优化保留灌肠方法在标准化病人中的临床研究

目的观察优化保留灌肠方法在标准化病人中的临床效果。方法招募30名护士作为标准化病人,将其随机编号为1至30号,单号先实施传统保留灌肠方法,5 d后实施优化保留灌肠方法,双号先实施优化保留灌肠方法,5 d后实施传统保留灌肠方法。比较两种保留灌肠方法插肛管时的疼痛程度、便意感、黏膜出血情况及灌肠后药液保留时间。结果优化保留灌肠组插肛管时无痛14例、轻度疼痛16例,传统保留灌肠组无痛4例、轻度疼痛9例、中度疼痛17例,两组疼痛程度比较,差异有统计学意义(P<0.05)。优化保留灌肠组插管时便意感评分为(2.76±0.71)分,传统保留灌肠组为(3.46±0.90)分,两组便意感比较,差异有统计学意义(P<0.05)。优化保留灌肠组药液保留时间为(70.43±19.34)min,传统保留灌肠组为(37.34±16.53)min,两组药液保留时间比较,差异有统计学意义(P<0.05)。优化保留灌肠组肠黏膜出血2例次,传统保留灌肠组肠黏膜出血8例次,两组肠黏膜出血比较,差异无统计学意义(P>0.05)。结论优化保留灌肠方法可减轻患者插肛管时的疼痛程度和便意感,延长药液保留时间。

Clinical research on optimized retention enema applied for standardized patients

Objective To observe the clinical effect of optimized retention enema applied for standardized patients.Method 30 nurses are recruited as standardized patients and number them from 1 to 30 randomly.Patients with odd number receive routine retention enema for first 5 days and then optimized retention enema.Patients with even number receive optimized retention enema for first 5 days and then routine retention enema.Compare pain and desire of defecation during anal canal insertion,mucosal bleeding and retention time of medical solution after enema.Result There are 14 cases without pain,16 cases of slight pain in optimized retention enema group.There are 4 cases without pain,9 cases of slight pain and 17 cases of moderate pain in routine retention enema group.The difference is significant(P<0.05).Score on desire of defecation during insertion is(2.76±0.71)for optimized retention enema group and(3.46±0.90)for routine retention enema group.The difference is significant(P<0.05).Retention time of medical solution is(70.43±19.34)min for optimized retention enema group and(37.34±16.53)min for routine retention enema group.The difference is significant(P<0.05).There are 2 case-times of mucosal bleeding in optimized retention enema group and 8 case-times in routine retention enema group.There is no significant difference(P>0.05).Conclusion Optimized retention enema can relieve pain and desire of defecation during anal canal insertion and prolong retention time of medical solution for patients.