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微视频结合关键点指导在老年患者结肠镜检查肠道准备中的应用

陈玲玲 段晓侠 施彩虹 郑海伦

陈玲玲, 段晓侠, 施彩虹, 郑海伦. 微视频结合关键点指导在老年患者结肠镜检查肠道准备中的应用[J]. 中华全科医学, 2023, 21(2): 341-344. doi: 10.16766/j.cnki.issn.1674-4152.002878
引用本文: 陈玲玲, 段晓侠, 施彩虹, 郑海伦. 微视频结合关键点指导在老年患者结肠镜检查肠道准备中的应用[J]. 中华全科医学, 2023, 21(2): 341-344. doi: 10.16766/j.cnki.issn.1674-4152.002878
CHEN Ling-ling, DUAN Xiao-xia, SHI Cai-hong, ZHENG Hai-lun. Application of micro-video combined with key point guidance in colonoscopy bowel preparation in elderly patients[J]. Chinese Journal of General Practice, 2023, 21(2): 341-344. doi: 10.16766/j.cnki.issn.1674-4152.002878
Citation: CHEN Ling-ling, DUAN Xiao-xia, SHI Cai-hong, ZHENG Hai-lun. Application of micro-video combined with key point guidance in colonoscopy bowel preparation in elderly patients[J]. Chinese Journal of General Practice, 2023, 21(2): 341-344. doi: 10.16766/j.cnki.issn.1674-4152.002878

微视频结合关键点指导在老年患者结肠镜检查肠道准备中的应用

doi: 10.16766/j.cnki.issn.1674-4152.002878
基金项目: 

安徽省自然科学基金项目 1808085MH240

蚌埠医学院人文社科重点项目 2020byzd245sk

详细信息
    通讯作者:

    段晓侠,E-mail: 382225677@qq.com

  • 中图分类号: R574

Application of micro-video combined with key point guidance in colonoscopy bowel preparation in elderly patients

  • 摘要:   目的  探讨微视频结合关键点指导对老年患者肠道准备的应用效果。  方法  选取2018年8—12月于蚌埠医学院第二附属医院行结肠镜检查的住院老年患者30例为对照组,2019年3—12月行结肠镜检查的住院老年患者30例为干预组,分别采用常规肠道准备健康指导、微视频结合关键点指导。运用渥太华肠道准备评分量表(Ottawa bowel preparation scale, OBPS)、肠道准备依从性量表进行调查,记录肠道准备期间不良反应的发生情况及检查过程中进镜时间。采用t检验分析比较2组患者OBPS得分和进镜时间;χ2检验分析比较2组患者肠道准备合格率、不良反应发生率、肠道准备依从性。  结果  干预组OBPS得分为(4.03±2.09)分,进镜时间为(7.20±1.48)min,均低于对照组OBPS得分(6.53±2.56)分和进镜时间(8.33±1.75)min(均P<0.05)。干预组不良反应发生率[13.3%(4/30)]低于对照组[46.7%(14/30),P<0.05],干预组肠道准备合格率[73.3%(22/30)]、饮食依从性[83.3%(25/30)]、服药依从性[80.0%(24/30)]、运动依从性[76.7%(23/30)]均高于对照组[36.7%(11/30)、26.7%(8/30)、36.7%(11/30)、30.0%(9/30)],差异有统计学意义(均P<0.05)。  结论  微视频结合关键点指导能有效提高肠道准备质量,值得临床推广实施。

     

  • 表  1  2组患者肠道准备质量比较

    Table  1.   Comparison of intestinal preparation quality between the two groups

    组别 例数 肠道准备合格率[例(%)] OBPS得分(x±s,分) 进镜时间(x±s,min)
    对照组 30 11(36.7) 6.53±2.56 8.33±1.75
    干预组 30 22(73.3) 4.03±2.09 7.20±1.48
    统计量 8.148a 4.145b 2.734b
    P 0.004 < 0.001 0.008
    注:a为χ2值,bt值。
    下载: 导出CSV

    表  2  2组患者肠道准备依从性比较[例(%)]

    Table  2.   Comparison of intestinal preparation compliance between the two groups [cases (%)]

    组别 例数 饮食 服药 运动
    对照组 30 8(26.7) 11(36.7) 9(30.0)
    干预组 30 25(83.3) 24(80.0) 23(76.7)
    χ2 19.461 11.589 13.125
    P < 0.001 0.001 < 0.001
    下载: 导出CSV

    表  3  2组患者不良反应发生率比较[例(%)]

    Table  3.   Comparison of the incidence of adverse reactions between the two groups [cases (%)]

    组别 例数 腹痛腹胀 恶心呕吐 低血糖 总发生
    对照组 30 11(36.7) 9(30.0) 8(26.7) 14(46.7)
    干预组 30 3(10.0) 1(3.0) 1(3.3) 4(13.3)
    χ2 5.936 7.680 4.706 7.937
    P 0.030 0.012 0.030 0.010
    下载: 导出CSV
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  • 收稿日期:  2022-02-25
  • 网络出版日期:  2023-04-20

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