探讨早期胃癌患者行超级微创手术(SMIS)全程优质护理模式的应用及效果分析。

收集2023年11月至2025年4月解放军总医院第一医学中心消化内科医学部进行治疗的100例早期胃癌患者作为研究对象，根据护理方式随机分为两组，对照组采取常规护理模式；实验组采取全程优质化护理模式，即规范护理流程、优化服务细节，为患者提供连续、全面、个性化的护理服务，比较分析两组患者的不良反应发生率、护理服务满意度以及干预后SAS评分对比等指标。

经统计学分析，实验组在主要观察指标上呈现显著优势：(1)不良反应发生率方面，实验组术后不良反应发生率为14%，对照组为32%，差异具有统计学意义(P<0.05)；(2)心理干预效果方面，采用焦虑自评量表(SAS)评估显示，实验组术后48 h平均得分(49.4±7.79)分显著低于对照组(56.6±8.96)分，差异具有统计学意义(P<0.05)；(3)护理满意度调查显示，实验组的满意度为98%，对照组的满意度为84%，差异具有统计学意义(P<0.05)。

早期胃癌患者接受全程优质化护理模式在进行SMIS治疗中，可以降低不良反应发生率改善患者焦虑状态，并且能提高护理服务满意度，值得临床推广。

To explore the application and effectiveness of a comprehensive high-quality nursing model during endoscopic super-minimally invasive surgery (SMIS) for patients with early gastric cancer.

A total of 100 patients with early gastric cancer treated at the First Medical Center of Chinese PLA General Hospital from November 2023 to April 2025 were enrolled as the research cohort.They were divided into two groups based on different nursing approaches: the control group received conventional nursing, while the experimental group received a comprehensive high-quality nursing model, which features standardized nursing procedures, optimized service details, and the provision of continuous, comprehensive, and personalized nursing care for patients.Outcomes compared included the incidence of adverse reaction rates, patient satisfaction with nursing services, and postoperative Self-Rating Anxiety Scale (SAS) scores.

Statistical analysis revealed significant advantages in the experimental group across primary endpoints: (1)The postoperative adverse reaction rates was 14% in the experimental group versus 32% in the control group, with a statistically significant difference (P<0.05); (2)Regarding psychological intervention effects, the Self-Rating Anxiety Scale (SAS) showed the experimental group's average score at 48 hours postoperatively (49.4±7.79) was significantly lower than the control group's (56.6±8.96), with statistical significance (P<0.05); (3)Nursing satisfaction surveys indicated a 98% satisfaction rate in the experimental group compared to 84% in the control group, with a significant difference (P<0.05).

Implementing a comprehensive high-quality nursing model during SMIS for early gastric cancer patients can reduce adverse reaction rates, alleviate anxiety, and improve nursing satisfaction, making it worthy of clinical promotion.