Effect of nursing intervention based on 6S management model on negative emotions and surgical stress in patients with gastric cancer

Objective To study the effect of nursing intervention under the 6S management model on preoperative negative emotions and surgical stress in patients with gastric cancer. Methods A total of 160 patients diagnosed with gastric cancer were enrolled in this study and randomly assigned to either an experimental group (80 cases) or a control group (80 cases). The experimental group underwent individualized nursing intervention following the 6S management model (6S nursing), while the control group received routine nursing care. The Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) were utilized to evaluate the patients' negative emotions. The study compared the preoperative HAMA and HAMD scores, preoperative blood pressure, postoperative 24-hour neutrophil-to-lymphocyte ratio (NLR), and 24-hour C-reactive protein (CRP) levels between the two groups. Results Following nursing intervention, both groups exhibited significantly lower preoperative HAMA and HAMD scores compared to admission scores (P < 0.05). Moreover, the experimental group demonstrated a more pronounced reduction in both HAMA and HAMD scores (P < 0.05). Additionally, the experimental group displayed lower preoperative systolic blood pressure in comparison to the control group, with postoperative 24-hour NLR and 24-hour CRP levels also being lower in the experimental group (P < 0.05).. Conclusion Nursing intervention under the 6S care effectively alleviates preoperative negative emotions and reduces surgical stress in patients with gastric cancer, providing a comfortable perioperative environment for patients.