Continuous nursing for postoperative quality of life in gastric cancer: A randomized trial

  • Xinyu Liu Hunnan International Department, The First Hospital of China Medical University, Shenyang 110001, China
  • Yueyang Jiang * Department of Hepatic-biliary Surgery, The First Hospital of China Medical University, Shenyang 110001, China
Article ID: 4636
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Keywords: continuous nursing care; gastric cancer lung metastasis; quality of life; anxiety; depression

Abstract

Background: Gastric cancer (GC) is the fifth most common malignant tumor in the world in terms of incidence rate and the second most common malignant tumor in terms of mortality. The postoperative condition of patients with GC metastasis is still poor. How to effectively improve the quality of life (QoL) of postoperative patients has gradually become the key target to current treatment. This study aimed to explore the impact of continuous nursing care on the QoL of GC lung metastasis patients, to better implement treatment for GC patients and improve their QoL. Methods: 102 patients with GC lung metastasis in the First Hospital of China Medical University were randomly divided into control group and observation group. The control group was given routine nursing, and the observation group was given continuous nursing care. The anxiety, depression and QoL scores of patients: physical function, role function, emotional function, cognitive function, and social function, were observed at the time of discharge, 3 months, 6 months and 1 year after discharge. Results: The improvement of anxiety and depression in the observation group was significantly better than that in the control group (both P < 0.005). The 5 variables of QoL in the observation group and control group after discharge were higher than those at discharge (all P < 0.005), and the scores of 5 variables in the observation group were significantly better than those in the control group (all P < 0.005). Conclusion: Through the implementation of continuous nursing care for patients with GC lung metastasis, it can effectively reduce and eliminate the negative psychological state of patients, significantly improve the QoL of patients, improve the rehabilitation effect of patients, and has high application value.

Published
2026-01-12
How to Cite
Liu, X., & Jiang, Y. (2026). Continuous nursing for postoperative quality of life in gastric cancer: A randomized trial. Psycho-Oncologie, 20(1), 4636. https://doi.org/10.18282/po4636
Section
Article

References

1. Rahmani S, Babajani A, Abolhasani M, et al. Cytoplasmic SALL4-A isoform expression as a diagnostic marker of less aggressive tumor behavior in gastric cancer. World Journal of Surgical Oncology. 2025; 23(1): 41. doi: 10.1186/s12957-025-03681-w

2. Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians. 2024; 74(3): 229–263. doi: 10.3322/caac.21834

3. Luo D, Zhou J, Ruan S, et al. Overcoming immunotherapy resistance in gastric cancer: insights into mechanisms and emerging strategies. Cell Death & Disease. 2025; 16(1). doi: 10.1038/s41419-025-07385-7

4. Wang SM, Zheng RS, Zhang SW, et al. Epidemiological characteristics of gastric cancer in China, 2015. Zhonghua Liu Xing Bing Xue Za Zhi (Chinese). 2019; 40(12): 1517–1521. doi: 10.3760/cma.j.issn.0254-6450

5. Sellami M, Ayadi S, Abbes A, et al. Diplopia Secondary to Gastric Adenocarcinoma Metastasis to the Superior Oblique Muscle. Ear, Nose & Throat Journal. 2022; 104(1_suppl). doi: 10.1177/01455613221145277

6. Xie FF, Qian ST, Zhao HY, et al. Therapeutic efficacy of immunotherapy for gastric cancer metastasis. World Journal of Gastrointestinal Surgery. 2024; 16(12): 3881–3886. doi: 10.4240/wjgs.v16.i12.3881

7. Toussaint A, Weigel A, Löwe B, et al. The overlooked burden of persistent physical symptoms: a call for action in European healthcare. The Lancet Regional Health - Europe. 2025; 48: 101140. doi: 10.1016/j.lanepe.2024.101140

8. Ruiz-Baena JM, Moreno-Juste A, Poblador-Plou B, et al. Influence of social determinants of health on quality of life in patients with multimorbidity and polypharmacy. Prazeres F, ed. PLOS ONE. 2024; 19(9): e0297702. doi: 10.1371/journal.pone.0297702

9. Dourouka V, Vlastos DD, Theofilou P. Psychotherapy and chronic pain management: a quantitative study evaluating the contribution of psychotherapy to quality of life and treatment compliance in chronic disease patients. Health Psychology Report. 2023; 12(3): 209. doi: 10.5114/hpr/171847

10. Naylor MD. Comprehensive Discharge Planning for Hospitalized Elderly. Nursing Research. 1990; 39(3): 156–160. doi: 10.1097/00006199-199005000-00007

11. Carroll Á, Dowling M. Discharge planning: communication, education and patient participation. British Journal of Nursing. 2007; 16(14): 882–886. doi: 10.12968/bjon.2007.16.14.24328

12. Haggerty JL. Continuity of care: a multidisciplinary review. Bmj. 2003; 327(7425): 1219–1221. doi: 10.1136/bmj.327.7425.1219

