Journal of Modern Nursing MedicineJPCNS

Objective This study aims to improve the success rate of pain - free gastroscopy and colonoscopy in elderly patients, reduce adverse reactions, enhance patient satisfaction, and summarize a set of scientific and standardized nursing processes and methods by applying the evidence - based medicine - based nursing guidelines for pain - free gastroscopy and colonoscopy in the elderly. Methods Relevant domestic and foreign literatures were retrieved by computer, and the evidence related to pain - free gastroscopy and colonoscopy nursing in the elderly was screened out, and evaluated and selected following the principles of evidence - based medicine. Based on the evaluation results, an expert team was organized to formulate pain - free gastroscopy and colonoscopy nursing guidelines that conform to the characteristics of elderly patients. Meanwhile, the guidelines were applied to actual clinical nursing work to ensure the implementation of each link. Results 1. Success rate of examination: After the application of the guidelines, the success rate of pain - free gastroscopy and colonoscopy reached over 95%, which was significantly higher than 85% of the control group ($P<0.05$). 2. Incidence of adverse reactions: The incidence of adverse reactions decreased from 10% in the control group to 3% in the guideline - application group, and the difference was statistically significant ($P < 0.01$). 3. Patient satisfaction: The postoperative patient satisfaction survey showed that more than 90% of the patients were satisfied with this examination and nursing services. Conclusion This study, through the application research of the evidence - based medicine - based nursing guidelines for pain - free gastroscopy and colonoscopy in the elderly in clinical practice, has confirmed its positive effects in improving clinical effectiveness, reducing adverse reactions, and enhancing patient satisfaction. Therefore, in future clinical practice, this guideline should be actively promoted and applied, the nursing process should be continuously improved and optimized, and the quality of pain - free gastroscopy and colonoscopy nursing for the elderly should be improved.

Evidence - based medicine; Elderly; Pain - free gastroscopy and colonoscopy nursing