Enhancing short-term recovery after gastric cancer surgery: an information-motivation-behavioral skills (IMB) model with nutritional support.

IF 2.6 4区医学 Q2 ONCOLOGY

Future oncology Pub Date : 2025-09-01 Epub Date: 2025-08-05 DOI:10.1080/14796694.2025.2543231

Gang Wang, Shengjie Pan

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引用次数: 0

Abstract

Aims: To evaluate the short-term efficacy of an Information - Motivation - Behavioral Skills (IMB) model-based intervention combined with perioperative nutritional support in improving postoperative recovery in patients undergoing radical gastrectomy for gastric cancer.

Materials and methods: In this randomized controlled trial, 250 gastric cancer patients were allocated to either an intervention group (IMB model + individualized nutritional support, n = 125) or a control group (standard care, n = 125). The 15-day intervention targeted key recovery dimensions: sleep quality, nutritional status, pain, psychological well-being, and quality of life (QoL).

Results: Compared to controls, the intervention group showed significantly greater improvements in Pittsburgh Sleep Quality Index (PSQI) scores (-2.16 ± 0.74 vs. -1.32 ± 0.69), serum albumin levels (+5.56 ± 1.43 g/L vs. +2.03 ± 1.21 g/L), and global QoL based on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30; +21.14 ± 6.91 vs. +9.04 ± 5.87; all P < 0.001). Pain (Visual Analog Scale), anxiety (Self-Rating Anxiety Scale), and depression (Self-Rating Depression Scale) scores also improved significantly.

Conclusion: IMB-guided psychosocial intervention with tailored nutritional support significantly enhanced short-term recovery. Further studies are needed to validate long-term efficacy.

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促进胃癌术后短期恢复：营养支持下的信息-动机-行为技能（IMB）模型。

目的：评价基于信息-动机-行为技能（IMB）模型的干预联合围手术期营养支持对胃癌根治术患者术后恢复的短期疗效。材料与方法：本试验将250例胃癌患者随机分为干预组（IMB模型+个性化营养支持，n = 125）和对照组（标准治疗，n = 125）。为期15天的干预针对关键的恢复维度：睡眠质量、营养状况、疼痛、心理健康和生活质量（QoL）。结果：与对照组相比，干预组在匹兹堡睡眠质量指数（PSQI）评分（-2.16±0.74比-1.32±0.69）、血清白蛋白水平（+5.56±1.43 g/L比+2.03±1.21 g/L）和基于欧洲癌症研究与治疗组织生活质量问卷(EORTC QLQ-C30；+21.14±6.91 vs +9.04±5.87；结论：imb引导下的社会心理干预加上量身定制的营养支持可显著提高短期康复。需要进一步的研究来验证其长期疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Future oncology ONCOLOGY-

CiteScore

5.40

自引率

3.00%

发文量

335

审稿时长

4-8 weeks

期刊介绍： Future Oncology (ISSN 1479-6694) provides a forum for a new era of cancer care. The journal focuses on the most important advances and highlights their relevance in the clinical setting. Furthermore, Future Oncology delivers essential information in concise, at-a-glance article formats - vital in delivering information to an increasingly time-constrained community. The journal takes a forward-looking stance toward the scientific and clinical issues, together with the economic and policy issues that confront us in this new era of cancer care. The journal includes literature awareness such as the latest developments in radiotherapy and immunotherapy, concise commentary and analysis, and full review articles all of which provide key findings, translational to the clinical setting.