Impact of comprehensive, high-quality peri-operative nursing care on patients undergoing painless gastrointestinal endoscopy's psychological state, vital signs, and anesthetic medication: A systematic study and meta-analysis

Abstract

The goal of this study is to determine how perioperative whole-quality nursing care affects patients having painless gastrointestinal
endoscopy in terms of their psychological state, vital signs, and anesthetic medication. It also serves as a guide for lowering risks and
enhancing painless GI endoscopy safety.
Methods: Cochrane Library, Web of Science, Embase, Pubmed, and other databases were retrieved. Based on predetermined criteria,
literature was chosen, and quality assessments were carried out to retrieve the necessary data. In the end, 13 publications were included
in the meta-analysis of pertinent data.
Results: Patients receiving high-quality perioperative nursing care showed significant improvements in self-reported anxiety and
depression levels, as well as in vital signs indicators like systolic and diastolic blood pressure, mean arterial pressure, and heart rate. They
also experienced a decrease in the dosage of narcotic drugs. This was based on a meta-analysis of 13 relevant randomized controlled trials
(RCTs). Both the diagnosis and treatment times were considerably shortened (p < 0.05). Furthermore, there was a decrease in the
occurrence of respiratory depression (p < 0.00001).
In summary, our meta-analysis indicates that providing patients with painless gastrointestinal endoscopies with perioperative high-quality
nursing care might decrease psychological stress, minimize the need for anesthetic, and expedite the endoscopic process.