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中华胃肠内镜电子杂志

中华胃肠内镜电子杂志 ›› 2024, Vol. 11 ›› Issue (01) : 62 -64. doi: 10.3877/cma.j.issn.2095-7157.2024.01.015

护理园地

内镜下肠黏膜切除术术前宣教临床应用效果分析
高颖新1, 王泽楠1,†()   
  1. 1. 100020　北京，首都医科大学附属北京朝阳医院消化内镜中心
  • 收稿日期:2023-06-09 出版日期:2024-02-15
  • 通信作者: 王泽楠
  • 基金资助:
    北京市医院管理局消化内科学科协同发展中心消化专项特色项目(XXT12)

Analysis of clinical application effect of preoperative education in mucosal resection under colonoscopy

Yingxin Gao1, Zenan Wang1,†()   

  1. 1. Department of Gastroenterology, Chaoyang Hospital, Capital Medical University, Beijing 100020, China
  • Received:2023-06-09 Published:2024-02-15
  • Corresponding author: Zenan Wang
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高颖新, 王泽楠. 内镜下肠黏膜切除术术前宣教临床应用效果分析[J]. 中华胃肠内镜电子杂志, 2024, 11(01): 62-64.

Yingxin Gao, Zenan Wang. Analysis of clinical application effect of preoperative education in mucosal resection under colonoscopy[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2024, 11(01): 62-64.

目的

探究内镜下肠黏膜切除术(EMR)术前宣教在临床应用效果。

方法

选取2020年10月至2021年6月经首都医科大学附属北京朝阳医院行EMR 412例，根据入院顺序将患者随机分为术前教育组和对照组，每组各206例。其中，对照组给予常规准备护理，术前教育组给予专业术前教育指导。对比两组患者手术配合程度、肠道准备情况、疼痛程度、术前护理的满意度。

结果

术前教育组患者的配合意识及肠镜检查中的配合程度评分均显著高于对照组，且总分显著高于对照组(均P<0.05)；术前教育组左半结肠、中段结肠和右半结肠肠道准备评分均显著高于对照组，且总分显著高于对照组(均P<0.05)；术中两组患者VAS评分均较高，且二者无显著差异(P>0.05)；术后1 d，两组患者VAS评分均降低，且术前教育组VAS评分显著低于对照组(P<0.05)；对照组对护理的总满意度为78.16%，显著低于术前教育组的93.69%(P<0.05)。

结论

对经内镜下肠EMR术患者而言，应用术前教育，不仅可以提升患者检查中的配合程度，改善体征，同时可以降低患者的疼痛感提交满意度。

关键词: VAS, BBPS评分, 术前教育, 内镜下黏膜切除术, 配合度
Objective

To explore the clinical application effect of professional preoperative education in enteroscopic mucosal resection.

Methods

A total of 412 patients with endoscopic mucosal resection (EMR) admitted to Beijing Chaoyang Hospital from October 2020 to June 2021 were selected and randomly divided into preoperative education group and control group. Among them, the control group was given routine preparation nursing, and the preoperative education group was given professional preoperative education guidance. The degree of cooperation in examination, bowel preparation, pain and satisfaction with preoperative nursing were compared between the two groups.

Results

The colonoscopy time in the preoperative education group was (10.16±1.57) min, which was significantly lower than control group (15.89±2.85) min (P<0.05). Preoperative education group had significantly higher cooperative awareness and cooperative degree score in colonoscopy than control group, and the total score was significantly higher than control group (P< 0.05). The scores of left colon, middle colon and right colon in preoperative education group were significantly higher than control group, and the total scores were significantly higher than control group (P< 0.05). On the first day after surgery, the VAS score of the preoperative education group was significantly lower than that control group (P< 0.05). The total satisfaction of the control group was 78.16%, which was significantly lower than preoperative education group (93.69%) (P<0.05).

Conclusion

For patients undergoing EMR, the application of professional preoperative education can not only improve the patient′s cooperation in the examination, improve physical signs, but also reduce the patient′s pain and speed up the operation.

