标准化循证护理实践对接受内镜下结肠息肉切除术患者心理状态及不良反应的影响

Influence of standardized evidence-based nursing practices on mental state and adverse effects in patients undergoing endoscopic colon polypectomy.

作者信息

Tan Cheng, Wu Ze-Ju, He Rong, Feng Lin

机构信息

Department of Gastroenterology, Yuechi County People's Hospital, Guang'an 638300, Sichuan Province, China.

Department of Gastroenterology, Zibo First Hospital, Zibo 255200, Shandong Province, China.

出版信息

World J Gastrointest Surg. 2025 Jul 27;17(7):103736. doi: 10.4240/wjgs.v17.i7.103736.

Abstract

BACKGROUND

Endoscopic colon polypectomy is a common procedure used to remove polyps that may develop into colorectal cancer if left untreated. Despite these advantages, patients frequently experience anxiety and other adverse reactions. Standardized evidence-based nursing practices are essential for enhancing patient care by addressing both physical and psychological health issues.

AIM

To analyze the impact of standardized evidence-based nursing on psychological status and adverse reactions of patients undergoing endoscopic colonic polypectomy.

METHODS

Data from 200 patients who underwent endoscopic colonic polypectomy at the authors' hospital between January and June 2024 were randomly assigned to two groups: Control [received routine nursing care ( = 100)] and study [received standardized evidence-based nursing intervention(s) ( = 100)]. Psychological status, visual analog scale, and Short-Form 36 Health Survey scores, adverse events, and satisfaction with nursing were compared between the two groups.

RESULTS

After the interventions, the study group exhibited significantly lower scores on the Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale, along with a reduced incidence of adverse events compared with the control group ( < 0.05). Short-Form 36 Health Survey scores and overall satisfaction with nursing care were also significantly higher in the intervention group ( < 0.05).

CONCLUSION

Standardized evidence-based nursing interventions effectively reduced negative patient emotions and enhanced quality of life and satisfaction, demonstrating high safety.

摘要

背景

内镜下结肠息肉切除术是一种常见的手术,用于切除如果不治疗可能发展为结直肠癌的息肉。尽管有这些优点,但患者经常会出现焦虑和其他不良反应。标准化的循证护理实践对于通过解决身心健康问题来提高患者护理质量至关重要。

目的

分析标准化循证护理对接受内镜下结肠息肉切除术患者心理状态和不良反应的影响。

方法

选取2024年1月至6月在作者所在医院接受内镜下结肠息肉切除术的200例患者的数据,随机分为两组:对照组[接受常规护理(n = 100)]和研究组[接受标准化循证护理干预(n = 100)]。比较两组患者的心理状态、视觉模拟量表和36项简短健康调查评分、不良事件以及对护理的满意度。

结果

干预后,研究组汉密尔顿焦虑量表和汉密尔顿抑郁量表评分显著低于对照组,不良事件发生率也低于对照组(P < 0.05)。干预组的36项简短健康调查评分和对护理的总体满意度也显著高于对照组(P < 0.05)。

结论

标准化循证护理干预有效地减少了患者的负面情绪,提高了生活质量和满意度,显示出较高的安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4024/12305232/ea7aa983bd98/wjgs-17-7-103736-g001.jpg

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