[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].解放军护理杂志,2021,38(04):52-55.[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):52-55.[doi:10.3969/j.issn.1008-9993.2021.04.014]
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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()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年04期
页码:
52-55
栏目:
研究荟萃
出版日期:
2021-04-15

文章信息/Info

Title:
Effects of Key-point Instruction Assisted by WeChat Applet on Bowel Preparation In Colonoscopy Outpatients
文章编号:
1008-9993(2021)04-0052-04
作者:
汪茜雅1钮美娥2李锐3张媛媛4马超1陈卫昌3
(1.苏州大学附属第一医院 消化内镜中心,江苏 苏州 215000; 2.苏州大学附属第一医院 护理部; 3.苏州大学附属第一医院 消化科; 4.常州大学 护理学院,江苏 常州 213164)
Author(s):
WANG Xiya1NIU Mei’e2LI Rui3ZHANG Yuanyuan4Ma Chao1CHEN Weichang3
(1.Department of Digestive Endoscopy,the First Affiliated Hospital of Soochow University,Suzhou 215000,Jiangsu Province,China; 2.Department of Nursing; 3.Department of Gastroenterology; 4.College of Nursing,Changzhou University,Changzhou 213164,Jiangsu Province,China)
关键词:
微信小程序 关键点 肠道准备 结肠镜检查
Keywords:
WeChat applet key-point bowel preparation colonoscopy
分类号:
R473.57
DOI:
10.3969/j.issn.1008-9993.2021.04.014
文献标志码:
A
摘要:
目的 探讨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作用。方法 2019年8月至2020年1月,便利抽样法选取于某三级甲等医院消化内镜中心行结肠镜检查的门诊患者224例为研究对象,按照就诊时间进行分组,2019年8-10月入选的患者为对照组(n=112),2019年11月至2020年1月入选的患者为观察组(n=112)。对照组给予常规肠道准备指导,观察组运用微信小程序辅助的关键点指导,评价并比较两组患者肠道准备清洁度、肠道准备依从性、宣教服务满意度等结局指标。结果 观察组患者的肠道准备合格率及波士顿肠道清洁度评分均优于对照组(均P<0.01)、饮食依从性、服药依从性及运动依从性均高于对照组(均P<0.01); 两组患者宣教态度满意度差异无统计学意义(P>0.05),但观察组的宣教内容与宣教方式满意度均高于对照组(均P<0.01)。结论 微信小程序辅助的关键点指导有助于提高门诊结肠镜检查患者肠道准备依从性及肠道准备效果,提高患者对护理服务的满意度。
Abstract:
Objective To explore the effects of key-point instruction assisted by WeChat applet on bowel preparation in colonoscopy outpatients.Methods 224 outpatients underwent colonoscopy in Department of Digestive Endoscopy of a tertiary hospital were selected from August 2019 to January 2020 by convenience sampling methods.Patients enrolled from August to October 2019 were divided into the control group(n=112),and those enrolled from November 2019 to January 2020 were divided into the observation group(n=112).The control group was given routine bowel preparation,while the observation group used the key-point instruction assisted by WeChat applet on bowel preparation.The cleanliness of bowel preparation,bowel preparation compliance,and satisfaction of nursing service of the two groups were evaluated and compared.Results The bowel preparation qualification rate and Boston Bowel Preparation Score(BBPS)in the observation group were better than those in the control group(all P<0.01).The proportion of compliancy patients in the observation group was higher than that in the control group(all P<0.01).There was no significant difference in education attitude satisfaction between the two groups(P>0.05).However,the satisfaction with education content and method in the observation group was significantly higher than that in the control group(all P<0.01).Conclusions The key-point instruction assisted by WeChat applet is helpful to improve the colonoscopy outpatients’ bowel preparation compliance,the effect of bowel preparation,and improve patients’ satisfaction to nursing service.

参考文献/References:

[1] 中华医学会消化内镜学分会.中国早期结直肠癌筛查流程专家共识意见(2019,上海)[J]中华医学杂志,2019,99(38):2961-2970.
[2] VAN DOORN S C,DEKKER E.Colonoscopy quality begins with clean colon[J],2012,44(7):639-640.
[3] 中华医学会消化内镜学分会.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.
[4] 张媛媛,钮美娥,汪茜雅,等.老年结肠镜检查患者肠道准备关键点指导方案的构建研究[J].现代临床护理,2018,17(1):10-16.
[5] CALDERWOOD A H,JACOBSON B C.Comprehensive validation of the Boston bowel preparation scale[J].Gastrointest Endosc,2010,72(4):686-692.
[6] 高燕,张厚德,林木贤,等.Boston 肠道准备量表应用的信度评估[J].中华消化内镜杂志,2012,29(2):78-80.
[7] 杨新颖,张悦,关玉霞.COX健康行为互动模式在门诊结肠镜检查患者肠道准备中的应用[J].中华现代护理杂志,2021,27(2):209-213.
[8] ZHAO S,WANG S,PAN P,et al.Magnitude,risk factors,and factors associated with adenoma miss rate of tandem colonoscopy:a systematic review and meta-analysis[J].Gastroenterology,2019,156(6):1661-1674.
[9] FANG J,FU H Y,MA D,et al.Constipation,fiber intake and non-compliance contribute to inadequate colonoscopy bowel preparation:a prospective cohort study[J].J Dig Dis,2016,17(7):458-463.
[10]KANG X,ZHAO L,LEUNG F,et al.Delivery of instructions via mobile social media app increases quality of bowel preparation[J].Clin Gastroenterol Hepatol,2016,14(3):429-435.
[11]管亦方,胡爱艳,李小娜,等.微信指导在肠道准备中的应用效果评价[J].中华消化内镜杂志,2018,35(3):208-209.
[12]孟小芬,李雪荣,季尔丽,等.结肠镜检查患者肠道准备知识调查及其对健康教育的影响[J].中国内镜杂志,2016,22(6):110-112.
[13]杜红娣,霍晓鹏,刘晓萱.规范化护理操作流程在结肠镜检查前肠道准备中的应用效果[J].解放军护理杂志,2015,32(24):57-60.
[14]LEE Y J,KIM E S,CHOI J H,et al.Impact of reinforced education by telephone and short message service on the quality of bowel preparation:a randomized controlled study[J].Endoscopy,2015,47(11):1018-1027.

备注/Memo

备注/Memo:
【 收稿日期 】 2020-12-13 【 修回日期 】 2021-03-20
【 作者简介 】 汪茜雅,硕士,副主任护师,从事消化内镜临床护理工作
【 通信作者 】 钮美娥,电话:0512-67972658
更新日期/Last Update: 2021-04-15