Key words: VAS, BBPS score, Professional preoperative education, EMR of colonoscopy, Cooperation degree
表1 两组患者肠EMR术配合程度评分对比(±s)
组别 配合意识 检查前准备 体位摆放 检查中配合 其他相关配合 总分
术前教育组(n＝206) 2.23±0.32 1.93±0.21 2.15±0.32 1.96±0.25 1.95±0.21 9.26±2.37
对照组(n＝206) 1.34±0.12 1.32±0.21 1.75±0.17 1.59±0.16 1.45±0.19 7.56±1.39
t值 37.377 29.480 15.844 17.892 25.341 8.881
P值 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001
表2 两组患者肠EMR术BBPS评分对比(±s)
组别 左半结肠 中段结肠 右半结肠 总分
术前教育组(n＝206) 2.63±0.23 2.29±0.19 2.25±0.16 7.16±0.49
对照组(n＝206) 1.64±0.15 1.73±0.13 1.43±0.11 5.05±0.29
t值 51.747 34.913 60.615 53.187
P值 <0.001 <0.001 <0.001 <0.001
表3 两组患者术后即时和术后VAS评分对比(±s)
组别 术后即时 术后1 d
术前教育组(n＝206) 8.43±1.55 2.15±0.53
对照组(n＝206) 8.32±1.51 5.75±1.02
t值 0.730 －44.591
P值 0.466 <0.001
[1]
陈春香，冯学书，徐杏．知信行模式健康教育在消化内科胃肠镜术前患者中的应用价值分析[J]．中国实用护理杂志，2021，37(33)：25-30.
[2]
张京蕾，周鸿．基于电视平台的术前教育在肠镜检查患者肠道准备中的应用[J]．中华现代护理杂志，2020，26(21)：2914-2917.
[3]
Renata，Ras，Edyta，et al.Preoperative colonoscopy in patients with a supposed primary ovarian cancer[J]．Med，2019，98(12)：149-152.
[4]
Mrcs SH，Mrcs SH，Frcs SR.The challenge is now to incorporate preoperative computed tomography scan and postoperative colonoscopy into routine practice for patients aged over 40 years presenting with acute appendicitis[J]．Surgery，2020，26(13)：775-779.
[5]
Akyüz Elif，Erdem Yurdagül.Patients′ Experiences of Informed Consent and Preoperative Education：[J]．Clin Nurs Res，2021, 30(5): 529-538.
[6]
张智，葛兆霞，邓小岚．老年患者结肠镜检查前不同肠道准备方法的效果对比[J]．中华现代护理杂志，2017，23(14)：1829-1832.
[7]
严广斌．视觉模拟评分法[J/CD]．中华关节外科杂志(电子版), 2014, 8(2)：33-34.
[8]
陈小芳，于西全，陈威，等．GLP-1受体激动剂利拉鲁肽对2型糖尿病患者结肠镜检查肠道准备质量的影响[J]．临床与病理杂志，2018, 38(4)：743-746.
[9]
Abdulla HM，Crain R，Baliss MS，et al.Mo1683 Quality of preoperative colonoscopy in patients undergoing surgery for colorectal cancer [J]．Gast End ，2020，91(6)：449-451.
[10]
彭文君，李斌飞，周仕海，等．基于微信平台多学科参与的术前访视系统在无痛胃肠镜检查中的应用效果评价[J]．中国护理管理，2021，21(2)：288-293.
[11]
周罗晶，刘昕，高巨．无痛结肠镜检查术患者术后疲劳综合征人工神经网络预测模型的建立[J]．中华麻醉学杂志，2021，41(4): 397-400.
[12]
Mahawongkajit P，Boochangkool N．Comparison of preoperative CT colonography and colonoscopy for esophageal reconstruction with colonic interposition[J]．Surg Res Pract，2020, 20(10): 1-5.
[13]
Koet LL，Kraima A，Derksen I，et al.Effectiveness of preoperative group education for patients with colorectal cancer：managing expectations[J]．Support Care in Can，2021，29(2)：1-9.
[14]
Erickson BJ，Mcelheny K，Chalmers PN，et al.Performance and Return to Sport After Excision of the Fractured Hook of the Hamate in Professional Baseball Players：[J]．Amer J Sports Med，2020，48(12): 3066-3071.
[15]
冯晴，丁伟伟，李可凤，等．健康宣教在老年食管静脉曲张内镜治疗中的应用[J/CD]．中华胃肠内镜电子杂志，2023，10(1): 70-72.
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