Application of Positional Nursing Combined with Positive Suggestion in Patients Undergoing Sedated Gastroscopy

Purpose: To investigate the effects of positional nursing combined with positive suggestions on anxiety, procedural outcomes, and patient comfort in patients undergoing painless gastroscopy. Patients and Methods: This retrospective cohort study enrolled 153 patients undergoing sedated gastroscopy between March 2024 and August 2025. Patients were assigned to the conventional nursing group (n=73, March–October 2024) or the comprehensive nursing group (n=80, November 2024–August 2025). The comprehensive group received individualized positioning optimization and standardized positive psychological suggestions. Primary outcomes included State-Trait Anxiety Inventory-State subscale (STAI-S), examination success rate, examination duration, and General Comfort Questionnaire (GCQ). Secondary outcomes included hemodynamic stability, adverse events, recovery time, and patient satisfaction. Results: Baseline characteristics were comparable between groups. The comprehensive nursing group demonstrated significantly lower STAI-S scores (43.23± 7.68 vs 48.67± 8.45, P < 0.001) and shorter examination duration (6.54± 1.62 min vs 7.23± 1.87 min, P =0.016). GCQ scores were significantly higher in the comprehensive group ( P < 0.001). The comprehensive group maintained better intra-procedural hemodynamic stability with lower heart rates ( P =0.002), higher oxygen saturation ( P < 0.001), and higher blood pressure levels (systolic BP: P =0.020; diastolic BP: P =0.008). Comprehensive group had lower overall adverse event incidence, shorter recovery time and higher modified Patient Satisfaction Questionnaire scores (modified PSQ-18) (all P < 0.05). Conclusion: Positional nursing combined with positive suggestion may help reduce pre-procedural anxiety, improve hemodynamic stability, decrease adverse events, and enhance patient comfort and satisfaction in painless gastroscopy. This non-pharmacological intervention shows promise for integration into routine endoscopy nursing protocols.