对接受无痛肠镜检查的老年患者实施全程护理的效果探讨

Effect of Whole-course Nursing on Elderly Patients Undergoing Painless Colonoscopy

目的探讨分析对接受无痛肠镜检查的老年患者实施全程护理的效果。方法方便选取该院2017年1—12月收诊的接受无痛肠镜检查的老年患者140例作为临床研究对象,随机分成两组,一组为观察组(70例),均实施全程护理;一组为对照组(70例),均实施常规护理;观察比较两组护理前后的SAS评分和情感评分、检查前的肠道清洁度合格率、检查期间的肠道刺激症评分、腹胀评分及腹痛评分。结果护理前观察组的SAS评分为(47.82±6.81)分,对照组为(47.46±6.53)分,差异无统计学意义(t=0.215,P>0.05);护理后观察组为(38.37±6.21)分,对照组为(43.26±6.28)分,差异有统计学意义(t=4.005,P<0.05)。护理前观察组的情感评分为(68.52±6.88)分,对照组为(69.01±6.72)分,差异无统计学意义(t=0.598,P>0.05);护理后观察组为(77.46±6.42)分,对照组为(72.97±7.24)分,差异有统计学意义(t=3.014,P<0.05)。检查前观察组的肠道清洁度合格率为81.43%,对照组为67.14%,差异有统计学意义(χ~2=24.653,P<0.05)。观察组的肠道刺激症评分为(10.12±4.62)分,对照组为(13.25±4.43)分,差异有统计学意义(t=4.621,P<0.05);观察组的腹胀评分为(8.04±3.28)分,对照组为(11.21±3.96)分,差异有统计学意义(t=5.378,P<0.05);观察组的腹痛评分为(7.34±3.15)分,对照组为(10.17±4.31)分,差异有统计学意义(t=3.826,P<0.05)。结论对接受无痛肠镜检查的老年患者实施全程护理,可以有效消除患者的焦虑情绪,促进其积极的情感,提高检查前的肠道清洁度合格率,以及减轻检查期间的肠道刺激症、腹胀及腹痛等不良症状,值得推广。

Objective To analyze the effect of full-course nursing on elderly patients undergoing painless colonoscopy.Methods A total of 140 elderly patients who underwent painless colonoscopy in the hospital from January to December 2017 were convenient selected as clinical subjects.They were randomly divided into two groups,one group was the observation group (70 cases),and all the patients were treated with full-time care;One group was the control group (70 cases),and all the routine nursing were performed.The SAS score and emotional score before and after the two groups of nursing,the gut score of the intestinal cleansing before the examination,the index of intestinal irritation during the examination,the index of abdominal distension and Abdominal pain score.Results The SAS score of the observation group before observation was (47.82±6.81) points,and that of the control group was (47.46±6.53) points.There was no significant difference (t=0.215,P>0.05).After the nursing group,the observation group was (38.37±6.21) points.The control group was (43.26±6.28) points,and the difference was significant (t=4.005,P<0.05).The emotional score of the pre-treatment observation group was (68.52±6.88) points,and the control group was (69.01±6.72) points,there was no significant difference (t=0.598,P>0.05).After the nursing group,the observation group was (77.46±6.42) points.The control group was (72.97±7.24) points,and the difference was significant (t=3.014,P<0.05).The gut cleanliness rate of the observation group before observation was 81.43%,and that of the control group was 67.14%,the difference was significant (χ^2=24.653,P<0.05).The scores of intestinal irritation in the observation group were (10.12±4.62)points,and those in the control group were (13.25±4.43)points,the difference was significant (t=4.621,P<0.05).The bloating score of the observation group was (8.04±3.28)points.The control group was (11.21±3.96) points,the difference was significant (t=5.378,P<0.05);the abdominal pain score of the observation group was (7.34±3.15) points,and the control group was (10.17±4.31) points,the difference was significant (t=3.826,P<0.05).Conclusion The whole-course nursing of elderly patients undergoing painless colonoscopy can effectively eliminate the anxiety of patients,promote their positive emotions,improve the pass rate of intestinal cleanliness before the examination,and reduce the intestinal irritation during the examination,and other adverse symptoms such as abdominal distension and abdominal pain are worth promoting.