腹部按压联合综合护理在腹壁造口旁疝患者肠镜检查中的应用效果

Application effect of abdominal compression combined with comprehensive nursing for patients with abdominal parastomal hernia undergoing colonoscopy

目的探析腹壁造口旁疝患者行肠镜检查中应用腹部按压联合综合护理进行干预的效果。方法选择2019年1月至2022年1月,安徽医科大学第一附属医院收治的60例腹壁造口旁疝患者作为研究对象,患者均需开展肠镜检查,按照随机数字分组方法分为对照组(n=30)、观察组(n=30)。对照组采取常规护理措施进行干预,观察组在对照组护理基础上采取腹部按压联合综合护理措施进行干预,对比2组患者的生命体征、焦虑(SAS)评分、抑郁(SDS)评分、检查中疼痛视觉模拟(VAS)评分、检查时间、镜检成功率、自护能力评分以及生活质量评分等指标。结果与对照组比较,观察组心率、血压在检查中、干预后明显较低(P<0.05);与对照组比较,观察组实施联合护理干预后SAS评分、SDS评分,检查中VAS评分降低幅度均较大(P<0.05);观察组检查时间明显缩短(P<0.05);观察组镜检成功率高于对照组(P<0.05);观察组干预后的自护能力评分、生活质量评分明显高于对照组(P<0.05)。结论腹壁造口旁疝患者行结肠镜检查期间采取腹部按压联合综合护理干预能够维持患者生命体征稳定,减轻其负面情绪,降低检查中疼痛程度,缩短检查时间,提高镜检成功率,对提升患者自护能力评分及生活质量评分有促进作用。

Objective To explore the effect of abdominal compression combined with comprehensive nursing intervention in patients with abdominal parastomal hernia undergoing colonoscopy.Methods Sixty patients with peristomal hernia in the First Affiliated Hospital of Anhui Medical University from January 2019 to January 2022 were selected as the study subjects.All patients underwent colonoscopy,and were divided into the control group(n=30)and observation group(n=30)according to the principle of random number grouping.The control group received routine nursing interventions,while the observation group received abdominal compression combined with comprehensive nursing interventions on the basis of the control group.The vital signs,anxiety(SAS)score,depression(SDS)score,pain during examination(VAS)score,examination time,success rate of microscopic examination,self-care ability score and quality of life score of the two groups of patients were compared.Results Compared with the control group,the heart rate and blood pressure in the observation group were significantly lower during examination and after intervention(P<0.05).Compared with the control group,the observation group decreased significantly in the SAS score,SDS score,and VAS score during the examination after implementing combined with nursing intervention(P<0.05).The examination time in the observation group was significantly shortened(P<0.05).The success rate of microscopic examination in the observation group was higher than that in the control group(P<0.05).The self-care ability score and quality of life score of the observation group after intervention were significantly higher than those of the control group(P<0.05).Conclusion Abdominal compression combined with comprehensive nursing intervention during colonoscopy can maintain stable vital signs,alleviate negative emotions,reduce pain during examination,shorten examination time,improve the success rate of colonoscopy,and promote the self-care ability score and quality of life score.