• Juan Yao, Wen He, Huifang Chen, and Yu Qi.
• Department of Urology, Wuhan No.1 Hospital, Wuhan, Hubei, China.
• Medicine (Baltimore). 2023 Mar 10; 102 (10): e33187e33187.

AbstractAdrenal tumors are a common type of tumor whose incidence increases with age. This study aims to apply the continuous nursing mode of "Internet Plus" to patients with severe adrenal tumors, and preliminarily evaluate the nursing effect of continuous nursing intervention based on "Internet Plus" on patients with severe adrenal tumors. A single-center, retrospective, observational study was carried out on severe adrenal tumor patients. A total of 128 patients admitted to our hospital from June 2020 to August 2021 were selected and divided into 2 groups: the observation group (n = 64) received routine care and the control group (n = 64) received continuing care based on "Internet Plus." The first time to get out of bed, 72 hours postoperative sleep time, 72 hours postoperative visual analog scale score, hospital length of stay, upper limb swelling to subside time, self-rating anxiety scale, Symptom Checklist-90, quality of life scores, and self-rating depression scale of cancer patients were compared between the 2 groups. T test and χ2 test were used for statistical analysis. The first time to get out of bed (t = 10.64, 95% confidence interval [CI] = 5.32-16.53, P < .001), upper limb swelling to subside time (t = 16.50, 95% CI = 7.21-26.15, P < .001) and the length of hospital stay (t = 11.82, 95% CI = 5.61-17.95, P < .001) were significantly shorter, 72 hours postoperative sleep time (t = 9.46, 95% CI = 4.93-15.48, P < .001) was significantly longer, and the visual analog scale score of 72 hours after operation (t = 15.95, 95% CI = 7.32-24.09, P < .001) was significantly lower in the observation group than that in the control group. After receiving nursing intervention, the scores of somatization (t = 17.56, 95% CI = 9.51-27.96, P < .001), anxiety (t = 21.85, 95% CI = 12.35-33.71, P < .001), depression (t = 18.29, 95% CI = 9.63-28.22, P < .001), self-rating anxiety scale (t = 33.67, 95% CI = 19.65-46.13, P < .001), self-rating depression scale (t = 31.92, 95% CI = 20.73-45.88, P < .001), and the quality of life score (t = 21.54, 95% CI = 8.92-40.37, P < .001) were significantly lower, and the positive coping (t = 16.30, 95% CI = 5.15-18.14, P < .001) and negative coping (t = 20.54, 95% CI = 9.34-33.12, P < .001) scores were significantly higher in the observation group than those in the control group. Nursing intervention based on "Internet Plus" continuous mode can promote the recovery of physical function, reduce psychological pressure and negative emotions, and then improve the quality of life of severe adrenal tumor patients.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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