摘要
目的:探讨强化宣教对老年患者肠道准备质量的影响。方法:将200例年龄大于60岁的肠镜检查患者随机分为对照组(n=100)与试验组(n=100)。对照组在肠镜检查前,由内镜专科护士将肠镜检查的目的、重要性、饮食指导、泻药服用方法、服药后常见的不良反应及处理方法常规告知患者。试验组在常规宣教内容的基础上,采用视频学习和电话随访进行强化宣教,家属及责任护士共同参与和关注患者的肠道准备情况。比较两组患者肠道准备的洁净率、结肠镜回盲部到达率、术前和术中不良反应发生率及医患满意度。结果:与对照组比较,试验组患者肠道清洁达标率和结肠镜回盲部到达率均高于对照组(均P<0.05);试验组患者肠道检查前和肠道检查中,不良反应发生率均明显低于对照组(均P<0.05);同时试验组医患满意度均高于对照组(均P<0.05)。结论:强化宣教可提高老年肠镜检查患者的肠道清洁率和肠镜检查准备的质量。
Objective:To explore the effect of strengthened propaganda on intestinal preparation quality in elderly patients.Methods:A total of 200 patients underwent colonoscopy aged over 60 years were randomly divided into the study group and the control group,with 100 cases in each group.In the control group,aims of colonoscopy,significance of colonoscopy,guidance of dietary,methods of using laxatives,common adverse reactions and treatments were introduced by endoscopy specialist nurse before colonoscopy.While in the experimental group,video learning and telephone follow-ups were used to strengthen propaganda on the basis of routine information.In addition,family members and primary nurse participated in and monitored the bowel preparation of patients.The observation indexes were analyzed between the two groups,including the cleaning rate of intestinal preparation,the arrival rate of ileocecal junction,the adverse reactions rate of preoperative and intraoperative,and the doctor-patient satisfaction score.Results:Compared to the control group,the cleaning rate of intestinal preparation and the arrival rate of ileocecal junction were both significantly increased in the experimental group(both P<0.05).The incidence of preoperative and intraoperative adverse reactions were markedly lower in the experimental group than that of control group(both P<0.05).Meanwhile,the doctor-patient satisfaction score increased in the experimental group when compared to the control group(both P<0.05).Conclusion:Strengthened propaganda could significantly improve the cleaning rate and quality of intestinal preparation for colonoscopy in elderly patients.
作者
王晓霞
朱华丽
Wang Xiaoxia;Zhu Huali(Department of Gastroenterology,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University&Institute of Digestive Diseases,China Three Gorges University,Yichang 443003,China)
出处
《巴楚医学》
2019年第4期96-99,124,共5页
Bachu Medical Journal
关键词
强化宣教
老年患者
结肠镜检查
肠道洁净率
不良反应
strengthened propaganda
elderly patients
colonoscopy
intestinal cleaning rate
adverse reactions
