Abstract
OBJECTIVE: To evaluate the implementation of the family-centered care(FCC) model in pediatric patients undergoing diagnostic procedures for gastric disorders. METHODOLOGY: This retrospective study analyzed complete medical records of pediatric patients presenting with gastrointestinal symptoms and undergoing painless gastroscopy at Maternity & Child Care Center of Qinhuangdao between January 2024 to June 2025. Ninety children who received FCC and 90 who received standard care were included using concealed allocation and a single-blind design. Primary outcomes included procedural cooperation and duration, anxiety levels, physiological stress markers, parental knowledge scores, postoperative satisfaction at one-month follow-up, incidence of adverse events and recurrence of gastrointestinal symptoms. RESULTS: The cooperation rate in the FCC group was significantly higher compared with the standard care group(P< 0.05). The procedural duration was also significantly shorter in the FCC group(P< 0.05). Baseline SAI and TAI scores did not differ significantly between groups(both P> 0.05); however, post-intervention scores were significantly lower in the FCC group, with more pronounced differences in SAI scores(P< 0.001). Increases in SBP, DBP and HR after the procedure were significantly greater in the standard care group than in the FCC group(all P< 0.001). One-month follow-up showed that the FCC group had significantly better scores in patient and caregiver satisfaction, lower incidence of adverse events and reduced recurrence of gastrointestinal symptoms (all P< 0.001). CONCLUSION: The use of the FCC model in pediatric gastroscopy may significantly enhance patient cooperation and procedural safety, reduce anxiety and physiological stress responses, strengthen parental caregiving competence and improve long-term outcomes.