Department of Gastroenterology, Yuyao People's Hospital, Yuyao 315400, Zhejiang Province, China.
Comput Intell Neurosci. 2022 Jun 24;2022:5931588. doi: 10.1155/2022/5931588. eCollection 2022.
This research sets out to elucidate the influence of comprehensive nursing intervention (CNI) on vital signs (VSs) and negative emotions (NEs) of patients with gastrointestinal polyps treated by digestive endoscopy. To address this, from January 2020 to February 2021, 92 cases of gastrointestinal polyps treated by digestive endoscopy in the Yuyao People's Hospital of Zhejiang Province were partitioned into two different groups: the control group (CG; = 46) intervened by routine nursing intervention, and the research group (RG; = 46) treated by CNI based on routine care. The VSs, NEs, time of first postoperative exhaust and defecation, early food intake, length of stay (LOS), quality of life (QOL), nursing satisfaction, and the incidence of postoperative complications were compared between groups. When entering the operating room, elevated systolic/diastolic (SBP/DBP) was observed in CG compared with RG ( < 0.05) while there was no statistical difference in SBP/DBP in RG before intervention and when entering the operating room ( > 0.05). Statistically, less time of first exhaust and defecation as well as LOS and early food intake were observed in RG ( < 0.05). The HAMA and HAMD scores declined in both arms postintervention, and the decrease was more obvious in RG ( < 0.05). After intervention, the scores of various domains of GQOLI-74 elevated in both arms, and the increase was more obvious in RG ( < 0.05). RG also showed a lower total complication rate and a higher degree of nursing satisfaction than CG ( < 0.05). CNI for patients with gastrointestinal polyps treated by digestive endoscopy can obviously relieve their anxiety and depression, with stable VSs, short LOS, and low incidence of complications.
本研究旨在阐明综合护理干预(CNI)对接受消化内镜治疗的胃肠道息肉患者生命体征(VSs)和负性情绪(NEs)的影响。为此,2020 年 1 月至 2021 年 2 月,浙江省余姚市人民医院将 92 例接受消化内镜治疗的胃肠道息肉患者分为两组:常规护理干预组(CG;n=46)和常规护理基础上的 CNI 组(RG;n=46)。比较两组患者的生命体征、负性情绪、首次术后排气排便时间、早期进食时间、住院时间(LOS)、生活质量(QOL)、护理满意度和术后并发症发生率。进入手术室时,CG 的收缩压/舒张压(SBP/DBP)高于 RG(<0.05),而 RG 干预前和进入手术室时 SBP/DBP 无统计学差异(>0.05)。RG 的首次排气排便时间、LOS 和早期进食时间明显缩短(<0.05)。两组干预后 HAMA 和 HAMD 评分均下降,RG 下降更明显(<0.05)。干预后,两组 GQOLI-74 各领域评分均升高,RG 升高更明显(<0.05)。RG 的总并发症发生率和护理满意度也明显高于 CG(<0.05)。CNI 可明显缓解接受消化内镜治疗的胃肠道息肉患者的焦虑和抑郁,稳定生命体征,缩短 LOS,降低并发症发生率。