机构地区:[1]江西省九江市中医医院普外科,江西九江332000 [2]江西省九江市中医医院手术室,江西九江332000 [3]江西省九江市中医医院骨伤科,江西九江332000
出 处:《中国当代医药》2024年第24期180-183,188,共5页China Modern Medicine
基 金:江西省中医药管理局科技计划项目(2023B1008)。
摘 要:目的探讨香附、莱菔子热奄包作用于胃肠起搏点在无痛肠镜检查后腹胀中的作用。方法选取2021年4月至2023年4月于九江市中医医院行无痛肠镜检查后伴有腹胀的120例患者作为研究对象,按照随机数字表法将其分为对照组(60例)和观察组(60例)。对照组患者采取常规护理,观察组患者在常规护理基础上加用香附、莱菔子热奄包干预。比较两组腹胀程度、症状恢复情况、舒适度以及护理满意度。结果干预前,两组患者腹胀程度评分、舒适度评分比较,差异无统计学意义(P>0.05);干预后,观察组腹胀程度评分低于对照组,差异有统计学意义(P<0.05);观察组初次肛门排气时间、腹胀缓解时间均短于对照组,差异有统计学意义(P<0.05);干预后,观察组Kolcaba的舒适状况量表(GCQ)中社会文化、心理舒适等维度评分均高于对照组,差异有统计学意义(P<0.05);观察组患者满意度中专业技能、护理态度、基本介绍、应答服务、护理效果、需求满足以及满意度总分均高于对照组,差异有统计学意义(P<0.05)。结论在无痛肠镜检查后腹胀患者中采取香附、莱菔子热奄包干预,可缓解患者腹胀程度,加快其症状恢复,有助于提升患者舒适度,患者对护理方式更加满意。Objective To explore the role of Xiangfu and Raphani Seed Heat Therapy Package in the action of gastrointestinal pacing points on abdominal distension after painless colonoscopy.Methods A total of 120 patients who underwent painless colonoscopy at Jiujiang Traditional Chinese Medicine Hospital from April 2021 to April 2023 with abdominal distension were selected as the study objects,and they were divided into control group(60 cases)and observation group(60 cases)according to random number table method.The control group received routine care,while the observation group received additional intervention with Xiangfu and Raphani Seed Heat Therapy Package on the basis of routine care.The degree of abdominal distension,symptom recovery,comfort,and nursing satisfaction between two groups were compared.Results There were no statistically significant differences(P>0.05)in the abdominal distension and comfort scores between the two groups of patients before intervention.After intervention,the abdominal distension score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The observation group had shorter initial anal exhaust time and abdominal distension relief time than the control group,and the difference was statistically significant(P<0.05).After intervention,the social,cultural,and psychological comfort scores in the Kolcaba general comfort scale(GCQ)of the observation group were higher than those in the control group,with significant differences(P<0.05).The professional skills,nursing attitude,basic introduction,response services,nursing effectiveness,satisfaction with needs,and total satisfaction scores of the observation group patients were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion In patients with abdominal distension after painless colonoscopy,intervention with Xiangfu and Raphani Seed Heat Therapy Package can alleviate the degree of abdominal distension,accelerate symptom recov
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