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多重宣教模式对老年结肠镜检查患者肠道准备的影响

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目的 探讨接触、介绍、沟通、询问、回答、离开(connect、introduce、communicate、ask、respond、exit,CICARE)沟通模式联合回授法健康教育模式对门诊老年患者无痛结肠镜检查前肠道准备依从性及焦虑程度的影响.方法 选取2023年9-12月于嘉兴市第二医院门诊首次行无痛结肠镜检查的≥60岁患者共346例,采用随机数字表法分为对照组(n=86)、沟通组(n=84)、回授组(n=86)、联合组(n=90).对照组患者常规进行口头宣教、观看肠道准备视频、书面宣教;沟通组患者采用CICARE沟通模式实施结肠镜检查健康宣教;回授组患者采用回授法实施结肠镜检查健康宣教;联合组患者采用CICARE沟通模式联合回授法进行健康宣教.比较四组患者肠道准备的依从性、肠道清洁度、检查前焦虑评分情况.结果 四组患者的低纤维饮食依从性和服药依从性比较,差异无统计学意义(P>0.05);运动依从比较差异有统计学意义(P<0.05).不同宣教方式患者的肠道清洁度及焦虑评分比较,差异有统计学意义(P<0.001),且联合组的宣教方式在整体上可提高患者的肠道清洁评分及降低患者的焦虑评分.结论 CICARE沟通模式联合回授法的健康教育模式对老年患者健康宣教效果显著,可提高老年患者肠道准备的依从性、缓解焦虑状态.
The effect of multiple educational models on intestinal preparation in elderly patients undergoing colonoscopy
Objective To explore the impact of the connect,introduce,communicate,ask,respond,exit(CICARE)communication model combined with feedback health education model on the compliance and anxiety level of elderly outpatients before colonoscopy.Methods A total of 346 patients aged ≥60 who visited the Outpatient Department,the Second Hospital of Jiaxing City for the first time and underwent colonoscopy from September to December 2023 were randomly divided into control group(n=86),communication group(n=84),feedback group(n=86),and combined group(n=90)using random number table method.The control group were provided routine education to patients undergoing colonoscopy through watching colon preparation videos,verbal education,and written propaganda educational materials;The communication group were implemented health education for colonoscopy by using the CICARE communication model;The feedback group were implemented health education for colonoscopy by using feedback method;The combined group were implemented the above education to patients by using the CICARE communication model combined with feedback method.The compliance with colon preparation,intestinal cleanliness,and patient anxiety scores before colonoscopy were evaluated and compared among the four groups.Results There were no statistically significant differences in dietary compliance and medication compliance among the four groups(P>0.05),but there was a statistically significant difference in exercise compliance(P<0.05).Different educational methods had statistical significance on patients'intestinal cleanliness and anxiety scores(P<0.001),and further post hoc comparisons showed that the education method of the combined group could improve the overall intestinal cleanliness score and reduce patient anxiety score.Conclusion The health education model of the CICARE communication method combined with feedback has a significant effect on health education for elderly patients,which can improve the compliance with colon preparation and reduce patient anxiety scores.

CICAREFeedback methodElderlyColon preparationColonoscopy

马燕萍、沈新凤、钱美萍、倪敏君

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嘉兴市第二医院内镜中心,浙江嘉兴 314000

CICARE 回授法 老年人 肠道准备 结肠镜检查

嘉兴市民生科技创新研究项目

2023AD31041

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(24)