Liu N, Tang J, Fang F, Yuan HJ, Huang L, Tan XY. Combined effects of nurse-patient communication and psychological nursing on physical and mental stress responses after gastrointestinal surgery. World J Gastrointest Surg 2025; 17(8): 104784 [DOI: 10.4240/wjgs.v17.i8.104784]
Corresponding Author of This Article
Fang Fang, PhD, Department of Gastrointestinal Surgery, Northern Jiangsu People's Hospital, No. 98 Nantong West Road, Guangling District, Yangzhou 225001, Jiangsu Province, China. ffzyzxnokl@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Aug 27, 2025; 17(8): 104784 Published online Aug 27, 2025. doi: 10.4240/wjgs.v17.i8.104784
Combined effects of nurse-patient communication and psychological nursing on physical and mental stress responses after gastrointestinal surgery
Nan Liu, Juan Tang, Fang Fang, Hai-Juan Yuan, Lei Huang, Xiao-Yue Tan
Nan Liu, Juan Tang, Fang Fang, Hai-Juan Yuan, Lei Huang, Xiao-Yue Tan, Department of Gastrointestinal Surgery, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu Province, China
Co-first authors: Nan Liu and Juan Tang.
Co-corresponding authors: Fang Fang and Hai-Juan Yuan.
Author contributions: Liu N and Tang J designed the research study; Huang L and Tan XY contributed new reagents and analytical tools; Liu N and Tang J analyzed the data and wrote the manuscript; Fang F and Yuan HJ, as co-corresponding authors, jointly designed the research, supervised the entire process; all authors have read and approved the final manuscript. Liu N and Tang J contributed equally to this work as co-first authors. In this study, Fang F and Yuan HJ jointly designed and analyzed the key experiments. Both have deep expertise and extensive experience in their respective fields, and they frequently communicate, which is equally important for guiding the research direction and advancing the results. Therefore, applying as co-corresponding authors helps to comprehensively present the research findings, promote academic exchange and collaboration, and make greater contributions to the field. The corresponding author of this study provides guidance on the paper. interpreted the results, and were responsible for manuscript revision and communication with the journal, ensuring the integrity and quality of the study.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Northern Jiangsu People's Hospital.
Informed consent statement: All study participants and their legal guardians provided written informed consent before recruitment.
Conflict-of-interest statement: The authors declare no conflict of interest.
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: Fang Fang, PhD, Department of Gastrointestinal Surgery, Northern Jiangsu People's Hospital, No. 98 Nantong West Road, Guangling District, Yangzhou 225001, Jiangsu Province, China. ffzyzxnokl@163.com
Received: April 8, 2025 Revised: May 12, 2025 Accepted: June 12, 2025 Published online: August 27, 2025 Processing time: 138 Days and 17.2 Hours
Abstract
BACKGROUND
The integration of patient-nurse communication language and focused psychological nursing can provide a reference for nursing interventions in patients undergoing gastrointestinal surgery.
AIM
To analyze the impact of patient-nurse communicative language combined with focused psychological nursing on psychological and physiological stress responses, coping styles, health behaviors, and complications in patients undergoing gastrointestinal surgery.
METHODS
Eighty patients who underwent gastrointestinal surgery at Northern Jiangsu People's Hospital between October 2021 and August 2024 were selected and randomly divided into two groups, with 40 patients in each group. The control group received routine nursing care, while the observation group was provided with patient-nurse communicative language combined with focused psychological nursing care. Psychological stress responses, physiological stress responses, coping styles, health behaviors, incidence of complications, and nursing satisfaction were compared between the two groups.
RESULTS
After nursing, the observation group showed a significant improvement in psychological stress responses, with the average score on the Connor-Davidson Resilience Scale increasing from 23.22 ± 1.08 to 30.14 ± 2.78 (P < 0.05). On postoperative awakening, the heart rate of the observation group was 78.36 ± 2.98 times/min, significantly lower than the control group's 81.14 ± 2.44 times/min (P < 0.05), and the mean arterial blood pressure was 12.06 ± 1.26 kPa, compared to the control group's 13.45 ± 1.17 kPa (P < 0.05). The coping style scale scores of the observation group improved from 17.25 ± 1.40 to 23.64 ± 1.52 for confrontation, 16.94 ± 1.24 to 12.11 ± 1.02 for avoidance, and 21.69 ± 2.63 to 15.32 ± 1.41 for submission (P < 0.05). The health promotion lifestyle profile scores of the observation group increased from 104.25 ± 6.77 to 133.61 ± 10.25 (P < 0.05). The incidence of complications, such as wound infection and abdominal distension, in the observation group was 2.50%, significantly lower than that in the control group (20.00%; P < 0.05). Nursing satisfaction in the observation group was 95.00%, significantly higher than that in the control group (80.00%; P < 0.05).
CONCLUSION
The integration of patient-nurse communicative language and focused psychological nursing can alleviate psychological and physiological stress responses in patients undergoing gastrointestinal surgery, improve their coping styles and health behaviors, reduce the risk of complications, and enhance nursing satisfaction, yielding ideal clinical outcomes.
Core Tip: Reasonable and effective nursing interventions can significantly improve psychological and physiological stress responses in surgical patients and reduce the incidence of complications, which is particularly important for patients undergoing gastrointestinal surgery.
