Application of IDEAS model-based preoperative nursing in patients with early esophageal cancer undergoing ESD for the first time
10.3760/cma.j.cn115682-20231228-02850
- VernacularTitle:基于IDEAS模式的术前护理在初次行ESD术早期食管癌患者中的应用
- Author:
Lingming ZHANG
1
;
Mei LIANG
;
Weiwei CHEN
Author Information
1. 济宁医学院附属医院消化内科，济宁 272100
- Keywords:
Early esophageal cancer;
Endoscopic submucosal dissection;
IDEAS model;
Coping style;
Stress response;
Nursing satisfaction
- From:
Chinese Journal of Modern Nursing
2024;30(28):3913-3916
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of IDEAS model-based preoperative nursing in early esophageal cancer patients undergoing endoscopic submucosal dissection (ESD) for the first time.Methods:A total of 130 patients with early esophageal cancer who underwent ESD for the first time in Affiliated Hospital of Jining Medical University from May 2021 to June 2023 were selected as the study objects by the convenient sampling method. The patients were divided into the experimental group and the control group by random number table method, with 65 cases in each group. The control group received routine preoperative care, while the experimental group received the IDEAS model-based preoperative care based on the control group. Chinese version of Medical Coping Questionnaire, heart rate, diastolic blood pressure, systolic blood pressure and Nursing Satisfaction Questionnaire were used to evaluate the effect of intervention.Results:30 minutes before entering the gastroscopy room, the score of face dimension in Chinese version of Medical Coping Questionnaire in the experimental group was higher than that in the control group, while the scores of avoidance and submission dimensions were lower than those in the control group, and the differences were statistically significant ( P<0.01). After entering the gastroscopy room, the heart rate, diastolic blood pressure and systolic blood pressure of the experimental group were lower than those of control group, and the differences were statistically significant ( P<0.01). The total satisfaction of nursing in the experimental group was higher than that in control group, and the difference was statistically significant ( P<0.05) . Conclusions:The IDEAS model-based preoperative care can increase the positive coping strategies of early esophageal cancer patients undergoing ESD surgery for the first time, reduce their cardiovascular stress response and improve patients' satisfaction with nursing.