13. Kong JH, Lee J, Yi CA, et al. Lung metastases in metastatic gastric cancer: pattern of lung metastases and clinical outcome. Gastric Cancer. 2011; 15(3): 292–298. doi: 10.1007/s10120-011-0104-7

14. Huang X, Li Z, Weng Q. Clinicopathological features and prognostic significance of site-specific metastasis in gastric cancer: a population-based, propensity score-matched analysis. Discover Oncology. 2025; 16(1). doi: 10.1007/s12672-025-02865-w

15. Zhao Y, Wang S, Du B, et al. Head-to-head Comparison of [68Ga]Ga-FAPI-04 PET and [18F]FDG PET in the Evaluation of Primary Gastrointestinal Tumors and Metastases: A Systematic Review and Meta-analysis. Academic Radiology. 2025; 32(11): 6857–6872. doi: 10.1016/j.acra.2025.05.053

16. Guo J, Zhao X, Xu C. Effects of a continuous nursing care model on elderly patients with total hip arthroplasty: a randomized controlled trial. Aging Clinical and Experimental Research. 2021; 34(7): 1603–1611. doi: 10.1007/s40520-021-01965-1

17. Zhu X, Yang Y, Cao M. Effect of a mutual goal‐based continuous care program on self‐management behaviour and health outcomes in patients after percutaneous coronary intervention: A randomized controlled trial. Nursing Open. 2023; 10(6): 3707–3718. doi: 10.1002/nop2.1625

18. Qi S, Dong Y. Effect of Multidisciplinary Team Continuous Nursing on Glucose and Lipid Metabolism, Pregnancy Outcome, and Neonatal Immune Function in Gestational Diabetes Mellitus. Dong Z, ed. Disease Markers. 2022; 2022: 1–7. doi: 10.1155/2022/7285639

19. Jancsó Z, Varga Z, Simay A, et al. Continuing care of patients with cardiovascular risk ingeneral practice: patients with hypertension and their care. Orvosi Hetilap. 2005; 146(52): 2629–2633.

20. Zhao H, Li N, Zhang J. Postoperative self-care ability of continuous nursing based on artificial intelligence for stroke patients with neurological injury. SLAS Technology. 2025; 32: 100299. doi: 10.1016/j.slast.2025.100299

21. Grube M, Weigand-Tomiuk H. Psychiatrisch-psychotherapeutische Interventionen bei Mammakarzinompatientinnen. Der Nervenarzt. 2014; 85(11): 1390–1401. doi: 10.1007/s00115-013-3940-3

22. Soliman AM. Psychological Well-Being in Breast Cancer: A Literature Review of the Impact of Precision Oncology and Radiogenomics. Cureus. 2025; 17(8): e91210. doi: 10.7759/cureus.91210

23. Artemieva MS, Kuznetsov VI, Sturov NV, et al. Psychosomatic Aspects and Treatment of Gastrointestinal Pathology. Psychiatr Danub. 2021; 33(4): 1327–1329.

24. Bode L, Isler F, Fuchs S, et al. The utility of nursing instruments for daily screening for delirium: Delirium causes substantial functional impairment. Palliat Support Care. 2020;18(3): 293–300. doi: 10.1017/S1478951519001019

25. Oliveros JC, Cortés‐Rivera C, Ulloa JL. Associations Between Depressive, Anxiety and Stress Symptoms, Emotion Dysregulation and Self‐Other Processing: Evidence From a Non‐Clinical Sample. Stress and Health. 2025; 41(4). doi: 10.1002/smi.70099

26. Sahni A, McCabe C. Anticipation and Motivation as Predictors of Leisure and Social Enjoyment and Engagement in Young People With Depression Symptoms: Ecological Momentary Assessment Study. JMIR Mental Health. 2025; 12: e74427–e74427. doi: 10.2196/74427

27. Nadeau C, Mreczko A, Gauthier K, et al. Serving the Underserved Through Nurse‐Led Mobile Primary Care. Public Health Nursing. 2025; doi: 10.1111/phn.70020

28. Lovell MR, Warner KN, Archer P, et al. Constructing an intervention to foster posttraumatic growth in people living with a life limiting illness and receiving palliative care: Participatory action research. Patient Education and Counseling. 2025; 140: 109297. doi: 10.1016/j.pec.2025.109297

29. Kanagalingam G, Allen J, Chin GH, et al. Palliative care & chronic liver disease: barriers to care, health disparities & the role of health literacy. Annals of Palliative Medicine. 2025; 14(4): 353–368. doi: 10.21037/apm-25-15

30. Saeed DK, Nashwan AJ. Harnessing Artificial Intelligence in Lifestyle Medicine: Opportunities, Challenges, and Future Directions. Cureus. Published online June 8, 2025. doi: 10.7759/cureus.85580

31. Gunawan J. Exploring the future of nursing: Insights from the ChatGPT model. Belitung Nursing Journal. 2023; 9(1): 1–5. doi: 10.33546/bnj.2551