摘要
目的:探讨改良肠镜护理垫联合标准造口管理在低位直肠癌肠造口术后患者行肠镜检查中的应用效果。方法:选取2021年10月至2022年10月解放军总医院第一医学中心消化内科医学部低位直肠癌肠造口术后行肠镜检查的患者150例为研究对象，采用随机数字表法将其分为对照组和试验组，每组各75例。对照组实施普通肠镜垫及常规护理管理模式，试验组实施改良肠镜护理垫联合标准造口管理。比较两组心理状态、肠道清洁合格率、不良反应发生率、检查成功率、护理满意度及检查舒适度的差异。结果:两组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低，且试验组降低幅度大于对照组，差异有统计学意义(P<0.05)；试验组肠道清洁合格率高于对照组；试验组不良反应总发生率低于对照组，检查成功率高于对照组，差异有统计学意义(P<0.05)；试验组护理满意度高于对照组；试验组检查舒适度高于对照组。结论:改良肠镜护理垫联合标准造口管理在低位直肠癌肠造口术后患者行肠镜检查中的应用效果显著，提高患者检查过程中的舒适度，提高了结肠镜插镜成功率，并提升护理满意度。
Abstract
Objective:To explore the application effect of improved colonoscopy nursing pad combined with standard colostomy management in patients with low rectal cancer undergoing colonoscopy after colostomy.Methods:From October 2021 to October 2022, 150 patients with low rectal cancer underwent enteroscopy in the first medical center of PLA General Hospital, and were randomly divided into observation group and control group, with 75 patients in each group.The control group implemented conventional nursing management mode, and the observation group implemented improved enteroscopy nursing pad combined with standard ostomy management on the basis of the control group.The psychological state, qualified rate of intestinal cleaning, incidence of adverse reactions, success rate of examination, nursing satisfaction and comfort of examination were compared between the two groups.Results:The scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the two groups were all decreased, and the decrease in the experimental observation group was greater than that in the control group, with statistical significance (P<0.05). The qualified rate of intestinal cleaning in observation group was higher than that in control group.The total incidence of adverse reactions in the observation group was lower than that in the control group, and the success rate of examination was higher than that in the control group, with statistical significance (P<0.05). The nursing satisfaction of the observation group was higher than that of the control group.The comfort of the observation group was higher than that of the control group.Conclusion:The application effect of improved enteroscopy nursing pad combined with standard stoma management in patients with low rectal cancer undergoing enterostomy is remarkable, which can improve the psychological state of patients, promote the successful examination, increase the comfort of examination, ensure the cleanliness of intestines, reduce the occurrence of adverse reactions, and thus improve nursing satisfaction.
基金项目
北京市自然科学基金青年项目(7234412)
中国博士后科学基金第15批特别资助(2022T150790)
万方数据