American journal of translational research · 2021
The clinical effects of high-quality nursing interventions after a diagnosis of upper gastrointestinal bulging lesions with mEUS.
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Shi Lianfang, Wang Lijuan, Cui Qinhao
Аннотация
PURPOSE: To study and analyze the clinical effectiveness of miniprobe endoscopic ultrasonography (mEUS) in upper gastrointestinal eminence lesions caused by tumors.
METHODS: We recruited 210 patients admitted to our hospital from March 2018 to June 2020 as the study cohort, all of whom were diagnosed with upper gastrointestinal eminence lesions caused by tumors using routine endoscopies. To further clarify the type of disease, mEUS was used in all the patients along with high-quality nursing interventions. The results and the patients' anxiety and depression levels before and after the examinations were analyzed.
RESULTS: After their admission, the patients' SAS and SDS scores were high. Their scores decreased significantly after the nursing (P < 0.05). There were 75 patients with esophageal disease diagnosed among the 223 patients with upper gastrointestinal eminence lesions, accounting for 33.63% of the total. 114 patients with gastric disease were found, accounting for 51.12%; and there were 5 cases of cardia disease, accounting for 2.24% of the total. Another 29 cases of duodenal disease were detected, accounting for 13%. According to the determinations of the pathological types, the main disease types were stromal tumors and leiomyomas, with 79 cases (35.43%) and 53 cases (23.77%). The mEUS examinations in the 210 patients detected a total of 223 eminence lesions. In total, the 213 lesions were consistent with the pathological examinations, and the total diagnosis coincidence rate was 95.52% (213/223).
CONCLUSION: mEUS examinations combined with nursing care applied to tumor-induced upper gastrointestinal swelling lesions can eliminate patient tension and anxiety and other unhealthy emotions and can improve patient compliance with the examinations. mEUS examinations can show the hierarchical structure of the upper gastrointestinal wall and accurately locate any upper gastrointestinal swelling lesions, effectively clarify the nature of the disease, and have a guiding significance for the differential diagnosis and treatment of the disease.
METHODS: We recruited 210 patients admitted to our hospital from March 2018 to June 2020 as the study cohort, all of whom were diagnosed with upper gastrointestinal eminence lesions caused by tumors using routine endoscopies. To further clarify the type of disease, mEUS was used in all the patients along with high-quality nursing interventions. The results and the patients' anxiety and depression levels before and after the examinations were analyzed.
RESULTS: After their admission, the patients' SAS and SDS scores were high. Their scores decreased significantly after the nursing (P < 0.05). There were 75 patients with esophageal disease diagnosed among the 223 patients with upper gastrointestinal eminence lesions, accounting for 33.63% of the total. 114 patients with gastric disease were found, accounting for 51.12%; and there were 5 cases of cardia disease, accounting for 2.24% of the total. Another 29 cases of duodenal disease were detected, accounting for 13%. According to the determinations of the pathological types, the main disease types were stromal tumors and leiomyomas, with 79 cases (35.43%) and 53 cases (23.77%). The mEUS examinations in the 210 patients detected a total of 223 eminence lesions. In total, the 213 lesions were consistent with the pathological examinations, and the total diagnosis coincidence rate was 95.52% (213/223).
CONCLUSION: mEUS examinations combined with nursing care applied to tumor-induced upper gastrointestinal swelling lesions can eliminate patient tension and anxiety and other unhealthy emotions and can improve patient compliance with the examinations. mEUS examinations can show the hierarchical structure of the upper gastrointestinal wall and accurately locate any upper gastrointestinal swelling lesions, effectively clarify the nature of the disease, and have a guiding significance for the differential diagnosis and treatment of the disease.