Influence of standardized evidence-based nursing practices on mental state and adverse effects in patients undergoing endoscopic colon polypectomy

Abstract

Background: Endoscopic colon polypectomy is a common procedure used to remove polyps that may develop into colorectal cancer if left untreated. Despite these advantages, patients frequently experience anxiety and other adverse reactions. Standardized evidence-based nursing practices are essential for enhancing patient care by addressing both physical and psychological health issues.

Aim: To analyze the impact of standardized evidence-based nursing on psychological status and adverse reactions of patients undergoing endoscopic colonic polypectomy.

Methods: Data from 200 patients who underwent endoscopic colonic polypectomy at the authors' hospital between January and June 2024 were randomly assigned to two groups: Control [received routine nursing care (n = 100)] and study [received standardized evidence-based nursing intervention(s) (n = 100)]. Psychological status, visual analog scale, and Short-Form 36 Health Survey scores, adverse events, and satisfaction with nursing were compared between the two groups.

Results: After the interventions, the study group exhibited significantly lower scores on the Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale, along with a reduced incidence of adverse events compared with the control group (P < 0.05). Short-Form 36 Health Survey scores and overall satisfaction with nursing care were also significantly higher in the intervention group (P < 0.05).

Conclusion: Standardized evidence-based nursing interventions effectively reduced negative patient emotions and enhanced quality of life and satisfaction, demonstrating high safety.

Keywords: Adverse events; Colon polypectomy; Mental state; Nursing satisfaction; Standardized evidence-based nursing.

Figure 1

Comparison between the two groups. A: Comparison of Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale scores between the two groups after nursing intervention; B: Comparison of visual analogue score scores between the two groups after nursing intervention; C: Comparison of Short Form-36 Health Survey scores between the two groups of patients before and after nursing intervention. The difference of Short Form-36 Health Survey scores before and after intervention was statistically significant (P < 0.05); D: Comparison of the adverse reaction rates between the two groups of patients. ^aP < 0.05, ^bP < 0.01 vs control. HAMA: Hamilton Anxiety Rating Scale; HAMD: Hamilton Depression Rating Scale; VAS: Visual analogue score; SF-36: Short Form-36 Health Survey.