儿童叙事疗法理论植入游戏在患儿肠道准备中的应用  

Application of narrative therapy theory implanted games into bowel preparation in children

作　　者：董振银[1] 强毅 岳世霞 何静 李晖军 李贵臻 Dong Zhenyin;Qiang Yi;Yue Shixia;He Jing;Li Huijun;Li Guizhen(Department of Pediatric Gastroenterology,Gansu Maternal and Child Health Hospital,Lanzhou 730050,China;Cardiovascular Center,Gansu Maternal and Child Health Hospital,Lanzhou 730050,China;Department of Information,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China)

机构地区：[1]甘肃省妇幼保健院小儿消化科,兰州730050 [2]甘肃省妇幼保健院心血管中心,兰州730050 [3]甘肃省中医医院信息科,兰州730050

出　　处：《中国实用护理杂志》2023年第20期1521-1525,共5页Chinese Journal of Practical Nursing

基　　金：甘肃省卫生行业科研计划项目(GSWSKY-2019-56)。

摘　　要：目的探讨将儿童叙事疗法的理论及方法植入游戏软件对提高患儿肠道准备质量的应用效果,为患儿肠道准备选择护理干预方法提供依据。方法本研究为类实验研究。选取甘肃省妇幼保健院2021年1一12月行肠道准备服用聚乙二醇电解质散的62例患儿为研究对象,按随机数字表法分为对照组28例和试验组34例。对照组实施传统的肠道准备服药指导,试验组应用儿童叙事疗法理论植入游戏软件实施肠道准备服药干预,观察并比较2组患儿肠道准备充分率、完整服药率、肠道清洁度及家长满意度情况。结果试验组肠道准备充分率、完整服药率分别为94.12%(32/34)、52.94%(18/34),高于对照组的46.43%(13/28)、10.71%(3/28),差异均有统计学意义(X^(2)=15.23、10.41,均P<0.01);试验组Boston肠道准备评分总分为(7.65±1.07)分,高于对照组的(6.07±1.41)分,差异有统计学意义(t=-4.87,P<0.01);试验组家长满意度为97.06%(33/34),高于对照组的64.29%(18/28),差异有统计学意义(X^(2)=12.74,P<0.05)。结论通过应用儿童叙事疗法理论植入游戏软件,能促进患儿完整服用高剂量清肠剂,提高患儿肠道准备质量,可作为患儿肠道准备的护理干预方法。Objective To investigate the effect of applying narrative therapy theory into game on improving the quality of bowel preparation in children,and to provide a basis for selecting nursing intervention methods before bowel preparation.Methods This study was a quasi experimental study.Totally 62 children who took polyethylene glycol electrolyte dispersion for bowel preparation in Gansu Maternal and Child Health Hospital from January to December 2021 were included in this retrospective study.They were divided into control group with 28 cases and experimental group with 34 cases according to random number table method.The control group was given conventional bowel preparation and medication guidance,and the experimental group was given the intervention during bowel preparation by applying narrative therapy theory implanted games.The bowel preparation adequacy rate,complete medication taking rate and parental satisfaction of the two groups were observed and compared.Results The bowel preparation adequacy rate and complete medication taking rate in the experimental group were 94.12%(32/34)and 52.94%(18/34),respectively,which were higher than 46.43%(13/28)and 10.71%(3/28)in the control group,and the differences were statistically significant(x^(2)=15.23,10.41,both P<0.01).According to the average BBPS score,the experimental group had better intestinal cleanliness compared to the control group(7.65±1.07 vs 6.07±1.41,t=-4.87,P<0.01),the difference was statistically significant.97.06%(33/34)of the parents in the experimental group expressed satisfaction,which was higher than 64.29%(18/28)in the control group,and the difference was statistically significant(x^(2)=12.74,P<0.05).ConclusionsEBy applying the narrative therapy theory implanted games,the complete taking of high-dose bowel cleasing agent can be promoted and the quality of bowel preparation can be improved,which is worth suggesting as a nursing intervention method for bowel preparation.

关 键 词：儿童 护理 泻药 肠道准备 叙事疗法 

分 类 号：R473.72[医药卫生—护理学]