Precision Nursing vs Conventional Care in Laparoscopic Colorectal Cancer Surgery: A Randomized Controlled Trial

Comparison of Perioperative Outcomes Between Precision Nursing and Conventional Care in Laparoscopic Colorectal Cancer Surgery: a Randomized Controlled Trial

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.

Study Overview

• Status: Withdrawn
• Conditions: Colorectal Cancer
• Intervention / Treatment: Behavioral: Precision Nursing; Behavioral: Conventional Clinical Nursing

Detailed Description

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:

1. Preoperative: 30-minute personalized psychological counseling + music therapy;
2. Intraoperative: Real-time body temperature monitoring (maintaining ≥36°C) + dynamic position optimization;
3. Postoperative: Individualized recovery guidance (early ambulation, dietary adjustment) based on patient condition.

Conventional Care Group: Routine clinical nursing (preoperative health education, intraoperative basic monitoring, postoperative standard care).

Outcome Measures:

Primary: Preoperative anxiety score (SAQ), intraoperative hypothermia rate, postoperative nausea and vomiting (PONV) incidence, time to first flatus, length of hospital stay; Secondary: Postoperative complication rate, nursing satisfaction score.

Statistical Analysis: Data are analyzed using SPSS 26.0. Continuous variables are compared with t-tests, categorical variables with chi-square tests. A p-value <0.05 is considered statistically significant.

• Study Type: Interventional
• Phase: Not Applicable

Contacts and Locations

Study Locations

• China
  • Jiangsu
    • Nanjing, Jiangsu, China, 210009
      • Jiangsu Cancer Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• 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.

Exclusion Criteria:

• 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.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 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).	Behavioral: Precision Nursing; 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).
Active Comparator: 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.	Behavioral: Conventional Clinical Nursing; Routine perioperative clinical nursing, including standard preoperative education, basic monitoring, and standard postoperative care.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Preoperative anxiety score	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.	1 day before surgery

Collaborators and Investigators

• Sponsor: Jiangsu Cancer Institute & Hospital

Study record dates

Study Major Dates

• Study Start (Actual): May 1, 2026
• Primary Completion (Actual): May 1, 2026
• Study Completion (Actual): May 1, 2026

Study Registration Dates

• First Submitted: February 10, 2026
• First Submitted That Met QC Criteria: February 10, 2026
• First Posted (Actual): February 17, 2026

Study Record Updates

• Last Update Posted (Actual): May 29, 2026
• Last Update Submitted That Met QC Criteria: May 26, 2026
• Last Verified: May 1, 2026

More Information

Terms related to this study

• Keywords: Randomized Controlled Trial; Perioperative Outcomes; Laparoscopic Surgery; Precision Nursing
• Additional Relevant MeSH Terms: Neoplasms by Site; Neoplasms; Intestinal Diseases; Gastrointestinal Neoplasms; Digestive System Neoplasms; Digestive System Diseases; Gastrointestinal Diseases; Intestinal Neoplasms; Rectal Diseases; Colonic Diseases; Colorectal Neoplasms
• Other Study ID Numbers: JSCH-CRC-NURS-2023

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No