视频宣教联合回授法在老年患者结肠镜检查中的应用

Application of teach-back method and video education in elderly patients underwent colonoscopic procedure

目的:探讨视频宣教联合回授法在老年患者结肠镜检查中的应用效果。方法:选取60例2016年6至12月于郑州大学第一附属医院消化内科行结肠镜检查的老年患者,给予口服复方聚乙二醇电解质清洁肠道。将患者随机分为2组。观察组:结肠镜前1 d采用视频宣教加回授法给予清肠宣教;对照组:常规清肠宣教。采用波士顿清肠评分量表比较两组患者的清肠效果。结果:观察组清肠效果优于对照组,不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:视频宣教加回授法能够提高老年患者肠道清洁有效率,是一种有效的健康宣教方法,值得临床推广。

Objective： To explore the effects of teach-back methed and video education in elderly patients underwent colonoscopic prucedure. Methods： A total of 60 elderly patients underwent colonoscopic procedure were selected from gastroenterology department of First Affiliated hospital of Zhengzhou University from June to December 2016, who were given oral compound polyethylene glycol electrolyte for bowel cleaning. The patients were randomly divided into 2 groups. The observation group were given teach-back method and video education for bowel cleaning the day before colonscopic, while the control group were given routine education about bowel cleaning. The Boston bowel preparation scale was used to compare the the effects of bowel cleaning between the two groups. Results： The effects of bowel cleaning in the observation group were better than which of control group, and the incidence of adverse effects in the observation group was lower than that in the control group, the difference was statistically significant（P〈0.05）. Conclusion： Teach-back method and video education can improve the effective rate for bowel cleaning of elderly patients, which deserves further clinical applications.