Research on the Application of Bundled Care Combined with Clinical Care Pathways in Patients Undergoing Endoscopic Mucosal Dissection
Objective: To explore the application effect of bundled care combined with a clinical care pathway in patients with endoscopic submucosal dissection (ESD). Methods: The research period was from January 2024 to January 2026, and 116 cases who underwent ESD treatment in the Department of Gastroenterology of our hospital were included for analysis. The random number table method was used as a grouping method, and the groups were designated as the reference group (n=58) and the observation group (n=58). Routine nursing and bundled nursing combined with clinical nursing paths were carried out in sequence, and postoperative recovery-related indicators, psychological state, nursing satisfaction, and complications were evaluated in each group. Results: The first time out of bed, anal exhaust time, and hospitalization time of patients in the observation group were shorter than those in the reference group, and the VAS score was lower (P < 0.05). Mental state score: After nursing, the SAS and SDS scores of the observation group were significantly lower than those of the reference group (P < 0.05). Nursing satisfaction: Compared with the reference group, the observation group had higher nursing satisfaction (P < 0.05). Comparison of complication rates showed that the observation group was lower than the reference group (P < 0.05). Conclusion: Adopting bundled care combined with clinical care paths for ESD patients can optimize postoperative recovery indicators and improve patients’ psychological state. It can also reduce the incidence of complications and improve nursing satisfaction, which has clinical promotion value.
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