Effect of peri operative whole high quality nursing care on psychological status, vital signs and anesthetic medication of patients undergoing painless gastrointestinal endoscopy : A systematic review and meta analysis

Abstract

Purpose: To investigate the impact of perioperative whole high-quality nursing care on psychological status, vital signs and anesthetic medication of patients undergoing painless gastrointestinal endoscopy, and also to provide a reference for reducing adverse risks and improving safety of painless gastrointestinal endoscopy. Methods: Databases such as Pubmed, Embase, Web of Science, and Cochrane Library were retrieved. Literature was selected based on established standards, and quality evaluations were performed to extract required data. Finally, 13 pieces of literature were included for meta-analysis of relevant data. Results: In a meta-analysis of 13 relevant randomized controlled trials (RCTs), patients receiving high-quality perioperative nursing care experienced significant improvements in self-reported anxiety and depression levels, vital signs indicators such as systolic and diastolic blood pressure, mean arterial pressure, and heart rate, as well as decrease in narcotic drug dosage. Diagnosis and treatment time also significantly decreased (p < 0.05). Additionally, the incidence of respiratory depression was reduced (p < 0.00001). Conclusion: This meta-analysis suggests that perioperative high-quality nursing care alleviates the psychological stress of patients with painless gastrointestinal endoscopy, reduces the amount of anesthesia, and effectively reduces application time of endoscopy