提高结肠镜检查患者肠道准备质量的证据总结与实践应用效果分析

Summary of Evidence and Analysis of the Effectiveness of Practical Applications for Improving the Quality of Bowel Preparation in Patients Undergoing Colonoscopy

目的:探讨提高结肠镜检查患者肠道准备质量的证据及应用效果。方法:利用循证方法,获取提高结肠镜检查肠道准备质量的护理证据。选取2019年9月—2020年2月样本医院132例接受结肠镜检查的患者作为研究对象,随机分为两组,每组各66例。对照组实施常规宣教方式,试验组在此基础上给予智能手机应用程序宣教干预。比较两组患者肠道准备质量、肠道准备依从性、护理满意度和焦虑程度。结果:试验组肠道准备Boston评分显著高于对照组,试验组患者肠道准备依从性评分和护理满意度评分均显著高于对照组,试验组患者检察前SAS评分显著性低于对照组,差异有统计学意义(t=3.75;t=3.73、2.98、3.81,P<0.05)。结论:基于智能手机应用程序应用于结肠镜检患者肠道准备宣教实践中,可以提高患者肠道准备质量、肠道准备依从性和护理满意度,减轻患者焦虑情绪。

Objective:To explore the evidence and application of improving the quality of bowel preparation in patients under⁃going colonoscopy.Methods:An evidence-based approach was used to obtain evidence of care to improve the quality of bowel preparation for colonoscopy.132 patients who underwent colonoscopy in the sample hospitals from September 2019 to February 2020 were selected for the study and randomly divided into two groups,with 66 cases in each group.The control group was given a conventional cathartic approach and the trial group was given a smartphone app cathartic intervention on top of this.The quality of bowel preparation,bowel preparation compliance,satisfaction with care,and anxiety levels were compared between the two groups.Results:Bowel preparation Boston scores were significantly higher in the test group than in the control group,bowel preparation compliance scores and nursing satisfaction scores were significantly higher in the test group than in the control group,and pre-pro⁃cedure SAS scores were significantly lower in the test group than in the control group,with statistically significant differences(t=3.75,t=3.73,2.98,3.81,P<0.05).Conclusion:Smartphone-based apps used in colonoscopy patient bowel preparation awareness practices can improve the quality of bowel preparation,bowel preparation compliance and care satisfaction,and reduce patient anxiety.