术后12h禁饮禁食护理法对内镜下息肉切除术后患者干预的疗效探讨

Discussion on the Effect of the Nursing Method of Drinking and Fasting for 12 Hours after Operation on the Intervention of Patients after Endoscopic Polypectomy

目的分析禁饮禁食护理法对内镜下息肉切除术后患者进行干预的临床效果。方法临床研究对象为方便选取2018年6月—2020年6月在该院接受内镜下息肉切除术治疗的结肠息肉患者65例,凭借随机数表法分为对照组(30例)与观察组(35例)两组。将常规护理法实施于对照组中,将禁饮禁食护理法干预实施于观察组中,对比两组干预效果。结果观察组与对照组并发症发生率分别为2.86%、26.67%,观察组较低,差异有统计学意义(χ^(2)=5.810,P=0.016);观察组与对照组满意度分别为97.14%、70.00%,观察组较高,差异有统计学意义(χ^(2)=7.176,P=0.007);观察组右侧结肠清洁度评分(2.28±0.32)分、横结肠清洁度评分(2.70±0.37)分、左侧结肠清洁度评分(2.59±0.35)分以及总分(7.99±0.40)分显著高于对照组右侧结肠清洁度评分(1.39±0.29)分、横结肠清洁度评分(1.76±0.35)分、左侧结肠清洁度评分(1.04±0.29)分以及总分(4.19±0.43)分,差异有统计学意义(t=11.669、10.467、19.242、36.884,P<0.001);观察组饮食依从性(97.14%)以及服药依从性(100.00%)显著高于对照组饮食依从性(70.00%)以及服药依从性(73.33%),差异有统计学意义(χ^(2)=7.176、8.315,P<0.001)。结论禁饮禁食护理法对接受内镜下息肉切除术治疗的结肠息肉患者术后进行干预效果显著,术后并发症得以显著降低,更有助于患者术后恢复,患者满意度较高。

Objective To analyze the clinical effect of the nursing method of drinking and fasting on the intervention of patients after endoscopic polypectomy.Methods 65 patients with colonic polyps who underwent endoscopic polypectomy in the hospital from June 2018 to June 2020 were conveniently selected.They were divided into a control group(30 cases)and an observation group(35 cases)by means of a random number table.The conventional nursing method was implemented in the control group,and the drinking and fasting nursing method intervention was implemented in the observation group,and the intervention effects of the two groups were compared.Results The incidence of complications in the observation group and the control group was 2.86%and 26.67%respectively,and the observation group was lower,and the difference was statistically significant(χ^(2)=5.810,P=0.016);satisfaction occurred in the observation group and the control group the rates were 97.14%and 70.00%,and the observation group were higher,and the difference was statistically significant(χ^(2)=7.176,P=0.007);the right colon cleanliness score of the observation group was(2.28±0.32)points,transverse colon cleanliness score(2.70±0.37)points,left colon cleanliness score(2.59±0.35)points,and total score(7.99±0.40)points were significantly higher than the right colon cleanliness score(1.39±0.29)points of the control group,transverse colon cleanliness score(1.76±0.35)points,left colon cleanliness score(1.04±0.29)points and total score(4.19±0.43)points,the difference were statistically significant(t=11.669,10.467,19.242,36.884,P<0.001);the observation group's dietary compliance(97.14%)and medication compliance(100.00%)were significantly higher than those of the control group(70.00%)and medication compliance(73.33%),the difference was statistically significant(χ^(2)=7.176,8.315,P<0.001).Conclusion Drinking and fasting nursing method has a significant effect on postoperative intervention for colon polyps patients undergoing endoscopic polypectomy.Postoperative complications can be significantly reduced,which is more conducive to postoperative recovery of patients,and patient satisfaction is high.