药学宣教服务在肠镜检查患者中的应用效果  

An evaluation of the efficacy of pharmaceutical education services for patients undergoing colonoscopy

作　　者：吴红[1,2] 蒋佰玲 曾晓龙 杨辉 王淑芳[1,2] WU Hong;JIANG Bailing;ZENG Xiaolong;YANG Hui;WANG Shufang(The Second People′s Hospital of Lianyungang(Lianyungang Clinical College Affiliated to Jiangsu University),Jiangsu Province,Lianyungang 222000,China;不详)

机构地区：[1]江苏省连云港市第二人民医院,222000 [2]江苏大学连云港临床学院,江苏省连云港市222000 [3]江苏省新药研究与临床药学重点实验室,江苏省徐州市221000 [4]南京医科大学康达学院,江苏省连云港市222000

出　　处：《临床合理用药》2025年第7期30-33,共4页Chinese Journal of Clinical Rational Drug Use

基　　金：江苏大学临床医学科技发展基金研究项目(JLY2021090);江苏省药学会恒瑞医院药学科研项目(H202137);江苏省新药研究与临床药学重点实验室开放课题项目(KFKT-2102)。

摘　　要：目的观察药学宣教服务在肠镜检查患者中的应用效果。方法选取2023年1—6月于连云港市第二人民医院行肠镜检查的患者360例,采用随机数字表法分为观察组和对照组,每组180例。对照组患者按照预约当日消化内镜中心预约人员发放的预约回执单上文字内容自行理解并进行肠道准备。观察组对患者肠镜检查前肠道准备开展药学宣教服务。比较2组患者肠道准备依从性、肠道清洁度、息肉检出率、不良反应、宣教满意度差异。结果观察组按时服药、依频次服药、足量服药以及饮食控制的依从性率均高于对照组(P<0.05或P<0.01);观察组肠道清洁度优于对照组(Z=-5.807,P<0.001);观察组息肉总检出率为77.84%,高于对照组的48.31%(χ^(2)=33.096,P<0.001);观察组不良反应总发生率为35.23%,低于对照组的48.31%(χ^(2)=6.230,P=0.013);观察组宣教满意度优于对照组(Z=-6.368,P<0.001)。结论药学宣教服务在肠镜检查患者中的应用效果显著,在提高患者肠道准备质量、降低不良反应发生率、增强患者治疗信心和治疗依从性等方面均有很大的优势。Objective To observe the application effect of pharmaceutical education services for patients undergoing colonoscopy.Methods A total of 360 patients who underwent colonoscopy at the Second People′s Hospital of Lianyungang from January to June 2023 were enrolled in this study.Patients were randomly divided into observation group and control group(n=180 per group)using a random number table.The control group received standard pre-colonoscopy bowel preparation instructions according to the written information provided on their appointment slips.The observation group received additional pharmaceutical education services and guidance on bowel preparation.Comparisons were made between the two groups in terms of bowel preparation compliance,bowel cleanliness,adenoma detection rate,adverse events,and satisfaction with the education.Results Compliance rates in terms of taking medication on time,taking medication at the prescribed frequency,taking the full prescribed dose,and dietary control were all significantly higher in the observation group compared to the control group(P<0.05 or P<0.01).Bowel cleanliness was significantly better in the observation group than in the control group(Z=-5.807,P<0.001).The overall adenoma detection rate was 77.84%in the observation group,which was significantly higher than 48.31%in the control group(χ^(2)=33.096,P<0.001).The overall incidence of adverse events was 35.23%in the observation group,which was significantly lower than 48.31%in the control group(χ^(2)=6.230,P=0.013).Satisfaction with the education was significantly higher in the observation group compared to the control group(Z=-6.368,P<0.001).Conclusion Pharmaceutical education services have demonstrated significant benefits in patients undergoing colonoscopy.In particular,these services have shown substantial advantages in improving bowel preparation quality,reducing the incidence of adverse events,and enhancing patient confidence and adherence to treatment.

关 键 词：肠镜检查 肠道准备 药学宣教服务 患者宣教 

分 类 号：R47[医药卫生—护理学]