[1]孟莹莹,罗健,梁蒙蒙,等.清肠操在住院患者结肠镜检查前肠道准备中的应用研究[J].军事护理,2022,39(04):30-33.[doi:10.3969/j.issn.1008-9993.2022.04.008]
 MENG Yingying,LUO Jian,LIANG Mengmeng,et al.Application of Intestinal Cleansing Gymnastics in Bowel Preparation Before Colonoscopy in Hospitalized Patients[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(04):30-33.[doi:10.3969/j.issn.1008-9993.2022.04.008]
点击复制

清肠操在住院患者结肠镜检查前肠道准备中的应用研究
分享到:

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年04期
页码:
30-33
栏目:
研究荟萃
出版日期:
2022-04-15

文章信息/Info

Title:
Application of Intestinal Cleansing Gymnastics in Bowel Preparation Before Colonoscopy in Hospitalized Patients
文章编号:
1008-9993(2022)04-0030-04
作者:
孟莹莹12罗健3梁蒙蒙1朱迎4丁韫晗5胡梦阳5
(1.徐州医科大学附属医院 消化科,江苏 徐州 221006; 2.长江大学 医学部,湖北 荆州 434023; 3.武汉城市学院 医学院,湖北 武汉 430075; 4.徐州医科大学 护理学院,江苏 徐州 221004; 5.华中科技大学同济医学院 护理学院,湖北 武汉430022)
Author(s):
MENG Yingying12LUO Jian3LIANG Mengmeng1ZHU Ying4DING Yunhan5HU Mengyang5
(1.Department of Gastroenterology,Affiliated Hospital of Xuzhou Medical University,Xuzhou 221006,Jiangsu Province,China; 2.Department of Medicine,Yangtze University,Jingzhou 434023,Hubei Province,China; 3.Department of Medicine,Wuhan City College,Wuhan 430075 Hubei Province,China; 4.School of Nursing,Xuzhou Medical University,Xuzhou 221004,Jiangsu Province,China; 5.School of Nursing,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,Hubei Province,China)
关键词:
肠镜检查 肠道准备 清肠操
Keywords:
colonoscopy bowel preparation intestinal cleansing gymnastics
分类号:
R473.57
DOI:
10.3969/j.issn.1008-9993.2022.04.008
文献标志码:
A
摘要:
目的 探讨清肠操应用于住院患者结肠镜检查前肠道准备中的安全性及效果,为制订有针对性的肠道准备运动方案提供依据。方法 2020年1月至2021年3月,便利抽样法选取徐州市某三级甲等医院消化科行结肠镜检查的住院患者为研究对象。根据入院顺序随机分为观察组(n=124)和对照组(n=122)。对照组在常规肠道准备的基础上给予步行运动干预方案; 观察组在常规肠道准备的基础上实施清肠操运动方案。结果 观察组在首次排便时间、次日服药后首次排便时间较对照组缩短; 在提高肠道清洁度以及降低腹胀/腹痛和恶心发生率方面均优于对照组,差异均有统计学意义(均P<0.05)。结论 清肠操是一种简单、安全、有效、可以提高肠道准备质量的辅助干预方案,值得在临床中推广。
Abstract:
Objective To explore the safety and effect of applying intestinal cleansing gymnastics to bowel preparation before colonoscopy in hospitalized patients,and to provide evidences for developing targeted bowel preparation exercise programs.Methods From January 2020 to March 2021,inpatients undergoing colonoscopy in gastroenterology department of a tertiary A hospital in Xuzhou were selected as the research subjects by the convenience sampling method.According to the order of admission,they were randomly divided into observation group(n=124)and control group(n=122).The control group was given walking exercise intervention program on the basis of routine intestinal preparation.The observation group was given intestinal cleansing gymnastics intervention program on the basis of routine bowel preparation. Results The first defecation time and the first defecation time of the next day after administration in the experimental group were shorter than those in the control group.The experimental group was better than the control group in improving satisfaction of colon cleaning,reducing the incidence of abdominal distension abdominal pain and nausea,and the differences were statistically significant(all P<0.05).Conclusions The intestinal cleansing gymnastics is a simple,safe,effective and auxiliary intervention program that can improve the quality of bowel preparation,which is worth promoting in clinical practice.

