Comparison of Perioperative Outcomes Between Precision Nursing and Conventional Care in Laparoscopic Colorectal Cancer Surgery: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Preoperative anxiety score
研究概览
简要总结
This single-center randomized controlled trial compares the effects of precision nursing and conventional care in patients undergoing laparoscopic colorectal cancer surgery.
Precision nursing includes personalized preoperative psychological counseling, intraoperative body temperature and position management, and postoperative targeted recovery guidance. Conventional care follows routine clinical nursing procedures.
The study will assess differences in perioperative outcomes (such as anxiety, intraoperative hypothermia, postoperative nausea and vomiting, recovery time, and hospital stay) between the two groups, to provide evidence for optimizing nursing strategies for colorectal cancer surgery patients.
详细描述
Study Background: Laparoscopic colorectal cancer surgery is a common treatment, but perioperative complications (e.g., hypothermia, nausea) and anxiety affect patient recovery. Precision nursing may improve these outcomes, but evidence from RCTs is limited.
Study Design: A parallel-group randomized controlled trial. 90 eligible patients are randomly assigned (1:1) to the precision nursing group or conventional care group.
Interventions:
Precision Nursing Group:
- Preoperative: 30-minute personalized psychological counseling + music therapy;
- Intraoperative: Real-time body temperature monitoring (maintaining ≥36°C) + dynamic position optimization;
- Postoperative: Individualized recovery guidance (early ambulation, dietary adjustment) based on patient condition.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients diagnosed with colorectal cancer and scheduled for laparoscopic surgery.
- •Age 18 to 80 years old.
- •Able to understand and complete the study questionnaires.
- •Voluntarily agree to participate in this study and sign the informed consent form.
排除标准
- •Severe cognitive impairment or mental illness.
- •Emergency surgery patients.
- •Severe cardiopulmonary, hepatic, or renal dysfunction.
- •Patients who cannot cooperate with perioperative nursing interventions.
- •Participation in other clinical trials that may affect this study.
研究组 & 干预措施
Precision Nursing Group
Participants in this arm receive personalized perioperative care, including 30-minute preoperative psychological counseling, real-time intraoperative body temperature monitoring (maintaining ≥36°C), and postoperative individualized recovery guidance (early ambulation, dietary adjustment).
干预措施: Precision Nursing (Behavioral)
Conventional Care Group
Participants in this arm receive routine perioperative clinical nursing, including standard preoperative health education, basic intraoperative monitoring, and postoperative standard care without personalized interventions.
干预措施: Conventional Clinical Nursing (Behavioral)
结局指标
主要结局
Preoperative anxiety score
时间窗: 1 day before surgery
Anxiety level of participants is evaluated using a validated Self-Rating Anxiety Scale (SAS). The scale consists of 20 items, with total scores ranging from 20 to 80 points. A higher score indicates a more severe level of preoperative anxiety.
次要结局
未报告次要终点
研究者
Mei Fang
Nurse-in-Charge
Jiangsu Cancer Institute & Hospital