TITLE:
Effects of Integrated Nursing Based on an Integrated Knowledge-Attitude-Practice-Transtheoretical-Health Belief Model on Negative Emotions and Rehabilitation Outcomes in Patients with Early Gastrointestinal Cancer
AUTHORS:
Zhimin Tian, Meilan Sun
KEYWORDS:
Knowledge-Attitude-Practice-Transtheoretical-Health Belief Model, Integrated Nursing, Early Gastrointestinal Cancer, Negative Emotions, Rehabilitation Outcomes
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.14 No.10,
October
26,
2026
ABSTRACT: Objective: To observe the effects of integrated nursing based on an integrated knowledge-attitude-practice-transtheoretical-health belief model on negative emotions and rehabilitation outcomes in patients with early gastrointestinal cancer. Methods: A total of 120 patients with early gastrointestinal cancer who received treatment in our hospital from November 2024 to October 2025 were selected as the study subjects. Patients were divided into an integrated group and a routine group according to the random number table method, with 60 patients in each group. The routine group received routine nursing intervention, while the integrated group received integrated knowledge-attitude-practice-transtheoretical-health belief model (KTH) nursing intervention on the basis of routine nursing. Both groups received intervention for 3 months. Negative emotions, psychological resilience, self-management ability, quality of life, and rehabilitation-related indicators, including the incidence of nutritional risk and treatment compliance rate, were compared between the two groups before and after intervention. Results: After intervention, the GAD-7 score in the integrated group (4.15 ± 1.23) was lower than that in the routine group (6.82 ± 1.57), while the CD-RISC score (78.69 ± 9.25), CSMS score (94.62 ± 8.51), and SF-36 score (89.73 ± 10.24) in the integrated group were higher than those in the routine group (65.42 ± 8.76), (80.13 ± 7.96), and (76.41 ± 9.58), respectively, with statistically significant differences (all P Conclusion: KTH model-based integrated nursing can effectively relieve negative emotions, improve psychological resilience and self-management ability, reduce nutritional risk, and enhance treatment compliance and quality of life in patients with early gastrointestinal cancer. It has value for clinical application and promotion.