护理干预对小肠镜检查前肠道准备影像的前瞻性研究

A prospective study of the influence of nursing intervention on the intestinal tract preparation of before Enteroscopy

目的探讨护理干预对小肠镜检查前肠道准备影像的前瞻性。方法选择2015年7月至2016年6月本院90例首次采用结肠镜检查的患者作为研究对象,随机分为观察组和对照组,每组45例。对照组采用传统预约方法,观察组给予护理干预。比较两组患者肠道清洁度、一次性成功率、检查时间、病变检出率及焦虑抑郁评分。结果观察组肠道清洁一次性成功率(91.11%)显著高于对照组(68.89%),差异有统计学意义(P<0.05);观察组小肠镜整体检查时间、滞留时间、抽出时间[(13.35±1.12)min、(6.91±1.13)min、(11.17±0.42)min]均明显低于对照组[(19.84±2.65)min、(9.67±2.25)min、(13.05±0.97)min],比较差异有统计学意义(P<0.05);观察组检出阳性率(88.89%)显著高于对照组(64.44%),差异具有统计学意义(P<0.05);观察组焦虑评分和抑郁评分[(29.54±3.42)分、(30.93±3.86)分]均较对照组[(41.37±4.68)分、(43.21±5.14)分]更低,差异有统计学意义(P<0.05)。结论护理干预能够有效的提高肠道清洁度、病变检出率,缩短结肠镜检查前的准备时间,同时可缓解患者不良情绪,对工作效率和护理质量的改善有积极作用。

Objective To explore the influence of nursing intervention on preoperative intestinal preparation before Enteroseopy.Methods 90 patients primarily received colonoscopy in our hospital during July 2015 to June 2016, were randomly divided into observation group and control group, 45 cases in each group. In the control group, the traditional appointment method was used. However, the observation group was given nursing intervention. The cleanness of intestinal tract, the success rate of one time, the time of examination, the detection rate of disease and the score of anxiety and depression were compared between the two groups. Results The success rate of intestinal cleansing in the observation group （91.11%） was significantly higher than that in the control group （68.89%）, the difference was statistically significant （P〈0.05）. The overall examination time, retention time and extraction time of Enteroseopy in the observation group （13.35±1.12min, 6.91 ± 1.13min, 11. 17±0.42min） were significantly lower than those in the control group （ 19.84±2.65min, 9.67±2.25min, 13.05±0. 97min）, the differences were statistically significant （P〈0.05）. The positive detected rate in observation group （88.89%） was significantly higher than the control group （64.44%）, the difference was statistically significant （P〈0.05）. The scores of anxiety and depression （29.54±3.42, 30.93±3.86 ） in the observation group were significantly lower than those in the control group （41.37±4.68, 43.21 ±5.14）, the differences were statistically significant （P〈0.05）. Conclusions Nursing intervention can effectively improve the cleanliness of colonoscopy, the detection rate of the disease, shorten the preparation time before colonoscopy, can relieve the bad mood of patients and improve the work efficiency and nursing quality.