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护理干预对胶囊内镜检查前肠道准备影响的前瞻性研究(1)
http://www.100md.com 2015年6月25日 《中国医学创新》 2015年第18期
     【摘要】 目的:研究护理干预在胶囊内镜检查前肠道准备时的应用价值。方法:选取2013年7月-2014年11月于本院首次行胶囊内镜检查的患者60例,按照随机数表法分为对照组与观察组,每组各30例,对照组给予传统预约方法,观察组在对照组基础上实施护理干预,观察两组患者肠道准备的效果及对检查结果的影响。结果:观察组患者肠道清洁度、检查效果及一次成功率均优于对照组,观察组患者胶囊内镜胃内留滞时间短于对照组,而其肠内留滞时间长于对照组,观察组患者SAS评分、SDS评分、健康知识评分及护理质量满意度均明显优于对照组,两组比较差异均有统计学意义(P<0.05)。结论:综合、个体化护理干预可改善胶囊内镜检查前肠道清洁度,提高检查效果,改善患者心理状态,提高患者知识水平及患者满意度。

    【关键词】 胶囊内镜; 肠道准备; 护理干预

    A Prospective Study of Nursing Intervention on Bowel Preparation before Capsule Endoscopy Impacts/YE Rui-xiang,WU Jian-wei,LUO Ling-min.//Medical Innovation of China,2015,12(18):079-081
, 百拇医药
    【Abstract】 Objective:To study the value of nursing intervention before capsule endoscopy bowel preparation time.Method:60 patients who underwent capsule endoscopy in our hospital were selected from July 2013 to November 2014 and were randomly divided into control group and observation group,30 cases in each group.The patients of control group were given conventional reservation method,the observation group was given nursing intervention on the basis of control group,the effect of bowel preparation and the impact on test results were observed.Result:The patients of observation group with intestinal cleanliness,inspection results and a success rate were better than the control group,capsule endoscopy in the stomach of patients in the observation group the lag time was shorter than the control group,the lag time was longer than its intestinal control group,the observation group of SAS scores,SDS score,quality of health care knowledge and satisfaction scores were significantly better than the control group,all the differences were statistically significant(P<0.05).Conclusion:Comprehensive and individualized nursing intervention before capsule endoscopy can improve intestinal cleanliness,improve the patients of inspection results,the mental state,knowledge and satisfaction.
, 百拇医药
    【Key words】 Capsule endoscopy; Bowel preparation; Nursing intervention

    First-author’s address:The People’s Hospital of Songgang,Shenzhen 518105,China

    doi:10.3969/j.issn.1674-4985.2015.18.029

    胶囊内镜(Capsule Endoscopy)是近年来新发展的一种新型无创胃肠道检查方法,不仅弥补了传统胃肠镜无法观察的小肠盲区,而且方便、无创、无痛苦、无交叉感染、不影响患者正常工作,已成为全球公认的小肠疾病筛查首选方法[1-3]。然而,随着其在临床中的开展,肠道准备成为制约及限制其检查效果的关键之一[4]。如何进行胶囊内镜检查前肠道准备护理干预成为研究热点之一。

    1 资料与方法

    1.1 一般资料 选取2013年7月-2014年11月于本院首次行胶囊内镜检查的患者60例,其中男29例,女31例,年龄20~65岁,平均(45.15±3.16)岁。临床表现为不明原因的消化道出血、腹泻、腹痛、低蛋白血症、消瘦、贫血等。所有患者均排除体内电子仪器置入术后、严重吞咽困难、消化道畸形、消化道穿孔、胃肠道梗阻等情况。在征得所有患者及家属的同意情况下,根据其检查顺序进行编号,并按随机数表法分为对照组与观察组,每组各30例,两组患者一般资料比较差异无统计学意义(P>0.05),具有可比性。, 百拇医药(叶瑞香 吴建维 罗灵敏)
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