Perioperative multidisciplinary nursing model for endoscopic gastric submucosal dissection development and effect evaluation.

Abstract

Background: Endoscopic submucosal dissection (ESD) has become the standard endoscopic treatment for early gastric cancer (EGC), offering high en bloc resection and curative resection rates. However, despite its minimally invasive nature, ESD is still associated with potential complications such as bleeding, perforation, and delayed recovery, which can prolong hospital stays and affect patient outcomes. While advancements in digestive endoscopy have improved procedural precision and safety, perioperative care remains a critical factor influencing recovery. Conventional nursing models often lack coordination across specialties and fail to address the comprehensive needs of EGC patients undergoing ESD. In contrast, multidisciplinary team (MDT) approaches have demonstrated efficacy in improving care quality and patient satisfaction in oncology settings. Yet, the application and effectiveness of a structured perioperative MDT nursing model specifically tailored for ESD patients with EGC have not been fully explored. Therefore, developing and validating an evidence-based MDT nursing protocol is essential to optimize perioperative management and enhance clinical outcomes in this patient population.

Aim: To construct ESD for patients with EGC assisted by digestive endoscopy, the perioperative MDT nursing model for ESD treatment was adopted, and its effect was evaluated.

Methods: A total of 99 patients diagnosed with EGC in our hospital from April 2022 to April 2025 were prospectively selected as the observation group research subjects to receive the MDT nursing mode. Another 99 patients were selected in a 1:1 ratio as the control group to receive the conventional nursing mode. Both groups received ESD treatment. The recovery of intestinal rumbling sounds after surgery, the time of first getting out of bed for activities, the average length of hospital stay, and the satisfaction situation were compared between the two groups.

Results: Intergroup comparisons revealed that the observation group patients had significantly better outcomes in terms of time to bowel sound recovery (12.53 ± 1.21) hours, first time out of bed activity (23.53 ± 2.34) hours, length of hospital stay (6.63 ± 0.46) days, and overall complication rate (3.03%), along with a significantly higher satisfaction rate of 100% compared to 80.81% in the control group (P < 0.05).

Conclusion: MDT can significantly promote the recovery of EGC patients after ESD treatment assisted by digestive endoscopy, improve the treatment effect of patients, and increase patient satisfaction. It is worthy of clinical promotion and application.