微信群护理干预在无痛胃肠镜检查中的应用效果

  目的  研究微信群护理干预在无痛胃肠镜检查中的临床应用效果。  方法  选取2018年1月—2020年6月在台州市立医院行无痛胃肠镜检查的患者126例，按照随机数字表法分为对照组和观察组，各63例。对照组给予常规护理, 采取面对面和发送纸质材料进行护理健康宣教。观察组在常规护理基础上给予微信群护理干预，采取定期推送文字、图片和小视频等形式的小知识对患者进行宣教指导，与患者产生互动，解答患者的疑问。检查前1 d晚上和检查当天，微信群多次推送服用泻药时间，提高胃肠道清洁质量。对比2组患者护理后焦虑状况(SAS评分)、胃肠道准备依从性(饮食依从性和服药依从性)、肠道清洁度(BBPS评分)和患者满意度。  结果  护理干预后，2组患者SAS评分有了不同程度的下降(均P＜0.05)，且观察组显著低于对照组(均P＜0.05)。观察组饮食依从性和服药依从性显著高于对照组(均P＜0.05)。观察组BBPS评分和患者满意度评分分别是(8.62±0.31)分、(97.16±2.04)分，显著高于对照组(8.13±0.26)分和(92.08±1.37)分，差异有统计学意义(均P＜0.05)。  结论  微信群护理干预在无痛胃肠镜检查中的临床应用效果显著，提高了肠道清洁质量。 

Application effect of WeChat group nursing intervention on patients undergoing painless gastrointestinal endoscopy procedure

Objective This study aimed to investigate the clinical application effect of WeChat group nursing intervention on painless gastrointestinal endoscopy procedure.Methods A total of 126 patients,who were undergoing painless gastrointestinal endoscopy in Taizhou Municipal Hospital from January 2018 to June 2020,were selected as research subjects.The patients were divided into the control group and observation group according to random number table,with 63 cases in each group.The control group was given routine nursing,and face-to-face and paper materials were used for nursing education.The observation group was given WeChat group nursing intervention on the basis of routine nursing,and regular push text,pictures,short videos and other forms of knowledge were given to educate and guide patients.The WeChat group pushed many messages about the right time to take cathartics that can preferably improve intestinal tract cleanliness on the day of examination and the night before.The anxiety status(SAS score),gastrointestinal preparation compliance(diet compliance and laxative medication compliance),intestinal cleanliness(Boston bowel preparation scale,BBPS score)and patient satisfaction were compared between the two groups.Results After nursing intervention,SAS scores of the two groups decreased to varying degrees(all P<0.05),and the observation group was significantly lower than the control group(all P<0.05).The diet compliance and laxative medication compliance of the observation group were significantly higher than those of the control group(all P<0.05).The BBPS score and patient satisfaction score of the observation group were(8.62±0.31)points and(97.16±2.04)points,respectively,which were significantly higher than those of the control group(8.13±0.26)points and(92.08±1.37)points,respectively],and the difference was statistically significant(all P<0.05).Conclusion The clinical application effect of WeChat group nursing intervention on painless gastrointestinal endoscopy is remarkable,which can improve the quality of intestinal cleansing.