个性化护理对结肠镜治疗广基结肠息肉的疗效影响  

The Influence of Personalized Nursing on the Curative Effect of Colonoscopy in the Treatment of Wide-base Colon Polyps

作　　者：姜娜 JIANG Na(Endoscopy Room,Donggang Second Hospital,Dandong 118313,China)

机构地区：[1]东港市第二医院内镜室,辽宁丹东118313

出　　处：《中国医药指南》2021年第27期24-26,共3页Guide of China Medicine

摘　　要：目的分析广基结肠息肉疾病特点、结肠镜治疗期间患者身心状况,评价个性化护理干预对患者术后疗效的积极影响。方法选择我院2020年6月至2021年1月的80例广基结肠息肉疾病患者,伦理委员会批准。结肠镜治疗基础上,按照入院先后顺序分组护理,即采取常规护理(对照组,n=40)、辅助个性化护理干预(观察组,n=40)的两组,患者与家属知情同意。比较两组结肠息肉患者的护理效果,包括并发症情况、护理满意度、住院时间、疼痛状况以及情绪状况、生活质量。结果并发症情况方面,观察组广基结肠息肉患者的出血等并发症发生率7.50%低于对照组的50.00%(P<0.05);护理满意度方面,观察组广基结肠息肉患者的护理总满意度95.00%高于对照组的70.00%(P<0.05);住院时间以及疼痛[以视觉模拟评分法(VAS)进行评估]、情绪[以焦虑自评量表(SAS)与抑郁自评量表(SDS)进行评估]评分比较,观察组广基结肠息肉患者的所需时间更短、评分更低(P<0.05);生活质量综合评定问卷-74(GQOL-74)评估广基结肠息肉患者生活质量,观察组患者评分较对照组高,P<0.05。结论个性化护理干预辅助实施提升了结肠镜治疗广基结肠息肉患者的安全性,减轻了患者心理负担、疼痛,提升了患者的生活质量。Objective To analyze the characteristics of wide-based colonic polyp disease and the physical and mental condition of patients during colonoscopy treatment,and to evaluate the positive impact of personalized nursing intervention on the postoperative curative effect of patients.Methods We selected 80 patients with polyposis of the colon in our hospital from June 2020 to January 2021 and approved by the ethics committee.On the basis of colonoscopy treatment,nursing was divided into groups according to the order of admission,that is,two groups of conventional nursing(control group,n=40)and assisted personalized nursing intervention(observation group,n=40)were taken.Patients and their families informed consent.The nursing effects of the two groups of colon polyps patients were compared,including complications,nursing satisfaction,hospitalization time,pain status,emotional status,and quality of life.Results In terms of complications,the incidence of bleeding and other complications in patients with wide-based colon polyps in the observation group was 7.50%lower than that in the control group(P<0.05);in terms of nursing satisfaction,the nursing care of patients with wide-based colon polyps in the observation group The total satisfaction of 95.00%was higher than the control group's 70.00%(P<0.05);the length of hospital stay and pain(assessed by Visual Analogue Scale/Score,VAS),mood[evaluation with Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)]scores,the observation group of patients with wide-based colon polyps required shorter time and lower scores(P<0.05);comprehensive quality of life assessment questionnaire-74(Generic Quality of Life Inventory-74,GQOL-74)to assess the quality of life of patients with wide-based colon polyps,the observation group had a higher score than the control group,P<0.05.Conclusion The auxiliary implementation of personalized nursing intervention improves the safety of colonoscopy in the treatment of patients with wide-based colon polyps,reduces the psychological burden a

关 键 词：结肠息肉 个性化护理 结肠镜 并发症 满意度 疼痛情况 情绪状况 

分 类 号：R473.73[医药卫生—护理学] R735.35[医药卫生—临床医学]