Contemporary Nursing

Objective To analyze the nursing cooperation and emergency management during endoscopic submucosal dissection (ESD) in patients with intraoperative bleeding. Methods A total of 80 patients with intraoperative bleeding during ESD from January 2024 to December 2024 were selected as the experimental subjects and were randomly divided into the experimental group and the control group at a ratio of 1:1, with 40 cases in each group. The control group received conventional ESD surgical treatment and nursing care, while the experimental group was given informed nursing cooperation and emergency management. The effects were compared. Results The experimental group had less intraoperative bleeding, and the operation time, exhaust time, time to get out of bed, and hospital stay were shorter than those in the control group. The heart rate (HR), mean arterial pressure (MAP), serum cortisol (Cor), and norepinephrine (NE) in the experimental group were lower than those in the control group, P < 0.05. Conclusion Providing high-quality nursing cooperation and emergency management for patients with intraoperative bleeding during ESD can reduce bleeding volume, shorten hospital stay, facilitate the smooth progress of the surgery, reduce the patient's stress level, and contribute to the patient's recovery.

Endoscopic Submucosal Dissection; Intraoperative bleeding; Nursing cooperation