Effect of the cluster intervention program of evidence-based accelerated rehabilitation surgery on the stress,mindfulness,and psychological state in patients with gastric cancer
Objective To explore the application effect of the cluster intervention program of evidence-based accelerated rehabilitation surgery on the stress,mindfulness and psychological state in patients with gastric cancer.Methods A total of 110 patients with gastric cancer in the Huaian First People's Hospital,Jiangsu Province from May 2019 to May 2022 were selected as the study objects,and they were divided into group A and group B by random number table method,with 55 cases in each group.The group A received routine intervention,group B received evidence-based accelerated rehabilitation surgery cluster intervention.Both groups were followed up for six weeks after discharge.Postoperative rehabilitation,stress,mindfulness level,mental state,quality of life,nursing satisfaction,and complications were compared between the two groups.Results The time of feeding,exhaust,defecation,bed rest,and postoperative hospitalization in group B were shorter than those in group A(P＜0.05).After six weeks of follow-up,the scores of self-rating depression scale,Chinese perceived stress scale,and self-rating anxiety scale in both groups were lower than those before intervention,and group B was lower than group A(P＜0.05).The scores of mindful attention awareness scale were higher than those before intervention,and group B was higher than that of group A(P＜0.05).After six weeks of follow-up,the scores of health education quality,nurse-patient communication,nursing environment,and humanistic support in group B were higher than those in group A(P＜0.05).During follow-up,the complication rate of group B was lower than that of group A(P＜0.05).Conclusion The intervention of gastric cancer patients through the evidence-based accelerated rehabilitation surgery cluster intervention program can effectively promote the improvement of patients'stress,mindfulness,and psychological state,reduce the occurrence of postoperative complications,effectively promote the rehabilitation,improve the quality of life,and thus improve patients'nursing satisfaction.
Gastric cancerEvidence-based accelerated rehabilitation surgeryPsychological state
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