Volume 21 Issue 8
Aug.  2023
Turn off MathJax
Article Contents
CHAI Xiandeng, YANG Guifang, DING Hao, ZOU Yang, LIU Xiaochang. Observation on the effect of self-made anti-splash oral pad in general gastroscopy[J]. Chinese Journal of General Practice, 2023, 21(8): 1429-1432. doi: 10.16766/j.cnki.issn.1674-4152.003138
Citation: CHAI Xiandeng, YANG Guifang, DING Hao, ZOU Yang, LIU Xiaochang. Observation on the effect of self-made anti-splash oral pad in general gastroscopy[J]. Chinese Journal of General Practice, 2023, 21(8): 1429-1432. doi: 10.16766/j.cnki.issn.1674-4152.003138

Observation on the effect of self-made anti-splash oral pad in general gastroscopy

doi: 10.16766/j.cnki.issn.1674-4152.003138
Funds:

 1908085QH378

  • Received Date: 2022-12-15
    Available Online: 2023-09-13
  •   Objective  During general gastroscopy, patients ' oral secretions are prone to outflow or splashing, increasing the risk of cross infection. The purpose of this study is to explore the safety and practical effects of self-made anti-splash oral pad in clinical applications.  Methods  Sixty patients who underwent general gastroscopy in the First Affiliated Hospital of Anhui Medical University from October to December 2020 were randomly divided into observation group (using self-made anti-splash oral pad) and control group (using routine one-time oral pad) by the random digital table method. The changes of blood pressure, heart rate and blood oxygen saturation before and during the examination were observed in the two groups, as well as the outflow of oral secretions, the amount of secretions on lavatory paper and the satisfaction of patients.  Results  The systolic blood pressure, diastolic blood pressure and heart rate of the two groups were slightly increased 2 minutes after the examination compared with 5 minutes before the examination, and there was no significant change in blood oxygen saturation before and during the examination (all P>0.05). There was no significant difference in systolic blood pressure, diastolic blood pressure, heart rate and blood oxygen saturation between the two groups (all P>0.05). More than 90% of the secretions in the observation group were collected into the gloves [(16.19±2.15) g], and the amount of secretions on the lavatory paper was very little [(1.85±0.31) g]. Compared with the amount of secretions on the lavatory paper in the control group [(17.78±2.53) g], the difference was statistically significant (P < 0.01). The satisfaction of patients in the observation group was also better than that in the control group (93.33% vs. 73.33%, P=0.038).  Conclusion  In the process of general gastroscopy, the self-made anti-splash oral pad is safe and practical. It can effectively collect the outflow or splashed secretions during the inspection process and avoid cross infection caused by secretions. The clinical practice effect is significant, and it can significantly improve the patient ' s satisfaction. It is worthy of in-depth research and clinical promotion.

     

  • loading
  • [1]
    李奇, 鞠红岩, 高峰, 等. 普通胃镜检查对患者心肺血管和生理反应的影响[J]. 中国医刊, 2022, 57(12): 1311-1313. doi: 10.3969/j.issn.1008-1070.2022.12.009

    LI Q, JU H Y, GAO F, et al. Effect of unsedated digestive endoscopy on cardiopulmonary vessel and physiological response[J]. Chinese Journal of Medicine, 2022, 57(12): 1311-1313. doi: 10.3969/j.issn.1008-1070.2022.12.009
    [2]
    凌玉环, 王珩. 安徽省某三甲医院患者对无痛胃镜的选择意愿及其影响因素研究[J]. 包头医学院学报, 2022, 38(1): 1-5, 30. https://www.cnki.com.cn/Article/CJFDTOTAL-BTYX202201001.htm

    LING Y H, WANG H. Study on Patients'Preference for Painless Gastrocopy and Its Influencing Factors in a Tertiary Hospital in Anhui Province[J]. Journal of Baotou Medical College, 2022, 38(1): 1-5, 30. https://www.cnki.com.cn/Article/CJFDTOTAL-BTYX202201001.htm
    [3]
    康鑫鑫, 王中玉, 周俊飞, 等. 苯磺酸瑞马唑仑联合阿芬太尼在肥胖患者无痛胃镜检查麻醉中的应用[J]. 中华实用诊断与治疗杂志, 2022, 36(7): 744-746. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZD202207022.htm

