Knowledge-Belief-Action Theory-Guided Nursing and Postoperative Recovery, Nutritional Status, and Quality of Life After Radical Esophagectomy: A Retrospective Comparative Study.

Authors

Wen Du, Ting Ren, Zhenzhen Xia

Published in

Journal of visualized experiments : JoVE. Issue 237. Nov 05, 2026. Epub Nov 05, 2026.

Abstract

This study evaluated the association of a Knowledge-Belief-Action (KBA) theory-guided nursing model with postoperative recovery, nutritional status, self-management efficacy, and quality of life in patients undergoing radical esophagectomy. This single-center retrospective comparative study included 105 patients treated between February 2023 and April 2025. According to the nursing care received, 51 patients were classified into the control group (routine nursing) and 54 into the study group (theory-guided nursing plus routine care). Outcomes included perioperative recovery, self-management efficacy assessed using the Strategies Used by People to Promote Health scale (SUPPH), nutritional status assessed using the Patient-Generated Subjective Global Assessment (PG-SGA), quality-of-life-related symptoms assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Oesophageal Cancer Module (QLQ-OES18), postoperative complications, and nursing satisfaction assessed using the Newcastle Satisfaction with Nursing Scales (NSNS). Compared with the control group, the study group showed shorter times to first expectoration, ambulation, oral intake, and nasoenteric tube removal, as well as a shorter hospital stay (all P < 0.05). At 3 months after discharge, SUPPH scores improved more substantially in the study group (p < 0.05). PG-SGA scores were lower and reverse-coded QLQ-OES18 symptom-related health status index values were higher in the study group at 1 and 3 months after discharge (all p < 0.05). Postoperative complication rates were 5.56% versus 19.61%, and overall nursing satisfaction rates were 94.44% versus 80.39%, favoring the study group (both p < 0.05). These findings suggest that theory-guided nursing may support postoperative recovery and nutritional management. Larger prospective studies are needed to confirm these associations.

PMID:
42992691
Bibliographic data and abstract were imported from PubMed on 06 Nov 2026.

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