Application Efficacy of Cluster Nursing in Patients Undergoing Gastrointestinal Endoscopy.

ABSTRACT

Background: Gastrointestinal endoscopy is a clinical examination of gastrointestinal diseases with pain, nausea, and other discomfort of the patient. Therefore, it is of practical significance to give corresponding nursing intervention for patients undergoing painless gastrointestinal endoscopy. Objective: To probe the application efficacy of cluster nursing in patients undergoing gastrointestinal endoscopy. Design: This was a retrospective study. Setting: This study was carried out in the Department of Endoscopy Room, Funan County Hospital of Traditional Chinese Medicine. Participants: From March 2020 to October 2022, 126 patients who underwent painless gastrointestinal endoscopy were chosen and randomly separated into a control group and research group. Interventions: The control group received routine safety nursing management. The research group adopted safety management guided by a cluster nursing strategy. Primary Outcome Measures: (1) the dosage of anesthetic drug use and examination time (2) hemodynamics (3) occurrence of common adverse events (4) score of bowel preparation (5) scores of anxiety and depression (6) comfort degree and (7) nursing satisfaction. Results: Compared to the control group, the dosage of anesthetic drug use and examination time in the research group were lessened (P < .001, 95% CI -10.06--7.94 and P < .001, 95% CI -7.10--4.88), the diastolic blood pressure, systolic blood pressure, and heart rate indexes in the research group were reduced (P = .03, 95% CI-10.07--5.32; P < .001, 95% CI-13.87--7.91 and P < .001, 95% CI-12.23--6.27), the occurrence of adverse events during the examination in the research group was reduced (χ2=8.068, P = .005), the score of bowel preparation in the research group was elevated (P < .001, 95% CI 1.06-1.56), the scores of anxiety as well as depression in the research group were reduced (P < .001, 95% CI 10.77-13.35 and P < .001, 95% CI 7.31-9.53), the comfort score of patients in the research group presented higher (P < .001, 95% CI 17.77-22.91), and the nursing satisfaction in the research group was elevated (χ2=10.31, P = .001). Conclusion: Cluster nursing for patients with painless gastrointestinal endoscopy combined examination has a positive impact on ensuring the successful completion of the examination, effectively controlling the risk of adverse events, and improving patient satisfaction.