微信公众号视频联合回授法在老年病人肠镜检查前肠道准备中的应用效果评价

doi:10.3969/j.issn.1003-9198.2022.09.002

摘要/Abstract

摘要： 目的探讨微信公众号视频联合回授法对老年病人肠镜检查前肠道准备质量的影响。方法选取2018年10月至2019年10月在南京医科大学第一附属医院消化内科住院行肠镜检查的266例老年病人作为研究对象,其中干预组123例,对照组143例。对照组实施常规的口头宣教+书面指导,干预组采用微信公众号推送视频结合回授法,比较2组病人的肠道准备合格率、肠道准备依从性、不良反应发生率。结果与对照组相比,干预组渥太华肠道准备评分量表(OBPS)总分改善,肠道准备合格率提高,肠道准备药物服用量≥75%者比例提高,步数增加,腹胀、恶心、呕吐等不良反应发生率减少。结论运用视频联合回授法,能有效提高病人肠道准备依从性,改善肠道准备质量,增强就诊舒适度。

关键词: 视频, 回授法, 肠道准备, 肠镜检查, 老年人

Abstract: Objective To investigate the effect of the WeChat video combined with teach-back method on the quality of bowel preparation before colonoscopy for elderly patients. Methods A total of 266 elderly patients who underwent colonoscopy in Department of Gastroenterology from October 2018 to October 2019 were enrolled, with 123 cases in the intervention group and 143 cases in the control group. The control group was given routine oral education and written instruction. The intervention group received video education on WeChat official account combined with the feedback method. The bowel cleansing rate, compliance of bowel preparation and the incidence rate of adverse reactions between the two groups were compared. Results Compared with the control group, the score of Ottawa Bowel Preparation Scale(OBPS) was improved, the qualified rate of bowel preparation increased,the taking proportion of bowel preparation solutions ≥75% increased and the compliance of walking activity improved in the intervention group. The incidence rates of abdominal distension, nausea and vomiting in the intervention group were significantly lower than those in the control group. Conclusions WeChat video combined with the teach-back method can improve bowel preparation quality, compliance, and enhance the patients' satisfaction.

Key words: video, teach-back method, bowel preparation, colonoscopy, aged

中图分类号:

刘梅红, 陆希, 赵丹丹, 顾则娟. 微信公众号视频联合回授法在老年病人肠镜检查前肠道准备中的应用效果评价[J]. 实用老年医学, 2022, 36(9): 869-872.

LIU Mei-hong, LU Xi, ZHAO Dan-dan, GU Ze-juan. Effect of WeChat video combined with teach-back method on the quality of bowel preparation in elderly patients[J]. Practical Geriatrics, 2022, 36(9): 869-872.

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