Abstract
OBJECTIVE: To explore the impact of magnifying endoscopy with narrow-band imaging (ME-NBI) combined with refined nursing management on the endoscopic diagnosis of early gastric cancer. METHODS: Patients who underwent painless gastroscopy at the Affiliated Hospital of Zunyi Medical University from January 1, 2021 to December 31, 2021 were randomly selected as study subjects. They were randomly divided into an experimental group and a control group. The experimental group received ME-NBI examination and refined nursing interventions included psychological support, environmental management, and structured patient preparation to optimize endoscopic conditions. The control group received routine endoscopic examination and nursing. The gastric cancer detection rates, patient compliance, and mucosal visibility were evaluated. The patient compliance scale used in this study evaluates adherence based on medication intake, positional changes, and examination cooperation. RESULTS: A total of 998 patients were included, with 499 in each group. The gastric cancer detection rate was significantly higher in the experimental group (4.2%) compared to the control group (0.6%) (χ(2) = 13.721, p < 0.0001). Patients were randomly assigned to an experimental group (n = 499) receiving ME-NBI with refined nursing, and a control group (n = 499) receiving routine care. There were no statistically significant differences in general data such as gender, age, family history of gastric cancer, and Helicobacter pylori infection between the two groups (all p > 0.05), indicating comparability. In the experimental group, 334 cases (66.93%) had good compliance scores (9-10 points) and 165 cases (33.07%) had general compliance scores (6-8 points), while in the control group, 31 cases (6.21%) had good compliance scores and 468 cases (93.79%) had general compliance scores. Patient compliance was significantly higher in the experimental group compared to the control group (χ(2) = 396.569, p < 0.0001), indicating that refined nursing can improve patient compliance. In addition, the comparison of gastric mucosal visibility scores during endoscopic examination showed that in the experimental group, 384 cases (76.95%) scored 1 point, 115 cases (23.05%) scored 2 points, and 0 cases (0.00%) scored 3 points; while in the control group, 27 cases (5.41%) scored 1 point, 228 cases (45.69%) scored 2 points, and 244 cases (48.90%) scored 3 points. The mucosal visibility was significantly higher in the experimental group compared to the control group (χ(2) = 591.322, p < 0.0001), indicating that refined nursing can improve gastric mucosal visibility. The gastric cancer detection rate was significantly higher in the experimental group (4.2%) compared to the control group (0.6%) (χ(2) = 13.721, p < 0.0001), indicating that refined care can improve the gastric cancer detection rate. CONCLUSION: The application of refined nursing management combined with ME-NBI technology for the diagnosis of early gastric cancer can significantly improve patient compliance, gastric mucosal visibility, and gastric cancer detection rate, which is worthy of clinical promotion and application.