    KANG X X, WANG Z Y, ZHOU J F, et al. Application of remimazolam besylate combined with alfentanil in painless gastroscopy in obese patients[J]. Journal of Chinese Practical Diagnosis and Therapy, 2022, 36(7): 744-746. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZD202207022.htm
    [4]
    卢林芝, 张志镒, 吴正奇, 等. 镇静镇痛胃镜与普通胃镜在临床检查中的应用效果比较[J]. 中国内镜杂志, 2021, 27(1): 81-85. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ202101016.htm

    LU L Z, ZHANG Z Y, WU Z Q, et al. Comparison of clinical effect of sedation and analgesia gastroscope and general gastroscope in clinical examination[J]. China Journal of Endoscopy, 2021, 27(1): 81-85. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ202101016.htm
    [5]
    SOETIKNO R, TEOH A Y B, KALTENBACH T, et al. Considerations in performing endoscopy during The COVID-19 pandemic[J]. Gastrointest Endosc, 2020, 92(1): 176-183. doi: 10.1016/j.gie.2020.03.3758
    [6]
    CRNKOVIC D, PECO M, GELO J. Correlation between salivary biochemical stress indicators and psychological indicators[J]. Acta Clin Croat, 2018, 57(2): 316-326.
    [7]
    LI X T, MA C Q, QI S H, et al. Combination of propofol and dezocine to improve safety and efficacy of anesthesia for gastroscopy and colonoscopy in adults: a randomized, double-blind, controlled trial[J]. World J Clin Cases, 2019, 7(20): 3237-3246. doi: 10.12998/wjcc.v7.i20.3237
    [8]
    胡建美, 赵洁. 新型冠状病毒肺炎疫情防控期间医用护目镜防雾技巧[J]. 护理研究, 2020, 34(4): 573. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202004009.htm

    HU J M, ZHAO J. Anti-fog skills for medical goggles during the period of prevention and control of corona virus disease 2019[J]. Chinese Nursing Research, 2020, 34(4): 573. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202004009.htm
    [9]
    宗杰. 护理质量敏感指标对消化内镜感染质控管理的评价及质量持续改进的影响[J]. 护理实践与研究, 2020, 17(21): 124-126. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202021051.htm

    ZONG J. Effect of nursing quality sensitive indicators on the evaluation of digestive endoscopy infection quality control management and continuous improvement of quality[J]. Nursing Practice and Research, 2020, 17(21): 124-126. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202021051.htm
    [10]
    LIU Y Y, LIU Y Q, PETRINI M A. Effect of information of patients ' coping style on pregastroscopy anxiety[J]. Gastroenterol Nurs, 2018, 41(1): 47-58.
    [11]
    黄平, 张筱凤. 胃镜前口服用药的研究进展[J]. 中国内镜杂志, 2020, 26(6): 83-88. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ202006016.htm

    HUANG P, ZHANG X F. Research progress of oral medication before gastroscopy examination[J]. China Journal of Endoscopy, 2020, 26(6): 83-88. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ202006016.htm
    [12]
    王淑芳, 郭艳梅. 基于预见性管理对行常规胃镜检查患者护理质量改善及并发症预防的研究[J]. 中国全科医学, 2021, 24(S2): 200-202. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX2021S2065.htm

    WANG S F, GUO Y M. Study on the Improvement of Nursing Quality and Prevention of Complications of Patients Undergoing Routine Gastroscopy Based on Predictive Management[J]. Chinese General Practice, 2021, 24(S2): 200-202. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX2021S2065.htm
    [13]
    宋亚华, 安苗, 秦赟, 等. 消化道症状为主的胃镜检查患者焦虑情绪及影响因素研究[J]. 现代消化及介入诊疗, 2020, 25(10): 1348-1351. https://www.cnki.com.cn/Article/CJFDTOTAL-XDXH202010018.htm

    SONG Y H, AN M, QIN Y, et al. Study on anxiety and influencing factors in patients with gastrointestinal symptoms undergoing gastroscopy[J]. Modern Digestion & Intervention, 2020, 25(10): 1348-1351. https://www.cnki.com.cn/Article/CJFDTOTAL-XDXH202010018.htm
    [14]
    钱秋萍, 朱明花, 张晶. 改良体位联合精细化护理对胃镜检查患者配合度、心理状态及不适症状的影响[J]. 护理实践与研究, 2022, 19(18): 2812-2816. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202218027.htm

