文章摘要

微信宣教对老年患者肠镜检查前肠道准备效果的影响

作者: 1陈 曦, 1张 道权, 1丁 静
1 南京医科大学第一附属医院内镜中心,南京 210029
通讯: 张 道权 Email: njzhangdaoquan@163.com
DOI: 10.3978/j.issn.2095-6959.2020.04.026

摘要

目的:探讨微信宣教对老年肠镜检查患者肠道准备效果的影响。方法:选取南京医科大学第一附属医院2019年2月至5月135例进行肠镜检查的老年患者,随机数字表法分为A组,B组和C组,每组45例。检查前1天,C组给予传统纸质宣教,B组给予微信小组健康宣教,A组联合进行传统纸质宣教与微信小组健康宣教,比较3组肠道准备效果、依从性、不良反应发生情况以及护理满意度。结果:A组、B组患者肠道准备清洁质量波士顿肠道准备量表(Boston Bowel Preparation Scale,BBPS)评分高于C组,A组、B组肠道准备充分率分别为82.22%和77.78%,高于C组的57.78%,差异有统计学意义(P<0.05);A组与B组患者检查前1天食用半流质饮食、检查当天禁食、清肠剂使用方法正确、清肠剂服用时间正确、清肠剂在规定时间内喝完、末次服用清肠剂与检查时间间隔在规定范围内这几项肠道准备关键点依从性优于C组,差异有统计学意义(P<0.05);A组、B组患者肠道准备恶心发生率(24.44%,26.67%)低于C组(46.67%),呕吐发生率(6.67%,6.67%)低于C组22.22%,差异有统计学意义(P<0.05);A组、B组患者服务态度、用药指导、饮食指导、健康宣教、疑问解答满意度评分均高于C组,差异有统计学意义(P<0.05)。结论:准备前1天微信小组健康宣教有利于改善肠镜检查老年患者肠道准备效果,增强患者依从性,降低不良反应发生率,提高护理满意度。
关键词: 肠镜检查;老年患者;健康宣教;微信小组

Influences of WeChat education on intestinal preparation effect in elderly patients undergoing enteroscopy

Authors: 1CHEN Xi, 1ZHANG Daoquan, 1DING Jing
1 Endoscopy Center, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China

CorrespondingAuthor:ZHANG Daoquan Email: njzhangdaoquan@163.com

Abstract

Objective: To explore the influences of WeChat education on intestinal preparation effect in elderly patients undergoing enteroscopy. Methods: A total of 135 elderly patients who underwent enteroscopy in First Affiliated Hospital of Nanjing Medical University from February 2019 to May 2019 were enrolled. The patients were divided into group A, B and C by random number table method, 45 cases in each group. One day before the examination, group C was given traditional paper education, group B was given WeChat group health education, and group A was given traditional paper education and WeChat group health education. The intestinal preparation effect, compliance, occurrence of adverse reaction and nursing satisfaction were compared among the 3 groups. Results: The score of Boston Bowel Preparation Scale (BBPS) in group A and B was higher than that in group C. The adequate ratio of intestinal preparation in group A and B was higher than that in group C (82.22%, 77.78% vs 57.78%, P<0.05). One day before the examination, compliance with intestinal preparation key points such as eating semi-liquid diet, checking intraday fasting, correct usage method and usage time of intestinal cleansing agent, drinking off intestinal cleansing agent in prescribed time, and interval from taking intestinal cleansing agent for the last time to examination time within specified range in group A and B was better than that in group C (P<0.05).The incidence rates of intestinal preparation nausea and vomiting in group A and B were lower than those in group C (24.44%, 26.67% vs 46.67%. 6.67%, 6.67% vs 22.22%, P<0.05). The scores of satisfaction with service attitude, medication guidance, diet guidance, health education and question-answer in group A and B were higher than those in group C (P<0.05). Conclusion: WeChat group health education before 1d of preparation is beneficial to improve intestinal preparation effect of elderly patients undergoing enteroscopy, strengthen patients compliance, reduce incidence of adverse reactions, and improve nursing satisfaction.
Keywords: enteroscopy; elderly patient; health education; WeChat group