闭环管理联合耳穴贴压对炎症性肠病患者CT小肠造影检查预防呕吐的效果观察  

Observation on the effect of closed-loop management combined with auricular point pressing on preventing vomiting in patients with inflammatory bowel disease during CT enterography examination

作　　者：何晓华 马久红[1] 曾红 肖健华 胡梅东 马秀秀 杨艺[1] 王送琴 曾小红[1] HE Xiaohua;MA Jiuhong;ZENG Hong;XIAO Jianhua;HU Meidong;MA Xiuxiu;YANG Yi;WANG Songqin;ZENG Xiaohong(The First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院影像科,江西省南昌市330006 [2]南昌大学护理学院,江西省南昌市330006

出　　处：《护理实践与研究》2024年第2期173-178,共6页Nursing Practice and Research

基　　金：江西省中药局科技项目(编号:2021B378);江西省卫生健康委员会项目(编号:20223BCG74001)。

摘　　要：目的探讨闭环管理联合耳穴贴压对炎症性肠病患者行CT小肠造影检查中发生呕吐的预防效果,为临床进行CT小肠造影检查患者预防呕吐发生提供干预方案。方法选取江西省某三级甲等医院影像科2021年10月—2022年10月CT小肠造影检查的224例患者为研究对象,按组间基本资料具有可比性的原则分为对照组111例和观察组113例,对照组给予常规护理措施进行干预;观察组给予闭环管理,并在预约检查时,检查前1 h、检查前30 min、检查中,给予耳穴贴压。比较两组患者呕吐发生率、一次性检查成功率、图像质量及满意度等情况。结果结果显示,采用闭环管理联合耳穴贴压后,两组患者恶心呕吐发生率比较,观察组恶心和呕吐发生率低于对照组,差异具有统计学意义(P<0.05);两组患者一次性检查成功率比较,观察组高于对照组,差异有统计学意义(P<0.05);两组患者图像质量比较,观察组高于对照组,差异有统计学意义(P<0.05);两组患者满意程度比较,观察组高于对照组,差异具有统计学意义(P<0.05)。结论闭环管理联合耳穴贴压可降低炎症性肠病患者行CT小肠造影检查呕吐发生率,可提高一次性检查成功率、图像质量和满意度,是临床安全、有效的预防措施,通过闭环管理联合耳穴贴压可增加护理人员与患者的交流,转移患者的注意力,有助于缓解患者的负性情绪。Objective To explore the preventive effect of closed-loop management combined with auricular acupuncture on vomiting in patients with inflammatory bowel disease undergoing CT enterography examination,and to provide an intervention plan for preventing vomiting in patients undergoing CT enterography examination.Methods A total of 224 patients who underwent CT enterography examinations from October 2021 to October 2022 in the imaging department of a tertiary hospital in Jiangxi Province were selected as the research subjects,according to the principle of comparability of basic data between groups,they were divided into a control group of 111 cases and an observation group of 113 cases.The control group was given routine nursing measures for intervention;the observation group was given closed-loop management,and ear acupoint pressure was given at the time of appointment for examination,1 hour before the examination,30 minutes before the examination,and during the examination.The incidence of vomiting,one-time examination success rate,image quality and satisfaction were compared between the two groups of patients.Results After using closed-loop management combined with auricular point sticking,the incidence of nausea and vomiting in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05);the success rate of one-time examination in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05);the image quality in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05);the satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Closed-loop management combined with auricular acupuncture can reduce the incidence of vomiting in patients with inflammatory bowel disease undergoing CT enterography,and can improve the success rate,image quality and sat

关 键 词：闭环管理 CT小肠造影 耳穴贴压 炎症性肠病 呕吐 

分 类 号：R473.5[医药卫生—护理学]