Randomized Controlled Trial
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2025; 17(7): 103736
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.103736
Influence of standardized evidence-based nursing practices on mental state and adverse effects in patients undergoing endoscopic colon polypectomy
Cheng Tan, Ze-Ju Wu, Rong He, Lin Feng
Cheng Tan, Ze-Ju Wu, Rong He, Department of Gastroenterology, Yuechi County People’s Hospital, Guang’an 638300, Sichuan Province, China
Lin Feng, Department of Gastroenterology, Zibo First Hospital, Zibo 255200, Shandong Province, China
Author contributions: Wu ZJ and He R performed the pathological diagnosis; He R designed the research study; Tan C performed the primary literature review and data extraction, and analyzed the data and wrote the manuscript; Feng L was responsible for revising the manuscript for important intellectual content; and all authors have read and approved the final version.
Institutional review board statement: The study was reviewed and approved by Zibo First Hospital (No. 2024-IEC-005).
Clinical trial registration statement: This research is a non-registered investigator-initiated clinical study.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at zbsdyyyxhk@163.com. Participants gave informed consent for data sharing.
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: Lin Feng, Department of Gastroenterology, Zibo First Hospital, No. 4 Emeishan East Road, Boshan District, Zibo 255200, Shandong Province, China. zbsdyyyxhk@163.com
Received: March 5, 2025
Revised: March 22, 2025
Accepted: May 27, 2025
Published online: July 27, 2025
Processing time: 140 Days and 4 Hours
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: Colon polypectomy; Standardized evidence-based nursing; Mental state; Adverse events; Nursing satisfaction

Core Tip: After undergoing endoscopic removal of colon polyps, patients often experience anxiety and other adverse reactions. Standardized evidence-based nursing practices are crucial for improving patient care by addressing both physical and mental health issues. To analyze the impact of standardized evidence-based nursing on the psychological status and adverse reactions of patients undergoing endoscopic colonic polypectomies. We found that standardized evidence-based nursing interventions effectively reduced negative patient emotions and enhanced the quality of life and satisfaction, demonstrating high safety.