol and adrenaline levels were lower than those of the control group, and both groups’ levels were higher than before surgery, with statistical significance ( P < 0.05 ) in both groups. Neither coping style nor pain level differed significantly between the two groups before surgery ( P > 0.05 ). Postoperatively, while yield item scores were lower and faces scores were higher than the control group, the observation group’s avoidance item score was lower than the control group. All with statistical significance. There were substantial differences in NRS SCORE between observers and controls. Conclusion. After laparoscopic surgery to remove endometrial cancer, patients may benefit from the combination of quantitative nursing and psychological intervention in the operating room to alleviate postoperative anxiety and sadness and reduce stress reaction.

Effect of 3D laparoscopy versus traditional laparotomy on serum tumor markers and coagulation function in patients with early-stage endometrial cancer

“…Surgical stress responses can suppress both humoral and cellular immunity and catalyze inflammatory agents like TNF-α, IL-6, and PCT, influencing post-surgical recuperation. 23 , 24 These observations underscore that, compared to traditional laparotomy, 3D laparoscopic surgery could effectively mitigate inflammatory and immunological repercussions in early EC patients, albeit influencing coagulation more. This discrepancy may arise from 3D laparoscopy-induced hypercoagulability due to pneumoperitoneum establishment, venous stasis from specific positioning, and the activation of the fibrinolytic system.…”

Efficacy and safety of minimally invasive laparoscopic surgery under general anesthesia for ovarian cancer

“…ACTH is secreted by the pituitary gland and has the function of promoting the secretion of corticosteroids by the adrenal cortex. When the body is stimulated by trauma such as surgery, it can cause pituitary-adrenal axis excitation, which in turn triggers a series of neuroendocrine responses, belonging to the body's adaptive stress response[ 23 ]. Some studies have pointed out that the higher the level of Cor, the more severe the trauma in patients.…”

Retracted: Effects of Quantitative Nursing Combined with Psychological Intervention in Operating Room on Stress Response, Psychological State, and Prognosis of Patients Undergoing Laparoscopic Endometrial Cancer Surgery

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [1]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process:…”