Effect of biomechanics-correlated integrated nursing mode of physician and nursing on operation process, intraoperative and postoperative adverse reactions and resuscitation quality of elderly patients with painless gastroscopy

Background: The elderly commonly exhibit stressful responses during painless gastroscopy. At the cellular molecular biomechanics level, this stress activates the sympathetic nervous system, leading to the release of catecholamines like adrenaline. These molecules bind to adrenergic receptors on cells, initiating a cascade of intracellular signaling events. The integrated medical and nursing care model is a modern nursing approach that has been gradually applied in clinical practice over the last few years. This study was conducted to survey the value of this nursing model in elderly patients undergoing painless gastroscopy. Objective: To survey the impact of the integrated medical and nursing care model in painless gastroscopy in the elderly on the quality of surgical procedures, intraoperative and postoperative adverse effects and resuscitation. Methods: From August 2020 to August 2022, eighty elderly patients who underwent painless gastroscopy in our hospital were enrolled. The patients were randomly allocated into two groups of 40 cases each. In the control group, the patients accepted routine intervention, and in the observation group, the patients accepted the intervention of the physician-nursing integrated nursing model. The differences of nursing effects were compared between the two groups. Statistical analysis was conducted to determine nursing satisfaction and adverse reactions. Results: The examination time, fully awake time, and residence time of resuscitation room in the observation group were remarkably shorter (P < 0.05). After the failure of 5min and anesthetics before the examination, the scores of SAS and SDS in the observation group were remarkably lower (P < 0.05), suggest that the model might impact the balance of neurotransmitters such as serotonin and dopamine. These neurotransmitters play crucial roles in mood regulation and are regulated by complex molecular mechanisms involving transporters and enzymes. In GCQ score, the physiological, psychological, social, and cultural, total environmental scores of the patients in the observation group were remarkably higher. After nursing, the VAS score of the observation group was lower, and the Ramsay score was higher. The total nursing satisfaction rate of the observation group was 97.50%, while that of the control group was 67.50%. Adverse reactions were recorded in both the observation group and the control group at a rate of 7.50% and 30.00%, respectively. Conclusion: The integrated medical and nursing care model holds significant value for elderly painless gastroscopy patients by potentially modulating diverse cellular molecular biomechanical aspects, alleviating negative emotions, decreasing adverse reaction risks, and enhancing nursing satisfaction.