维生素C脱碘对内镜下食管碘染色的老年病人舒适度及护理满意度的影响

Effect of vitamin C deiodination on comfort and nursing satisfaction of elderly patients after endoscopic esophageal Lugol’s iodine staining

目的探讨维生素C注射液(VCS)脱碘对内镜下食管碘染色的老年病人舒适度及护理满意度的影响。方法利用随机数表法将2019年3~4月南京医科大学第一附属医院52例内镜下食管碘染色后脱碘处理的老年病人(>60岁),随机分为VCS组和生理盐水(NS)组,每组26例。根据Bruggrmann舒适度评分制定舒适度评分表及简易护理满意度量表,对检查结束时和检查后30 min 2组病人的舒适度和护理满意度进行评分和比较分析。结果碘染后急性症状主要为胸骨后不适,迟发反应以上腹部不适为主。检查结束时VCS组的胸骨后不适发生率明显低于NS组(P=0.02);检查后30 min VCS组咽喉不适较NS组明显缓解(P=0.02)。VCS组护理满意度总评分、沟通与解释和专业水平评分均高于NS组(均P<0.05)。结论VCS脱碘能显著改善老年病人碘染后的胸骨后不适和咽喉部不适,提高护理满意度。

Objective To investigate the effect of vitamin C solution(VCS)deiodination on comfort level and nursing satisfaction in the elderly patients receiving endoscopic esophageal Lugol’s iodine staining.Methods From March to April 2019,52 elderly patients(>60 years old)with superficial esophageal mucosal lesions confirmed by gastroscopy in our center were selected and randomly assigned to VCS group and normal saline(NS)group according to the randomized allocation table.We formulated a Lugol’s iodine staining-related comfort degree scale and simple nursing satisfaction scale according to the Bruggrmann comfort scale and previous studies.The patients’comfort degrees were recorded immediately after the examination and 30 minutes later,and the nursing satisfaction was surveyed at last.Results The acute symptoms after Lugol’s iodine staining were mainly posterior sternal discomfort,and delayed reactions were mainly epigastric discomfort.The incidence rate of retrosternal discomfort after the examination in the VCS group was significantly lower than that in the NS group(P=0.02).After 30 minutes,throat discomfort in the VCS group was significantly alleviated than that in the NS group(P=0.02).The scores of total nursing satisfaction,communication and explanation and professional level in VCS group were significantly higher than those in NS group(all P<0.05).Conclusions VCS deiodination is superior to NS,which can significantly relieve the discomfort of the elderly patients after iodine staining and improve the nursing satisfaction.