Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2025; 17(8): 105306
Published online Aug 27, 2025. doi: 10.4240/wjgs.v17.i8.105306
Effects of motivational and early warning nursing on wound healing and socio-psychological adaptability in hepatobiliary surgical patients
Ya-Juan Shan, Ding-Feng Yu, Wei-Ying Xu, Su-Qin Tu, Yue-Ping Ge
Ya-Juan Shan, Ding-Feng Yu, Wei-Ying Xu, Su-Qin Tu, Department of Hepatobiliary Surgery, Affiliated Hospital of Shaoxing University, Shaoxing 312000, Zhejiang Province, China
Yue-Ping Ge, Department of Outpatient, Affiliated Hospital of Shaoxing University, Shaoxing 312000, Zhejiang Province, China
Author contributions: Shan YJ designed the study; Shan YJ and Yu DF were involved in the data and writing of this article; Yu DF, Xu WY, and Tu SQ contributed to the analysis of the manuscript; Ge YP guided the research direction; all the authors have read and approved the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Affiliated Hospital of Shaoxing University.
Informed consent statement: All study participants and their legal guardians provided written informed consent before recruitment.
Conflict-of-interest statement: The authors declare no conflicts 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: Yue-Ping Ge, Bachelor, Department of Outpatient, Affiliated Hospital of Shaoxing University, No. 999 Zhongxing South Road, Yuecheng District, Shaoxing 312000, Zhejiang Province, China. gyp648573486@yeah.net
Received: April 22, 2025
Revised: May 27, 2025
Accepted: July 1, 2025
Published online: August 27, 2025
Processing time: 125 Days and 3.4 Hours
Abstract
BACKGROUND

Enhancing postoperative recovery is a critical goal in clinical practice and the application of innovative nursing models can significantly contribute to this objective.

AIM

To investigate the effects of motivational and early warning nursing interventions on wound healing and sociopsychological adaptability in patients undergoing hepatobiliary surgery.

METHODS

A total of 160 patients who underwent surgical treatment in the hepatobiliary department of our hospital from January 2022 to June 2024 were selected and randomly divided into a control group and an observation group, with 80 patients in each group. The control group received routine nursing care, while the observation group received a combination of motivational and early warning nursing interventions. The wound healing status (class A, B, and C wound healing and healing time), social psychological adaptability, complications, postoperative recovery, and quality of life were compared between the two groups.

RESULTS

The wound healing rate in the observation group was higher than that in the control group, while the wound healing time was shorter (P < 0.05). The social adaptability scores in the observation group were higher than those in the control group (P < 0.05). The incidence of complications was lower in the observation group than in the control group (P < 0.05). Postoperative recovery and quality of life were better in the observation group than in the control group (P < 0.05).

CONCLUSION

Motivational and early warning nursing interventions are beneficial for promoting wound healing in patients undergoing hepatobiliary surgery, reducing the incidence of complications and improving socio-psychological adaptability and postoperative quality of life. These interventions should be promoted in clinical nursing practice.

Keywords: Motivational nursing; Early warning nursing; Hepatobiliary surgery; Wound healing; Social psychological adaptability

Core Tip: This study demonstrates that combining motivational nursing with early warning interventions significantly improves postoperative outcomes in hepatobiliary surgery patients. The integrated approach enhanced wound healing rates (class A healing increased by 18%), reduced healing time by 3.2 days, and lowered complication incidence by 40% compared to standard care. Patients receiving this intervention showed 25% better socio-psychological adaptation scores and superior quality-of-life metrics. These findings highlight the clinical value of psychological support combined with physiological monitoring in surgical recovery, suggesting this dual-modality nursing should become standard practice in hepatobiliary surgical units.