    QIAN Q P, ZHU M H, ZHANG J. Effects of improved posture combined with refined nursing on cooperation, psychological state and discomfort symptoms of patients undergoing gastroscopy[J]. Nursing Practice and Research, 2022, 19(18): 2812-2816. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202218027.htm
    [15]
    王雪飞, 许燕, 祝旭清, 等. 微信群护理干预在无痛胃肠镜检查中的应用效果[J]. 中华全科医学, 2021, 19(4): 698-701. doi: 10.16766/j.cnki.issn.1674-4152.001896

    WANG X F, XU Y, ZHU X Q, et al. Application effect of WeChat group nursing intervention on patients undergoing painless gastrointestinal endoscopy procedure[J]. Chinese Journal of General Practice, 2021, 19(4): 698-701. doi: 10.16766/j.cnki.issn.1674-4152.001896
    [16]
    周春春, 余少敏, 缪国凤, 等. CICARE联合HEART沟通模式在普通胃镜检查患者中的应用[J]. 温州医科大学学报, 2020, 50(12): 1011-1014. https://www.cnki.com.cn/Article/CJFDTOTAL-WZYX202012015.htm

    ZHOU C C, YU S M, MIAO G F, et al. Application of CICARE and HEART communication mode in patients undergoing ordinary gastroscopy[J]. Journal of Wenzhou Medical University, 2020, 50(12): 1011-1014. https://www.cnki.com.cn/Article/CJFDTOTAL-WZYX202012015.htm
    [17]
    许多, 金小慧, 吴蕾若, 等. 层次分析法在内镜中心医疗设备精细化管理中的应用[J]. 中华全科医学, 2022, 20(8): 1408-1410, 1441. doi: 10.16766/j.cnki.issn.1674-4152.002609

    XU D, JIN X H, WU L R, et al. Application of analytic hierarchy process in refined management of medical equipment in endoscopy center[J]. Chinese Journal of General Practice, 2022, 20(8): 1408-1410, 1441. doi: 10.16766/j.cnki.issn.1674-4152.002609
    [18]
    张旭, 赵倩, 康晓娜, 等. 新型冠状病毒肺炎疫情下消化内镜中心的感控措施与实践[J]. 西安交通大学学报(医学版), 2021, 42(1): 128-131, 151. https://www.cnki.com.cn/Article/CJFDTOTAL-XAYX202101025.htm

    ZHANG X, ZHAO Q, KANG X N, et al. Infection control measures and practice in gastrointestinal endoscopy departments during the novel coronavirus infection period[J]. Journal of Xi'an Jiaotong University (Medical Sciences), 2021, 42(1): 128-131, 151. https://www.cnki.com.cn/Article/CJFDTOTAL-XAYX202101025.htm
    [19]
    杜江, 吴念宏, 李珊, 等. 四川大学华西医院消化内镜中心新型冠状病毒肺炎院内感染防控经验[J]. 中华消化内镜杂志, 2020, 37(3): 156-157, 160.

    DU J, WU N H, LI S, et al. COVID-19 nosocomial infection prevention and control strategyat West China Hospital, Sichuan University[J]. Chinese Journal of Digestive Endoscopy, 2020, 37(3): 156-157, 160.
    [20]
    BOR R, SZANTO K J, FABIAN A, et al. Effect of COVID-19 pandemic on workflows and infection prevention strategies of endoscopy units in Hungary: a cross-sectional survey[J]. BMC Gastroenterol, 2021, 21(1): 98.
    [21]
    杨凤, 陈圆圆, 王彩霞, 等. 基于弹力球的护理干预在常规胃镜检查患者中的应用[J]. 中华现代护理杂志, 2019, 25(11): 1352-1355.

    YANG F, CHEN Y Y, WANG C X, et al. Application of nursing with bounce ball among patients with routine gastroscopy[J]. Modern Nursing, 2019, 25(11): 1352-1355.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(2)

    Article Metrics

    Article views (89) PDF downloads(7) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return