内镜下黏膜切除术肠道准备教育程序的优化及评价  

Optimization and evaluation of bowel preparation education program for endoscopic mucosal resection

作　　者：黄靖晖 黄颖欣 孙建娣 HUANG Jinghui;HUANG Yingxin;SUN Jiandi(Department of Gastroenterology,Guangzhou Integrated Traditional Chinese and Western Medicine Hospital,Guangzhou 510800,China;Intensive Care Medicine Department,Guangzhou Twelfth People’s Hospital,Guangzhou 510800,China)

机构地区：[1]广州市中西医结合医院消化内科,广东广州510800 [2]广州市第十二人民医院重症医学科,广东广州510800

出　　处：《广州医药》2025年第4期542-546,共5页Guangzhou Medical Journal

摘　　要：目的探讨内镜下黏膜切除术患者肠道准备教育程序的优化方法及改善效果。方法选择2022年12月—2023年12月广州市中西医结合医院接收的内镜下黏膜切除术患者180例进行研究,电脑随机编号按奇偶数分为两组各90例,对照组采取常规肠道准备教育工作,观察组实施基于优化的教育程序展开教育工作,比较两组依从性、肠道准备质量、满意度、不适症状发生情况。结果观察组饮食依从率96.88%、服药依从率98.44%、运动依从率93.75%,均高于对照组的78.13%、79.69%、71.88%(χ^(2)分别为6.172、7.745、7.120,P分别为0.012、0.005、0.007)。观察组左侧、横结肠、右侧等评分及肠道准备质量总分高于对照组(t分别为7.175、6.442、5.971、8.234,均P<0.001)。观察组肠道准备满意度为98.89%,高于对照组的88.89%(χ^(2)=7.842,P=0.005)。观察组恶心11.11%、呕吐4.44%、腹胀5.56%、腹痛0.00%,低于对照组的22.22%、13.33%、14.44%、6.67%(χ^(2)分别为4.000、4.390、3.950、4.310,P分别为0.045、0.036、0.046、0.037)。结论对内镜下黏膜切除术患者实施基于优化的教育程序展开肠道准备教育工作可提高患者肠道准备依从性,保证良好的肠道准备质量和肠道清洁度,提高患者的满意度,有助减少肠道不适症状。Objective To explore the optimization method and improvement effect of bowel preparation education program in patients undergoing endoscopic mucosal resection.Methods A total of 180 patients with endoscopic mucosal resection admitted to the hospital from December 2022 to December 2023 were selected for the study.They were randomly divided into two groups with 90 cases in each group.The control group was given routine bowel preparation education,and the observation group was given education based on optimized education procedures.The compliance,quality of bowel preparation,satisfaction and discomfort symptoms were compared between the two groups.Results The diet compliance rate 96.88%,medication compliance rate 98.44%,exercise compliance rate 93.75%in the observation group were significantly higher than 78.13%,79.69%,71.88%in the control group(χ^(2)=6.172,7.745,7.120,P=0.012,0.005,0.007).The scores of left colon,transverse colon and right colon and the total score of bowel preparation quality in the observation group were significantly higher than those in the control group(t=7.175,6.442,5.971,8.234,all P<0.001).The satisfaction of bowel preparation in the observation group(98.89%)was significantly higher than that in the control group(88.89%)(χ^(2)=7.842,P=0.005).Nausea 11.11%,vomiting 4.44%,abdominal distension5.56%,abdominal pain 0.00%in the observation group were significantly lower than 22.22%,13.33%,14.44%,6.67%in the control group(χ^(2)=4.000,4.390,3.950,4.310,P=0.045,0.036,0.046,0.037).Conclusions The implementation of bowel preparation education based on optimized education program in patients undergoing endoscopic mucosal resection can improve the compliance of bowel preparation,ensure good quality of bowel preparation and bowel cleanliness,improve patient satisfaction,and reduce the occurrence of intestinal discomfort symptoms,which is worthy of promotion.

关 键 词：内镜下黏膜切除术 肠道准备 教育程序 优化方法 满意度 

分 类 号：R473.6[医药卫生—护理学]