咀嚼口香糖对结肠镜检查患者服药依从性及不良反应的影响  

Effects of chewing gum on medication compliance and side effects for patients undergoing colonoscopy

作　　者：张媛媛[1,2] 陆绚[1] 钮美娥[3] 汪茜雅[1] 周永芳[1] 马超[1] 王芳[1] 吴振云[2] 

机构地区：[1]苏州大学附属第一医院消化科,江苏苏州215006 [2]苏州大学护理学院 [3]苏州大学附属第一医院护理部

出　　处：《护理学杂志》2017年第9期34-36,共3页Journal of Nursing Science

基　　金：苏州市科技计划基金项目(SYS201615)

摘　　要：目的探讨咀嚼口香糖对改善结肠镜检查患者服药依从性及不良反应的作用,为临床制订有效的干预方案提供依据。方法将行结肠镜检查的患者240例随机分为对照组和干预组各120例,对照组按结肠镜检查常规行肠道准备及指导,干预组在常规基础上,指导患者服药间歇期有计划地咀嚼口香糖。比较两组不良反应发生情况、服药依从性、肠道准备质量。结果干预组不良反应发生率、服药依从性、肠道清洁度评分显著优于对照组(P<0.05,P<0.01)。结论结肠镜检查服药期间有计划地咀嚼口香糖,可以改善患者恶心、呕吐等不良反应以及服药依从性,提高肠道准备的效果,为结肠镜检查的顺利进行提供保障。Objective To explore the effects of chewing gum on improvement of medication compliance and side effects for patients undergoing colonoscopy,so as to provide reference for effective intervention programs. Methods A total of 240 patients undergoing colonoscopy were randomized into a control group and an intervention group, with 120 patients in each group. The control group received bowel preparation and guidance according to the routine for colonoscopy, while the intervention group was additionally instructed to chew gum in a planned way in the intermittent period of taking the medicine. The incidence of side effects, medication compliance and the quality of bowel preparation were compared between the two groups. Results The incidence of side effects, medication compliance and the quality of bowel preparation in the intervention group were significantly better than those in the control group （P〈0.05 ,P〈0.01）. Conclusion Chewing gum in a planned way during the intermittent period of taking the medicine for patients undergoing colonoscopy, can alleviate their nausea, vomit and other side effects, improve their medication compliance and the quality of bowel preparation, so as to ensure the success of colonoscopy.

关 键 词：结肠镜检查 肠道准备 聚乙二醇电解质散 咀嚼口香糖 

分 类 号：R473.5[医药卫生—护理学]