The efficacy of the problem management model based on the core concept of JCI in gastric polyp patients.

OBJECTIVE

To investigate the therapeutic effect of the problem management model based on the core concept of JCI on painless endoscopic mucosal resection (EMR) in gastric polyp patients.

METHODS

A total of 128 patients with gastric polyps who underwent painless EMR in the Department of Gastroenterology in our hospital from January 2019 to February 2020 were recruited as the study cohort and randomly divided into a control group and an experimental group, with 64 patients in each group. The patients in the control group underwent routine nursing intervention, and the patients in the experimental group underwent the problem management model based on the core concept of JCI. The recovery of gastrointestinal function, the stress response [the heart rate (HR) and the mean arterial pressure (MAP)], the psychological status (the SAS and SDS scores), the complications, the hospital stay durations, the nursing quality, and the nursing satisfaction levels were compared between the two groups.

RESULTS

After the intervention, the experimental group had earlier first exhaust and defecation times and shorter hospital stay durations than the control group (<0.05). Both groups had increased HR and MAP, but they were lower in the experimental group than they were in the control group (<0.05). The SAS and SDS scores were decreased in both groups, and were lower in the experimental group than they were in the control group (<0.05). The experimental group had a lower incidence of complications than the control group, but the difference was not significantly different (>0.05). The nursing quality and the nursing satisfaction levels in the experimental group were higher than they were in the control group (<0.05).

CONCLUSION

The problem management model based on the core concept of JCI has a good therapeutic effect on painless EMR in gastric polyp patients. The model is able to effectively reduce the stress response, promote the recovery of postoperative gastrointestinal function, decrease the incidence of complications, and improve the nursing quality and the nursing satisfaction levels.