Zhu Linzhen, Zhu Linlin, Yang Xiuying, Zheng Weifeng
Endoscopy Center, The Fourth Affiliated Hospital of Zhejiang University School of Medicine Yiwu 322000, Zhejiang Province, China.
Beiyuan Street Community Health Service Centre Yiwu 322000, Zhejiang Province, China.
Am J Transl Res. 2021 Jun 15;13(6):6552-6559. eCollection 2021.
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.
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.
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).
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.
探讨基于JCI核心理念的问题管理模式对胃息肉患者无痛内镜黏膜切除术（EMR）的治疗效果。
选取2019年1月至2020年2月在我院消化内科行无痛EMR的128例胃息肉患者作为研究队列，随机分为对照组和试验组，每组64例。对照组患者接受常规护理干预，试验组患者接受基于JCI核心理念的问题管理模式。比较两组患者胃肠功能恢复情况、应激反应[心率（HR）和平均动脉压（MAP）]、心理状态（SAS和SDS评分）、并发症、住院时间、护理质量及护理满意度。
干预后，试验组首次排气排便时间早于对照组，住院时间短于对照组（<0.05）。两组患者HR和MAP均升高，但试验组低于对照组（<0.05）。两组SAS和SDS评分均降低，且试验组低于对照组（<0.05）。试验组并发症发生率低于对照组，但差异无统计学意义（>0.05）。试验组护理质量及护理满意度高于对照组（<0.05）。
基于JCI核心理念的问题管理模式对胃息肉患者无痛EMR有良好的治疗效果。该模式能有效减轻应激反应，促进术后胃肠功能恢复，降低并发症发生率，提高护理质量及护理满意度。
