Research on precision nursing practice for high risk patients in endoscopic centers
内镜中心高风险患者精准护理实践研究

摘要

目的 探讨精准护理模式在内镜中心高风险患者中的应用效果，为降低不良事件、提升护理质量提供依据。方法 选取2023年1月-2024年12月我院内镜中心186例高风险患者，随机分为对照组和实验组各93例。对照组实施常规护理，实验组实施全流程精准护理。比较两组不良事件发生率、诊疗依从性、护理满意度及相关诊疗指标。结果 实验组不良事件发生率显著低于对照组，诊疗依从性和护理满意度显著高于对照组，且术前准备达标时间、术后复苏时间及住院天数均明显缩短，差异均有统计学意义（P<0.05）。结论 全流程精准护理可有效降低内镜中心高风险患者不良事件发生率，提升依从性和护理质量，具有较高临床推广价值。

Abstract

Objective To investigate the effects of a precision nursing model on high-risk patients undergoing endoscopic procedures, and to provide clinical evidence for reducing adverse events and improving nursing quality.
Methods A total of 186 high-risk patients who underwent endoscopic diagnosis and treatment in our hospital from January 2023 to December 2024 were randomly divided into a control group and an experimental group, with 93 patients in each group. The control group received routine nursing care, while the experimental group received whole-process precision nursing. The incidence of adverse events, treatment compliance, nursing satisfaction, and procedure-related indicators were compared between the two groups.
Results The incidence of adverse events in the experimental group was significantly lower than that in the control group, while treatment compliance and nursing satisfaction were significantly higher. In addition, the time to meet preoperative preparation standards, postoperative recovery time, and length of hospital stay were significantly shorter in the experimental group (P < 0.05).
Conclusion   Implementation of whole-process precision nursing for high-risk patients in the endoscopy center can effectively reduce the risk of adverse events, improve patient compliance and nursing service quality, optimize the diagnostic and treatment process, and has important clinical value for widespread application.