The application of the nursing guidelines for pain - free gastroscopy and colonoscopy in the elderly based on evidence - based medicine in clinical practice
基于循证医学的老年无痛胃肠镜护理指南在临床实践中的应用

摘要

目的 本研究旨在通过应用基于循证医学的老年无痛胃肠镜护理指南，提高老年患者的无痛胃肠镜检查成功率，减少不良反应，提升患者满意度，并总结出一套科学、规范的护理流程和方法。方法 通过计算机检索国内外相关文献，筛选出与老年无痛胃肠镜护理相关的证据，遵循循证医学的原则进行评价和筛选。结合评价结果，组织专家团队制定符合老年患者特点的无痛胃肠镜护理指南。同时，将指南应用于实际临床护理工作中，确保各环节的执行。结果 1. 检查成功率：指南应用后，无痛胃肠镜检查成功率达到95%以上，显著高于对照组的85%（P＜0.05）2. 不良反应发生：不良反应发生率由对照组的10%降低至指南应用组的3%，差异具有统计学意义（P＜0.01）3. 患者满意度：术后患者满意度调查显示，超过90%的患者对此次检查和护理服务感到满意。结论 本研究通过对基于循证医学的老年无痛胃肠镜护理指南在临床实践中的应用研究，证实了其在提高临床效果、降低不良反应及提高患者满意度等方面的积极作用。因此，在今后的临床实践中，应积极推广和应用本指南，不断完善和优化护理流程，提高老年无痛胃肠镜护理质量。

Abstract

Objective This study aims to improve the success rate of pain - free gastroscopy and colonoscopy in elderly patients, reduce adverse reactions, enhance patient satisfaction, and summarize a set of scientific and standardized nursing processes and methods by applying the evidence - based medicine - based nursing guidelines for pain - free gastroscopy and colonoscopy in the elderly.
Methods Relevant domestic and foreign literatures were retrieved by computer, and the evidence related to pain - free gastroscopy and colonoscopy nursing in the elderly was screened out, and evaluated and selected following the principles of evidence - based medicine. Based on the evaluation results, an expert team was organized to formulate pain - free gastroscopy and colonoscopy nursing guidelines that conform to the characteristics of elderly patients. Meanwhile, the guidelines were applied to actual clinical nursing work to ensure the implementation of each link.
Results 1. Success rate of examination: After the application of the guidelines, the success rate of pain - free gastroscopy and colonoscopy reached over 95%, which was significantly higher than 85% of the control group ($P<0.05$). 2. Incidence of adverse reactions: The incidence of adverse reactions decreased from 10% in the control group to 3% in the guideline - application group, and the difference was statistically significant ($P < 0.01$). 3. Patient satisfaction: The postoperative patient satisfaction survey showed that more than 90% of the patients were satisfied with this examination and nursing services.
Conclusion   This study, through the application research of the evidence - based medicine - based nursing guidelines for pain - free gastroscopy and colonoscopy in the elderly in clinical practice, has confirmed its positive effects in improving clinical effectiveness, reducing adverse reactions, and enhancing patient satisfaction. Therefore, in future clinical practice, this guideline should be actively promoted and applied, the nursing process should be continuously improved and optimized, and the quality of pain - free gastroscopy and colonoscopy nursing for the elderly should be improved.