老年糖尿病患者结肠镜诊疗中护理干预对策与效果  

Nursing Intervention Measures and Effectiveness in Colonoscopy Diagnosis and Treatment for Elderly Patients with Diabetes Mellitus

作　　者：王素云 王素琴 叶清星 谢晨曦[3] WANG Suyun;WANG Suqin;YE Qingxing;XIE Chenxi(Department of Digestive Endoscopy,Zhongshan Hospital Affiliated to Xiamen University,Xiamen,Fujian Province,361001 China;Haicang District Haicang Street Shitang Community Health Service Center,Xiamen,Fujian Province,361026 China;Department of Gastroenterology,Zhongshan Hospital Affiliated to Xiamen University,Xiamen,Fujian Province,361001 China)

机构地区：[1]福建省厦门市厦门大学附属中山医院消化内镜室,福建厦门361001 [2]厦门市海沧区海沧街道石塘社区卫生服务中心,福建厦门361026 [3]厦门大学附属中山医院消化内科,福建厦门361001

出　　处：《中外医疗》2023年第25期126-129,134,共5页China & Foreign Medical Treatment

基　　金：福建省自然科学基金项目(2020J011205)。

摘　　要：目的分析老年糖尿病患者结肠镜诊疗中实施护理干预的效果。方法随机选取2021年6月—2022年6月在福建省厦门大学附属中山医院接受结肠镜检查的60例老年糖尿病患者。按照随机数表法分为观察组、对照组,每组30例。对照组常规护理,观察组综合护理,观察两组清洁质量评分、不良反应发生率、耐受性评分、护理满意度的对比效果。结果观察组右半结肠(2.87±0.19)分、横结肠(2.71±0.19)分、左半结肠肠道(2.63±0.41)分的清洁质量评分均高于对照组,差异有统计学意义(t=6.609、4.519、6.394,P<0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05);观察组耐受性优于对照组,差异有统计学意义(P<0.05);观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论结肠镜诊疗期间,实施综合护理干预,可提高肠道清洁质量,降低不良反应发生率,增强患者的耐受性。Objective To analyze the effect of implementing nursing interventions in the diagnosis and treatment of colonoscopy in elderly diabetic patients.Methods Sixty cases of elderly diabetic patients who underwent colonoscopy from June 2021 to June 2022 at Zhongshan Hospital Affiliated to Xiamen University Fujian Province were randomly selected.According to the method of random number table,they were divided into observation group and control group with 30 cases in each group.Conventional care in the control group and comprehensive care in the observation group were used to observe the comparative effects of cleaning quality score,incidence of adverse reactions,tolerance score and nursing satisfaction in the two groups.Results The cleaning quality score of right hemi-colon(2.87±0.19)points,transverse colon(2.71±0.19)points,left hemi-colon intestinal(2.63±0.41)points of the observation group were higher than those of the control group,respectively,and the difference was statistically significant(t=6.609,4.519,6.394,P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The tolerability of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of comprehensive nursing intervention during colonoscopy diagnosis and treatment can improve the quality of intestinal cleansing,reduce the incidence of adverse reactions,and enhance the tolerance of patients.

关 键 词：糖尿病 结肠镜 肠道清洁 护理干预对策 

分 类 号：R47[医药卫生—护理学]