注意力分散方式对肠镜受检者疼痛、焦虑的影响  

Effects of distraction methods on pain and anxiety in colonoscopy

作　　者：张瑜 杨番 赵京平 郑勇[2] ZHANG Yu;YANG Fan;ZHAO Jing-ping;无(Shihezi University School of Medicine,Shihezi 832000,China;Department of Gastroenterology,the First Affiliated Hospital of shihezi University School of Medicine,Shihezi 832000,China)

机构地区：[1]石河子大学医学院,新疆石河子832000 [2]石河子大学医学院第一附属医院消化内科,新疆石河子832000

出　　处：《吉林医学》2022年第8期2065-2070,共6页Jilin Medical Journal

基　　金：中国医学科学院中央级公益性科研院所基本科研业务费专项资金资助(项目编号:2020-PT330-003)。

摘　　要：目的:探讨四种不同注意力分散方法(压力球、芳香、音乐和视听疗法)在普通结肠镜检查中对患者腹痛、焦虑和满意度的影响。方法:纳入接受普通结肠镜检查的343例患者,随机分为五组:第一组在肠镜检查过程中挤压压力球,第二组吸入植物精油香氛,第三组听音乐,第四组观看有声视频,第五组未受到干扰(对照组)。所有受检者都不使用镇静药物。使用视觉模拟量表(VAS)评估被检者腹痛程度,采用状态-特质焦虑量表(STAI-S)评估被检者肠镜前后焦虑水平并记录相关生命体征。结果:部分干预组检查时疼痛严重程度低于对照组,芳香疗法组最低,差异具有统计学意义(P<0.05)。干预组结肠镜检查后焦虑水平均低于对照组,压力球组最低,差异具有统计学意义(P<0.05)。干预组满意度均高于对照组,差异具有统计学意义(P<0.05)。结论:在普通结肠镜检查中使用分心方法可降低受检者疼痛、焦虑程度并提高满意度。Objective To investigate the effects of four different distraction methods(pressure ball,aromatherapy,music and audiovisual therapy) on abdominal pain,anxiety and satisfaction in patients undergoing general colonoscopy.Method 343 patients who underwent colonoscopy in our hospital were randomly divided into five groups:the first group squeezed the pressure ball during colonoscopy,the second group inhaled plant essential oil fragrance,the third group listened to music,the fourth group watched audio video,and the fifth group was not disturbed(control group).All subjects did not use sedatives.Visual analogue scale(VAS) was used to evaluate the degree of abdominal pain,and State Trait Anxiety Scale(STAI-S) was used to evaluate the anxiety level of the subjects before and after enteroscopy,and the relevant vital signs were recorded.Results The severity of pain in some intervention groups was lower than that in the control group,and the aromatherapy group was the lowest,the difference was statistically significant(P<0.05).The level of anxiety after colonoscopy in the intervention group was lower than that in the control group,and the pressure ball group was the lowest,the difference was statistically significant(P<0.05).The satisfaction of the intervention group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The use of distraction in general colonoscopy can reduce the degree of pain and anxiety and improve satisfaction.

关 键 词：注意力分散 结肠镜 视觉模拟量表 状态-特质焦虑量表 满意度 

分 类 号：R473.5[医药卫生—护理学]