Observational Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Nov 27, 2024; 16(11): 3531-3537
Published online Nov 27, 2024. doi: 10.4240/wjgs.v16.i11.3531
Effect of comprehensive management combined with cognitive intervention on patient cooperation and complications during digestive endoscopy
Jin-Dan Yuan, Zhi-Zhi Zhang
Jin-Dan Yuan, Zhi-Zhi Zhang, Digestive Endoscopy Center, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China
Author contributions: Yuan JD performed most of the experiments, wrote the manuscript, and participated in the collection of human material; Zhang ZZ designed the study and corrected the manuscript.
Institutional review board statement: This study was approved by The First Affiliated Hospital of Soochow University (Suzhou, China).
Informed consent statement: All patients gave informed consent.
Conflict-of-interest statement: No benefits in any form have been received or will be received from any commercial party directly or indirectly related to the subject of this article.
Data sharing statement: The technical appendix, statistical code, and dataset are available from the corresponding author.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Zhi Zhang, BSc, Nurse, Digestive Endoscopy Center, The First Affiliated Hospital of Soochow University, No. 188 Shizi Street, Gusu District, Suzhou 215000, Jiangsu Province, China. zhizhizhang_z@163.com
Received: August 20, 2024
Revised: September 12, 2024
Accepted: September 27, 2024
Published online: November 27, 2024
Processing time: 71 Days and 6.8 Hours
Abstract
BACKGROUND

As lifestyles continue to change worldwide, the incidence of digestive tract carcinoma has gradually increased. Digestive endoscopy is an important tool that can assist in the diagnosis, treatment, and surgical intervention for this disease. However, the examination process is affected by many factors, and patient cooperation is often poor, which can increase the risk of complications.

AIM

To explore the effects of integrated management and cognitive intervention on cooperation and complications in patients undergoing endoscopy for early gastrointestinal neoplasms.

METHODS

A total of 354 patients with early stage gastrointestinal cancer who underwent digestive endoscopy procedures between January and December 2023 at our hospital were divided into observation and control groups (177 patients in each group) in a randomized controlled blind trial. The control group received routine interventions, while the observation group received comprehensive integrated management combined with cognitive interventions. We compared the changes in adverse mood, discomfort, examination time, cooperation with the examination, and complications before and after the intervention between the two groups.

RESULTS

The self-rated anxiety and depression scale scores were lower in the observation group than in the control group (P < 0.05). The visual analog scale scores for discomfort during intubation and examination were also lower in the observation group than in the control group (P < 0.05). Furthermore, the examination time was shorter in the observation group than in the control group (P < 0.05), and the degree of cooperation (94.35%) was higher in the observation group than in the control group (84.75%; P < 0.05). Lastly, the incidence rates of gastrointestinal adverse reactions (10.17% vs 20.34%), choking agitation (14.69% vs 24.86%), abdominal pain (8.47% vs 18.08%), and muscle tension (5.08% vs 14.12%) were all lower in the observation group than in the control group (P < 0.05).

CONCLUSION

Integrated management and cognitive intervention in early gastrointestinal neoplasm endoscopy alleviate mood, reduce discomfort, shorten examinations, improve cooperation, and reduce complications.

Keywords: Digestive endoscopy; Comprehensive integrated management; Cognitive intervention; Cooperation; Complications

Core Tip: Patients with early gastrointestinal neoplasms who undergo endoscopy often lack knowledge and experience discomfort, which leads to negative emotions, reduced compliance, and adverse outcomes. Although integrated management and cognitive interventions have shown benefits, little is known about their combined use. This study aimed to analyze the effects of integrated management and cognitive intervention on cooperation and complications in patients undergoing endoscopy for early gastrointestinal neoplasms.