穴位按摩联合放松训练在结肠镜检查患者肠道准备中的应用  

Application of acupoint massage combined with relaxation training in bowel preparation of patients undergoing colonoscopy

作　　者：庄跃[1] 吴昊[1] 程艳[1] Zhuang Yue;Wu Hao;Cheng Yan(Department of Spleen and Stomach Diseases,Nanjing Integrated Traditional Chinese and Western Medicine Hospital,Nanjing 210014,China)

机构地区：[1]南京市中西医结合医院脾胃病科,南京210014

出　　处：《中华现代护理杂志》2022年第25期3473-3477,共5页Chinese Journal of Modern Nursing

基　　金：江苏省中医药科技发展计划项目(YB2020030)。

摘　　要：目的探讨穴位按摩联合放松训练在结肠镜检查患者肠道准备中的应用效果。方法采用便利抽样法,选择2020年6月—2021年4月南京市中西医结合医院拟行结肠镜检查的125例门诊及住院患者为研究对象,采用随机数字表法分为观察组(63例)与对照组(62例)。对照组给予结肠镜检查患者常规护理干预,观察组联合应用穴位按摩、放松训练干预。比较两组的应激反应、肠道准备依从性、肠道准备质量。结果检查前5 min,观察组患者的收缩压、心率低于对照组(t值分别为5.604、4.351),饮食控制、缓泻剂服用、肠道准备依从性总分高于对照组(t值分别为5.435、3.671、4.052),右半结肠、横结肠、左半结肠、肠道准备质量总分高于对照组(t值分别为3.324、5.554、7.036、5.981),差异均有统计学意义(P<0.05)。结论穴位按摩联合放松训练有助缓解结肠镜检查患者的应激反应程度,增强肠道准备依从行为,提高肠道准备质量。Objective To explore the application effect of acupoint massage combined with relaxation training in bowel preparation of patients undergoing colonoscopy.Methods Using the convenient sampling method,a total of 125 outpatients and inpatients who planned to undergo colonoscopy in Nanjing Hospital of Integrated Traditional Chinese and Western Medicine from June 2020 to April 2021 were selected as the research objects.They were divided into the observation group(63 cases)and the control group(62 cases)by the random number table method.Patients in the control group received routine nursing intervention,while those in the observation group were performed acupressure combined with relaxation training.The stress response,intestinal preparation compliance and intestinal preparation quality were compared between the two groups.Results 5 minutes before the examination,the systolic blood pressure and heart rate of the observation group were lower than those of the control group(t=5.604,4.351),the total scores of diet control,laxative use and bowel preparation compliance(t=5.435,3.671,4.052)and the total scores of right colon,transverse colon,left colon and bowel preparation quality were higher than those of the control group(t=3.324,5.554,7.036,5.981).All the differences were statistically significant(P<0.05).Conclusions Acupoint massage combined with relaxation training can alleviate the stress response of patients undergoing colonoscopy,enhance compliance behavior of bowel preparation and improve the quality of bowel preparation.

关 键 词：结肠镜检查 穴位按摩 放松训练 应激反应 肠道准备依从性 

分 类 号：R473.5[医药卫生—护理学]