咀嚼口香糖在服用磷酸钠盐口服液行术前肠道准备结直肠癌患者中的应用效果  

Effects of chewing gum on preoperative bowel preparation by taking sodium phosphate oral solution of patients with colorectal cancer

作　　者：王丽 孙琳 张鹏年 王家成 张敏[1] 汪浩 WANG Li;SUN Lin;ZHANG Pengnian;WANG Jiacheng;ZHANG Min;WANG Hao(The First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 230001,China)

机构地区：[1]中国科技大学附属第一医院/安徽省立医院,合肥230001

出　　处：《中国临床护理》2020年第5期422-425,共4页Chinese Clinical Nursing

摘　　要：目的探讨咀嚼口香糖对结直肠癌患者术前口服磷酸钠盐溶液进行术前肠道准备的效果。方法选取2017年9-12月在我科手术的结直肠癌患者60例,按照入住病房单双号进行分组,将其分为观察组和对照组,各30例。对照组服用磷酸钠盐口服液进行肠道准备,观察组在对照组基础上,在服药间隔期咀嚼木糖醇无糖口香糖。采用肠道准备量表(the Boston bowel preparation scale,BBPS)、阿森斯失眠量表(Ahtens insomnia scale,AIS)评价2组肠道清洁度及术前晚的睡眠质量,并比较2组胃肠道不良反应发生率、首次排便和大便排空的时间。结果观察组服药期间腹胀、恶心、呕吐发生率低于对照组(χ^2=5.455,P=0.020;χ^2=5.455,P=0.020;χ^2=4.812,P=0.028),首次排便和大便排空的时间早于对照组(t=2.059,P=0.049;t=2.777,P=0.010),术前晚的睡眠质量优于对照组(Z=-2.637,P=0.008)。结论咀嚼口香糖可降低服用磷酸钠盐口服液肠道准备患者的胃肠道不良反应发生率,缩短排便时间,改善患者术前晚的睡眠质量。Objective To investigate the effect of chewing gum on the preoperative bowel preparation by taking sodium phosphate oral solution of patients with colorectal cancer.MethodsSixty colorectal cancer patients admitted toour department who operated between September and December 2017 were divided into an observation group and a control group,each of 30,according to checking in rooms with odd or even nmmbers.The control group was prepared by taking sodium phosphate oral solution,and the observation group chewed xylitol sugar free gum at the interval of taking sodium phosphate oral solution.Both groups were evaluated intestinal cleanliness and sleep quality using the Boston bowel preparation scale(BBPS)and Ahtens insomnia scale(AIS).Moreover,the incidence of gastrointestinal adverse reactions,the time of the first and last defecation were recorded.Results The incidence of abdominal distention,nausea and vomiting of the observation group was lower than that of the control group(χ^2=5.455,P=0.020;χ^2=5.455,P=0.020;χ^2=4.812,P=0.028).The time of the first and last defecation of the observation group was significantly earlier than that of the control group(t=2.059,P=0.049;t=2.777,P=0.010),and the sleep quality was better than that of the control group on the night before the operation(Z=-2.637,P=0.008).Conclusion Chewing gum can reduce the incidence of gastrointestinal adverse reactions of patients with intestinal preparation by oral sodium phosphate,reduce bowel movement time,and improve the sleep quality of the patients.

关 键 词：肠道准备 咀嚼口香糖 假饲 舒适度 依从性 清洁度 睡眠 

分 类 号：R47[医药卫生—护理学]