参考文献/References:

[1] HASSAN C,EAST J,RADAELLI F,et al.Bowel preparation for colonoscopy:European Society of Gastrointestinal Endoscopy(ESGE)guideline-update 2019[J].Endoscopy,2019,51(8):775-794.
[2] 中国医师协会内镜医师分会消化内镜专业委员会,中国抗癌协会肿瘤内镜学专业委员会.中国消化内镜诊疗相关肠道准备指南(2019,上海)[J].中华内科杂志,2019,58(7):485-495.
[3] LEE Y J,KIM E S,PARK K S,et al.Education for ward nurses influences the quality of inpatient's bowel preparation for colonoscopy[J/OL].[2021-07-30].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602892/.DOI:10.1097/MD.0000000000001423.
[4] NOH C K,KIM I S,LEE G H,et al.Comparison of effectiveness between abdominal vibration stimulation and walking exercise for bowel cleansing before therapeutic colonoscopy[J].Gut Liver,2020,14(4):468-476.
[5] 高远,王菁,陈慧,等.八段锦联合生物反馈对功能性排便障碍的疗效及脑肠肽的影响[J].中国康复理论与实践,2018,24(9):1077-1081.
[6] CHOI Y I,KIM K O,CHUNG J W,et al.Effects of automatic abdominal massage device in treatment of chronic constipation patients:a prospective study[J].Dig Dis Sci,2021,66(9):3105-3112.
[7] 王素娟,张敏,李淑杏,等.脑卒中后便秘老年患者八段锦运动、按摩的干预效果[J].中国老年学杂志,2015,35(22):6575-6577.
[8] 张媛媛,钮美娥,汪茜雅,等.量化运动干预方案在结肠镜检查患者肠道准备中的应用研究[J].护理管理杂志,2017,17(1):58-60.
[9] 国家体育总局健身气功管理中心.健身气功:八段锦[M].北京:人民体育出版社,2003:28-60.
[10]徐俊丽,马静,郭荣雅,等.胃肠多功能治疗仪联合复方聚乙二醇电解质散对老年功能性便秘患者的治疗效果[J].中华老年多器官疾病杂志,2020,19(6):410-413.
[11]曾进浩,潘华山,张怡,等.八段锦运动治疗功能性消化不良患者25例[J].环球中医药,2016,9(11):1382-1385.
[12]黄莉,聂丹,宋学军.腹部按摩刺激胃起搏点对老年患者螺旋型鼻肠管置管成功率的影响[J].中华护理杂志,2014,49(9):1130-1132.
[13]刘瑞华,郝英秀,侯淑敏,等.八段锦操配合腹部和穴位按摩治疗脑卒中后便秘的疗效[J].中国老年学杂志,2013,33(4):904-906.
[14]ROSTOM A,JOLICOEUR E.Validation of a new scale for the assessment of bowel preparation quality[J].Gastrointest Endosc,2004,59(4):482-486.
[15]ARYA V,VALLURI A,GUPTA K A,et al.Sequential posture change fastens gastric emptying of large volume bolus intake of normal saline:a pilot study[J].Dig Dis Sci,2015,60(7):2203-2209.
[16]QIN Y,LIU W,LIN S,et al.Effects of first-dose volume and exercise on the efficacy and tolerability of bowel preparations for colonoscopy in Chinese people[J].Ther Clin Risk Manag,2016,12:613-616.
[17]HORNER K M,SCHUBERT M M,DESBROW B,et al.Acute exercise and gastric emptying:a meta-analysis and implications for appetite control[J].Sports Med,2015,45(5):659-678.

相似文献/References:

[1]汪茜雅,钮美娥,李锐,等.微信小程序辅助的关键点指导对门诊结肠镜检查患者肠道准备的影响[J].军事护理,2021,38(04):52.[doi:10.3969/j.issn.1008-9993.2021.04.014]
 WANG Xiya,NIU Meie,LI Rui,et al.Effects of Key-point Instruction Assisted by WeChat Applet on Bowel Preparation In Colonoscopy Outpatients[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(04):52.[doi:10.3969/j.issn.1008-9993.2021.04.014]

备注/Memo

备注/Memo:
【 收稿日期 】 2021-08-16 【 修回日期 】 2022-01-24
【 基金项目 】 湖北省科技厅创新软科学研究项目(2016ADC053)
【 作者简介 】 孟莹莹,硕士在读,护师,从事临床护理工作
【 通信作者 】 罗健,电话:0516-85806400
更新日期/Last Update: 2022-04-15