IDEAS模式访视在结肠息肉内镜下黏膜切除术患者中的应用效果

Application effect of IDEAS mode visit in patients with colon polyps undergoing endoscopic mucosal resection

目的探讨IDEAS模式访视在结肠息肉内镜下黏膜切除术(EMR)患者中的应用效果。方法采用便利抽样法,选取2020年6月—2021年6月在江南大学附属医院行EMR的80例结肠息肉患者为研究对象,按照随机数字表法将其法分为对照组和观察组,各40例。对照组给予常规术前访视,观察组在对照组基础上给予IDEAS模式访视,比较两组患者的生理指标、阿姆斯特丹术前焦虑与信息量表(APAIS)评分。结果干预后,两组患者脉率、收缩压、舒张压均较干预前降低,且观察组患者脉率、收缩压、舒张压低于对照组,差异均有统计学意义(P<0.05);两组患者APAIS各项评分均低于干预前,且观察组患者APAIS各项评分均低于对照组,差异均有统计学意义(P<0.05)。结论IDEAS模式访视应用于结肠息肉EMR患者中,能降低患者术前焦虑水平,改善患者的不良生理指标。

Objective To explore the application effect of IDEAS model visit in patients with colon polyps undergoing endoscopic mucosal resection(EMR).Methods Using the convenient sampling method,a total of 80 patients with colon polyps who underwent EMR in Affiliated Hospital of Jiangnan University from June 2020 to June 2021 were selected as the research subjects.According to the random number table method,they were divided into the control group and the observation group,with 40 cases in each group.The control group was given routine preoperative visit,while the observation group was given IDEAS mode visit on the basis of the control group.Physiological indicators and Amsterdam Preoperative Anxiety and Information Scale(APAIS)scores were compared between the two groups.Results After the intervention,the pulse rate,systolic blood pressure,and diastolic blood pressure of the two groups were lower than those before the intervention,and the pulse rate,systolic blood pressure and diastolic blood pressure of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The APAIS scores of the two groups were lower than those before the intervention and the APAIS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Application of IDEAS model visit in EMR patients with colon polyps can reduce the preoperative anxiety level and improve the adverse physiological indicators of patients.