Clinical outcomes of nursing interventions after endoscopic treatment for intestinal polyps and early-stage cancer

Abstract

BACKGROUND Implementing nursing interventions in patients undergoing endoscopic treatment for intestinal polyps and early stage cancer can serve as a reference for reducing the incidence of complications, accelerating the recovery process, and improving the quality of life. AIM To impact of systematic nursing intervention on recovery, complications prevention, and quality of life after endoscopic surgery for intestinal polyps. METHODS This retrospective study included 157 patients who underwent endoscopic mucosal resection or endoscopic submucosal dissection at our hospital. The patients were divided into intervention and conventional groups, with no significant differences in age, sex, or surgical methods. The intervention group received multidimensional nursing interventions, including preoperative evaluation, intraoperative cooperation, postoperative rehabilitation, psychological support and nutritional management. The conventional group received standardized care. Clinical efficacy, inflammation and infection indicators, complication rates, rehabilitation indicators, and visual analog scale (VAS) scores were compared. RESULTS On the 7th day after surgery, C-reactive protein (CRP) and white blood cell levels were lower in the intervention group than in the conventional group. Complications occurred in 9.33% of the patients in the intervention group and 23.17% in the conventional group, with significant differences in fever and abdominal distension. The intervention group had shorter first exhaust and hospitalization durations than the control group. By day 3 post-surgery, the intervention group showed lower VAS scores and reduced anxiety and depression. High-risk factors included diabetes [relative risk (RR) = 2.43, 95%CI: 1.21–4.86], laparotomy (RR = 2.86, 95%CI: 1.22–6.71), CRP > 15 mg/L (RR = 3.12, 95%CI: 1.54–6.33), and procalcitonin > 0.5 ng/mL 1 day after surgery (RR = 2.91. 95%CI: 1.31–6.44), while systematic nursing interventions (OR = 0.40, 95%CI: 0.18–0.89) reduced the complication risk by 60%. CONCLUSION Multidimensional nursing interventions have clinical value in endoscopic treatment of intestinal polyps and early stage cancer, reducing complications and hospital stay. This study provides a basis for establishing patient-centered guidelines.