Abstract：Objective：To evaluate the efficacy of nursing interventions on alleviating negative psychological responses and improving sleep quality in middle-aged and elderly women undergoing pain-free gastrointestinal endoscopy under general anesthesia.Methods：A total of 76 middle-aged and elderly women who underwent pain-free gastrointestinal endoscopy under general anesthesia between March 2022 and March 2023 were enrolled in this study. Participants were randomly assigned—using a random number table—into two groups: an observation group (n = 38) and a control group (n = 38). The control group received standard routine nursing care, whereas the observation group received targeted, individualized nursing interventions. Primary outcome measures included pre- and post-intervention assessments of negative emotional states (anxiety and depression), adherence to medical instructions, intra-procedural physiological parameters (heart rate and mean arterial pressure), and subjective sleep quality. Results ： Prior to intervention, no statistically significant differences were observed between the two groups in baseline psychological scores (P > 0.05). Following the intervention, both groups exhibited significantly reduced anxiety and depression scores compared with baseline (P 0.05); post-intervention, both parameters decreased significantly in both groups (P 0.05); after intervention, sleep quality improved significantly in both groups (i.e., lower Pittsburgh Sleep Quality Index or equivalent scores; P < 0.05), with significantly greater improvement in the observation group (P < 0.05). Conclusion：Implementing structured, targeted nursing interventions in middle-aged and elderly women undergoing pain-free gastrointestinal endoscopy under general anesthesia effectively mitigates anxiety and depression, enhances adherence to clinical recommendations, promotes intra-procedural hemodynamic stability, and significantly improves post-procedural sleep quality.
沈苇 Wei Shen (Wed,) studied this question.