结肠镜检查肠道准备教育程序的优化及评价  

Optimizing and evaluating a patient education app for bowel preparation for colonoscopy

作　　者：荀林娟 吴哓哓 周姝[1] 施雁[3] 宋瑞梅 庄英[1] 黄婷霞 居海岭 任万燕 周荣荣 陆天凤 陈炜[1] Xun Linjuan;Wu Xiaoxiao;Zhou Shu;Shi Yan;Song Ruimei;Zhuang Ying;Huang Tingxia;Ju Hailing;Ren Wanyan;Zhou Rongrong;Lu Tianfeng;Chen Wei(Department of Digestive Diseases,Shanghai Tenth People′s Hospital,Tongji University,Shanghai 200072,China)

机构地区：[1]同济大学附属上海市第十人民医院消化内科,上海200072 [2]商丘医学高等专科学校 [3]同济大学附属上海市第十人民医院护理部,上海200072

出　　处：《护理学杂志》2022年第9期80-82,86,共4页Journal of Nursing Science

基　　金：国家自然科学基金面上项目(71774117);同济大学附属上海市第十人民医院专科护理人才培养项目(SYZKHLRC-B15)。

摘　　要：目的优化肠道准备教育程序并探讨对结肠镜检查患者肠道准备质量的影响。方法按住院时间顺序将患者分为对照组209例,干预组212例。对照组接受传统肠道准备健康教育,干预组采用优化的肠道准备教育程序进行健康教育,包括关键时间点提醒、丰富健康教育资料、标记肠道不易清洁患者、强化护患线上交流。比较两组肠道准备质量和不良反应;调查干预组对肠道准备教育程度的评价。结果干预组肠道准备合格率及评分显著高于对照组,呕吐、腹胀发生率显著低于对照组(P<0.05,P<0.01)。84.4%干预组患者认为健康教育程序对肠道准备有帮助,操作方便。结论肠道准备教育程序的优化及应用,可提高结肠镜检查患者肠道准备质量,减轻不良反应的发生。Objective To optimize and evaluate the effect of a patient education app for bowel preparation in patients undergoing colonoscopy.Methods A total of 421 patients who underwent colonoscopy were assigned to a control group of 209 and an intervention group of 212 chronologically.Patients in the control group received routine health education on bowel preparation,while their counterparts in the intervention group were asked to use an optimized education app for bowel preparation education.The app composing rich information sources,could remind patients at key time points,label those at high risk of bowel cleansing failure,and strengthen online patient-nurse communication.Bowel preparation quality and adverse reactions were compared between the two groups.Evaluation of the app was also investigated.Results The qualification rate of bowel preparation and the score of bowel cleansing quality were significantly higher,whereas the rates of vomiting and abdominal bloating were significantly lower in the intervention group compared with the control group(P<0.05,P<0.01).Greater than eighty percent(84.4%)of patients in the intervention group believed the education app is helpful and user-friendly.Conclusion Optimizing an app for bowel preparation education can enhance bowel preparation quality and reduce adverse reactions.

关 键 词：结肠镜检查 肠道准备 健康教育 互联网+ 微信程序 不良反应 

分 类 号：R473.5[医药卫生—护理学]