Analysis of the application value and prognostic impact of comfort-oriented nursing in the operating room for gastric cancer patients with cancer-related insomnia

Background: Cancer-related insomnia (CRI) is a prevalent and clinically significant comorbidity among patients with cancer, particularly among patients diagnosed with gastric cancer (GC). This condition not only causes erratic fluctuations in physiological parameters but also induces a series of symptoms, including fatigue, neurasthenia, and exacerbation of negative emotional states, thus disrupting the normal trajectory of treatment and hindering the recovery of patients. Objective: To evaluate the impact of comfort-oriented nursing in the operating room on the recovery outcomes of GC patients with concomitant CRI, thereby providing evidence-based insights for clinical decision-making. Methods: A total of 137 GC patients with CRI who were admitted to our institution between October 2022 and October 2023 were selected for this study. Of these patients, 72 patients who received routine nursing in the operating room composed the control group. The remaining 65 patients received comfort-oriented nursing in the operating room and composed the observation group. The postoperative gastrointestinal function recovery time was recorded in both groups. Additionally, the Pittsburgh Sleep Quality Index (PSQI) and the Self-rating Anxiety/Depression Scale (SAS/SDS) were utilized to assess sleep quality and the presence of negative emotional states, respectively. Moreover, patient postoperative pain and satisfaction with nursing care were surveyed. All the patients were followed up for 1 year, during which survival rates and quality of life metrics were documented. Results: Compared with the control group, the observation group demonstrated significantly shorter postoperative gastrointestinal function recovery times (P < 0.05). Additionally, patients in the observation group had lower PSQI, SAS, and SDS scores after the intervention (P < 0.05). Moreover, patients in the observation group reported milder postoperative pain and higher satisfaction with nursing care (P < 0.05). Finally, although no significant intergroup differences were observed in overall survival rates during the 1-year follow-up period (P > 0.05), patients in the observation group reported better quality of life. Conclusion: comfort-oriented nursing in the operating room can effectively ameliorate sleep disturbances and mitigate negative emotions in GC patients with CRI, thereby facilitating the postoperative recovery of these patients.