摘要
目的了解视觉分散和视听联合分散对结肠镜检查病人疼痛的影响。方法采用随机对照法将180例结肠镜检查病人分为3大组,每组60例。视觉分散组检查时看多媒体(DVD光盘)但不听声音,视听联合分散组检查时看DVD光盘并戴耳机听声音,对照组检查时既不看DVD光盘也不听声音。根据两个干预组受试者观看DVD光盘的专注自评分,再将两组分为高、中、低专注各3个亚组。比较3大组间和6个亚组间检查中的疼痛程度。结果视觉分散组和视听联合分散组的疼痛评分较对照组低,但差异未达到统计学意义;2个高专注组的疼痛评分明显较低专注组和对照组低(P<0.05)。结论视觉分散和视听联合分散对结肠镜检查病人检查中的疼痛缓解有一定作用,当接受者高度专注于分散目标时,控制疼痛的效果会更好。
Objective To study the effect of visual and audiovisual distraction on pain among patients undergoing colonoscopy. Methods 180 consecutive patients undergoing colonoscopy were randomly divided into three groups： group A received visual distraction （watched DVD but can＇t hear the voice during examination）, group B received audiovisual distraction （watched DVD and hear the voice during examination）; group C with routine care （didn＇t watch DVD）. Group A was divided into A1 （low degree group）, A2 （middle degree group）, A3 （high degree group）. Group B was divided into B1 （low degree group）, B2 （middle degree group）, and B3 （high degree group）. The level of pain among the three groups （A, B, C） and the seven groups （A1, A2, A3, B1, B2, B3, C）. Results Compared with group C, the pain score was lower in group A and group B without statistic difference. Statistic difference were found among the seven groups （A1, A2, A3, B1, B2, B3, C）. compared with group A1, A2, B1, C,the pain score was lower in group A3 and group B3 （P〈0.05）. Conclusions Visual distraction and audiovisual distraction can decrease the pain intensity to a certain extend during colonoscopy.
出处
《中华护理杂志》
CSCD
北大核心
2007年第1期6-10,共5页
Chinese Journal of Nursing
基金
香港理工大学资助项目
关键词
结肠镜检查
注意力
视觉
听觉
疼痛
Colonoscopy
Attention
Vision
Auditory perception
Pain
