Clinical Trials Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jun 27, 2025; 17(6): 103998
Published online Jun 27, 2025. doi: 10.4240/wjgs.v17.i6.103998
Impact of problem management-guided health education with positive incentive nursing after rectal cancer surgery
Cheng-Yan Mei, Fei Zou, Jun-Min Deng, Huan Gong
Cheng-Yan Mei, Huan Gong, Department of Cadre Health Care, The First Hospital of Nanchang, Nanchang 330008, Jiangxi Province, China
Fei Zou, Jun-Min Deng, Department of Gastrointestinal Surgery, The First Hospital of Nanchang, Nanchang 330008, Jiangxi Province, China
Author contributions: Mei CY designed the study; Mei CY, Zou F, and Deng JM contributed to the analysis of the manuscript; Mei CY and Gong H were involved in data collection and writing of this article; All authors read and approved the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of the First Hospital of Nanchang, Jiangxi Province, China (No. 2024-026).
Clinical trial registration statement: The study was registered at the Clinical Trial Center (http://www.researchregistry.com) with registration number: Research Registry11147.
Informed consent statement: All study participants and their legal guardians provided written informed consent before recruitment.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Huan Gong, Nurse-in-Charge, Department of Cadre Health Care, The First Hospital of Nanchang, No. 128 Xiangshan North Road, Donghu District, Nanchang 330008, Jiangxi Province, China. gh88862529@163.com
Received: March 12, 2025
Revised: April 6, 2025
Accepted: May 6, 2025
Published online: June 27, 2025
Processing time: 79 Days and 3.3 Hours
Abstract
BACKGROUND

Patients undergoing rectal cancer surgery frequently encounter challenges in their self-care abilities, disease knowledge, and emotional well-being postoperatively. Effective nursing interventions are critical for improving the quality of life and minimizing complications. This study explored the clinical implications of integrating health education guided by problem management with positive incentive nursing to address these challenges.

AIM

To evaluate the effect of this combined nursing model on postoperative self-care ability, disease knowledge, mood state, and complication rates in patients undergoing rectal cancer surgery.

METHODS

Eighty patients who underwent rectal cancer surgery between October 2021 and August 2024 were allocated into reference (routine care) and experimental (problem management-guided health education combined with positive incentive nursing) groups. The outcomes included exercise of self-care agency scale, disease knowledge (hospital-specific questionnaire), mood state (profile of mood states), and complication rates.

RESULTS

The experimental group demonstrated significant improvements in self-care ability (P < 0.05), with higher scores for health knowledge, self-concept, self-care skills, and self-care responsibility than the reference group. Disease knowledge scores also improved markedly in the experimental group (P < 0.05). Mood state scores showed a significant decrease in the negative dimensions (e.g., anxiety and depression) and an increase in energy vitality (P < 0.05). Additionally, the experimental group exhibited a lower complication rate than the reference group (7.5% vs 27.5%, P < 0.05).

CONCLUSION

The integration of problem management-guided health education with positive incentive nursing significantly enhanced postoperative self-care abilities, disease knowledge, and emotional well-being while reducing complication rates. This model demonstrated potential for widespread adoption in clinical practice by offering a structured approach to improve patient outcomes and quality of life.

Keywords: Problem management mode; Health education; Positive incentive nursing; Rectal cancer; Self-care ability; Postoperative care; Emotional well-being; Complication prevention

Core Tip: Effective care measures play a crucial role in enhancing the self-care abilities of patients with rectal cancer that in turn can significantly improve their overall mood and quality of life. These measures are indispensable, particularly in patients undergoing surgical treatment. These include preoperative education to reduce anxiety, postoperative pain management to ensure comfort, and dietary adjustments to promote healing. Furthermore, psychological support is vital for helping patients cope with the emotional challenges associated with cancer diagnosis and treatment.