Research Article
The Construction and Application of a Comprehensive Management Plan for Frail Elderly Patients with Colorectal Cancer
Issue:
Volume 14, Issue 5, October 2025
Pages:
91-97
Received:
29 October 2025
Accepted:
13 November 2025
Published:
28 November 2025
Abstract: Objective To construct and validate a comprehensive management program for frail elderly colorectal cancer patients centered on patient-reported outcomes (PROMs). Methods From January 2024 to June 2025, 90 frail elderly patients undergoing colorectal cancer radical surgery at the People's Hospital of Shaanxi Province were conveniently selected and divided into a control group (45 cases, conventional pathway) and an intervention group (45 cases, receiving comprehensive management by a "seven-discipline-nine-position" multidisciplinary team (MDT) combined with a quality control circle: within 72 hours of admission, a four-dimensional assessment of PROMs, frailty, nutrition, psychology, and cognition was completed, triggering a 7-day preoperative high-protein prehabilitation and a "3-5-7" exercise prescription; perioperative integration of ERAS, case management, caregiver "learn-practice-follow" training, and community-family closed-loop follow-up.) The two groups were compared in terms of the standard operation rate of medical staff, the pass rate of professional knowledge assessment, the acceptance rate of patient comprehensive management, medical satisfaction, the caregiver's care ability achievement rate, and the hospital environment friendliness. Results Compared with the control group, the intervention group had the following improvements: the standard operation rate of medical staff increased from 73% to 90%, and the pass rate of assessment increased from 55% to 95%; the acceptance rate of patient comprehensive management increased from 30% to 85%, and satisfaction increased from 60% to 92%; the caregiver's ability achievement rate increased from 40% to 85%; the hospital environment friendliness increased from 60% to 93%, with all differences being P < 0.01. Conclusion The comprehensive management program based on PROMs can significantly improve the care quality, medical experience, and family support level of frail elderly colorectal cancer patients, providing evidence-based support for the construction of an integrated elderly oncology care model of hospital-community-family.
Abstract: Objective To construct and validate a comprehensive management program for frail elderly colorectal cancer patients centered on patient-reported outcomes (PROMs). Methods From January 2024 to June 2025, 90 frail elderly patients undergoing colorectal cancer radical surgery at the People's Hospital of Shaanxi Province were conveniently selected and ...
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Research Article
Assessment of Missed Nursing Care Practices and Contributed Factors Among Nurses in Jeddah, Saudi Arabia
Jelan Alasiri*
,
Nirvana Gheith
Issue:
Volume 14, Issue 5, October 2025
Pages:
98-106
Received:
23 October 2025
Accepted:
3 November 2025
Published:
8 December 2025
DOI:
10.11648/j.ajns.20251405.12
Downloads:
Views:
Abstract: Background: Missed nursing care is considered a global problem, as evidenced by research. This phenomenon, known as missed nursing care, is a global issue that affects patient satisfaction and the quality of nursing care. Therefore, by mitigating missed nursing care, healthcare organizations can uphold standards of excellence and ensure optimal patient outcomes. Objective: This study aimed to assess the missed nursing care practices and contributed factors among nurses in Jeddah, Saudi Arabia. Method: A descriptive, correlational, cross-sectional design was conducted. A convenience sample of 204 registered nurses working in the Maternity and Children Specialized Hospital in Jeddah, Saudi Arabia. A self-administered questionnaire was distributed among the targeted nurses via a Google Form survey. The questionnaire includes personal data and professional characteristics of the nurses, a 25-items questionnaire to measure the missed nursing care (MNC) practices, and a 22-items questionnaire to explore the reasons for missed nursing care (RMNC). Results: of the involving 204 nurses, 66.7% were between 25 and 34 years old. 11.8%, 29.4%, and 22.5% were very satisfied with their current position, job, and the level of teamwork at their unit. The most common missed nursing care was related to interventions and basic needs, while labour resources were the most common reason for missed nursing care. The overall mean MNC and RMNC scores were 1.66 and 2.59, respectively. Higher scores in MNC and RMNC were associated with thinking of inadequate unit staffing and dissatisfaction with the current position and job. Conclusion: The occurrence of missed nursing is common in this hospital setting. Labor and material resources were seen as the prominent reasons for missed nursing care. It is essential to note that enhancing satisfaction with unit staffing and teamwork may reduce missed nursing care among this population.
Abstract: Background: Missed nursing care is considered a global problem, as evidenced by research. This phenomenon, known as missed nursing care, is a global issue that affects patient satisfaction and the quality of nursing care. Therefore, by mitigating missed nursing care, healthcare organizations can uphold standards of excellence and ensure optimal pat...
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