易宜洪+余祥鳳

摘要：目的 探討護(hù)理干預(yù)對(duì)老年便秘患者電子結(jié)腸鏡檢查腸道準(zhǔn)備的影響效果。方法 選取2014年2月～2016年10月我院收治的200例擬行電子結(jié)腸鏡檢查的老年便秘患者作為研究對(duì)象，采取隨機(jī)數(shù)字表將其分成兩組，每組100例。觀察組在腸道準(zhǔn)備過(guò)程中實(shí)施綜合護(hù)理干預(yù)，對(duì)照組實(shí)施常規(guī)護(hù)理干預(yù)，比較兩組腸道清潔效果以及結(jié)腸鏡檢查過(guò)程中不良反應(yīng)發(fā)生情況。結(jié)果 觀察組腸道清潔率為96.00%（96/100），相對(duì)于對(duì)照組87.00%（87/100）顯著升高（P<0.05）。觀察組結(jié)腸鏡檢查過(guò)程中不良反應(yīng)發(fā)生率為7.00%（7/100），相對(duì)于對(duì)照組21.00%（21/100）顯著降低（P<0.05）。結(jié)論 在老年便秘患者電子結(jié)腸鏡檢查腸道準(zhǔn)備過(guò)程中實(shí)施綜合護(hù)理干預(yù)可有效增加腸道清潔度，減少不良反應(yīng)。

關(guān)鍵詞：護(hù)理干預(yù)；老年便秘；電子結(jié)腸鏡檢查；腸道準(zhǔn)備

中圖分類(lèi)號(hào)：R473.5 文獻(xiàn)標(biāo)識(shí)碼：A 文章編號(hào)：1006-1959（2017）23-0095-03

Effect of Nursing Intervention on Intestinal Preparation of Electron Colonoscopy in Elderly Patients with Constipation

YI Yi-hong1，YU Xiang-feng2

（Department of Gastroenterology1，Cardiovascular Medicine2，Yichun Second People's Hospital，Yichun 336000，Jiangxi，China）

Abstract：Objective To investigate the effect of nursing intervention on intestinal preparation of elderly patients with constipation.Methods From February 2014 to October 2016，200 elderly patients with constipation were enrolled in this study.The patients were divided into two groups according to the random number table.100 cases in each group.The observation group was given comprehensive nursing intervention in the process of bowel preparation，and the control group was given routine nursing intervention.The intestinal cleaning effect and adverse reactions during the colonoscopy were compared between the two groups.Results In the observation group，intestinal cleaning rate was 96.00%（96/100），compared with the control group 87.00%（87/100）increased significantly（P<0.05）.The incidence of adverse reactions during colonoscopy was 7.00%（7/100）in the observation group，which was significantly lower than that in the control group 21.00%（21/100）（P<0.05）.Conclusion Comprehensive nursing intervention can improve the intestinal cleanliness and reduce the adverse reaction in the process of intestinal colonization of elderly patients with constipation.

Key words：Nursing intervention；Senile constipation；Electronic colonoscopy；Intestine preparation

電子結(jié)腸鏡檢查是用于結(jié)腸疾病診斷的常用方法，而檢查與治療能否順利完成以及檢查結(jié)果是否準(zhǔn)確可靠多取決于腸道準(zhǔn)備情況[1-2]。老年便秘患者由于生理機(jī)能減退，腸道蠕動(dòng)減緩，導(dǎo)致糞便滯留于腸道內(nèi)時(shí)間延長(zhǎng)，加之老年患者的機(jī)體耐受能力及心功能差，因此腸道準(zhǔn)備常不充分。腸道清潔不徹底可致糞便遮蔽病變處，或使鏡面污染，不利于內(nèi)鏡進(jìn)鏡及觀察，導(dǎo)致檢查失敗或漏診，而再次檢查則會(huì)增加患者的痛苦[3-4]。大量研究證實(shí)，在結(jié)腸鏡檢查腸道準(zhǔn)備過(guò)程中實(shí)施有效的護(hù)理干預(yù)有助于提高腸道準(zhǔn)備質(zhì)量，減輕患者的不適與焦慮感[5-6]。為保障老年便秘患者電子結(jié)腸鏡檢查的診斷與治療效果，本研究對(duì)我院近年來(lái)收治的擬行電子結(jié)腸鏡檢查的老年便秘患者實(shí)施了綜合護(hù)理干預(yù)，取得了顯著效果，現(xiàn)報(bào)道如下。

1資料與方法

1.1 一般資料

選取2014年2月～2016年10月我院收治的200例擬行電子結(jié)腸鏡檢查的老年便秘患者作為研究對(duì)象，采取隨機(jī)數(shù)字表將其分成兩組，每組100例。觀察組男57例，女43例，年齡60～88歲，平均年齡（72.5±5.3）歲，合并高血壓22例，糖尿病15例。對(duì)照組男54例，女46例，年齡60～89歲，平均年齡（71.2±5.7）歲，合并高血壓19例，糖尿病13例。兩組患者資料比較無(wú)統(tǒng)計(jì)學(xué)差異（P>0.05），具有可比性。endprint