彩色图文健康教育对老年人结肠镜检查前肠道准备的效果观察  

Nursing Education with Color Leaflet Improved Colonscopy Preparation in Elderly Patients

作　　者：姜琳[1] 任春蓉[1] 赵萍[1] 杨素红[1] 高羚芯[1] 董璨[1] 

机构地区：[1]四川省成都市第三人民医院消化内镜中心,成都610031

出　　处：《肿瘤预防与治疗》2017年第4期291-294,共4页Journal of Cancer Control And Treatment

基　　金：成都市卫计委课题项目(编号2013090)

摘　　要：目的:对比彩色图文健康教育与文字说明教育对老年人结肠检查前肠道准备效果的影响。方法:将148例接受结肠镜检查且符合纳入和排除标准的老年人根据给予健康教育方式的不同分为观察组(口头讲解与彩页图文书面指导)和对照组(口头讲解与文字说明指导)。检查当日均服用聚乙二醇电解质散进行肠道准备,二甲硅油散5g口服袪泡。观察两组间患者依从性、肠道清洁情况,患者不良反应等指标。结果:饮食及药物依从性在观察组(饮食:80.82%,服药:76.71%)显著优于对照组(饮食:42.67%,服药:41.33%)(P<0.05);肠道清洁效果在观察组显著优于对照组(P<0.05);患者不良反应发生率观察组(34.25%)与对照组(29.33%)差异无统计学意义(P>0.05)。结论:口头讲解与彩页图文书面指导相结合的健康教育方式能提高老年人在结肠镜检查前服药的依从性,明显提高肠道清洁效果。Objective： To compare the effect of nursing education by colorful leaflet and text leaflet for colonoscopy preparation in elderly patients. Methods： A total of 146 patients met the inclusion and exclusion criteria were randomized into observation group （ oral explanation with colorful education leaflet） and control group （ oral explanation with text educa- tion leaflet）. Patients in both groups received single - dose polyethylene glycol electrolyte powder for bowel preparation and 5g dimethicone powder for defoaming. The diet and drug compliance, bowel preparation quality, and adverse reactions were compared between two groups. Results： The diet and drug compliance in the observation group （diet： 80.82% and medi- cation： 76.71% ） was significantly higher than in control group （diet： 42.67%, medication： 41.33%, P 〈0.05）. Bowel preparation quality in the observation group was significantly higher than in control group （P 〈 0.05 ）. The adverse reaction rate in the observation group （34.25%） and the control group （29.33%） was similar （P 〉0.05）. Conclusion： Nursing education by colorful leaflet can improve compliance of the elderly patients for colonoscopy preparation and achieve higher bowel preparation quality.

关 键 词：健康教育 彩页图文 结肠镜 肠道准备 

分 类 号：R473.5[医药卫生—护理学]