The Impact of Humanistic Postoperative Care Integrated With the 6S Management Model on Postoperative Delirium and Psychiatric Symptoms in Patients With Schizophrenia Undergoing Surgery

Abstract

Background: To explore the effects of humanistic postoperative nursing integrated with the 6S management model on psychiatric symptoms, postoperative delirium and stress response in patients with schizophrenia undergoing surgery.

Methods: This study adopted a retrospective research design, selecting 80 schizophrenia patients who underwent elective general surgery treatment at People’s Hospital of Pingyang between 1 August 2023 and 1 August 2025 as the research subjects. Based on the different treatment methods, the study subjects were divided into a control group (n = 40, receiving routine care) and an observation group (n = 40, receiving humanistic postoperative care integrating the 6S management model on the basis of routine care). Statistical analysis was used to examine the incidence of postoperative delirium, incidence of complications, stress response levels before and after nursing care, social function scores, Positive and Negative Syndrome Scale (PANSS) scores, and mental status scores in both groups.

Results: The incidence of postoperative delirium and complications was lower in the observation group than in the control group. There were no significant differences in stress response levels, social function scores, PANSS scores, and mental status scores between the two groups before nursing care (p > 0.05). After nursing care, the observation group had lower stress response levels, PANSS scores, mental status scores and higher social function scores than the control group (p < 0.001).

Conclusions: Humanistic postoperative nursing integrated with the 6S management model can reduce the incidence of postoperative delirium, complications, alleviate stressresponse, improve social function, and reduce psychiatric symptoms in patients with schizophrenia undergoing surgery.