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

目的探讨基于COX健康行为互动模式构建的护理干预在门诊结肠镜检查患者中的应用效果。方法采用便利抽样法,选择2019年3—8月在北京协和医院国际医疗部消化内镜中心行结肠镜检查的209例门诊患者为研究对象,按其检查日期的先后顺序分为对照组(103例)与干预组(106例)。对照组按常规要求行基础护理干预,干预组在对照组基础上实施基于COX健康行为互动模式的护理干预,比较两组的服药依从性、不良反应发生情况、患者就诊体验满意度。结果干预组肠道准备过程中的服药、饮食、运动依从性均高于对照组;干预组肠道准备期间的不良反应发生情况优于对照组;愿意再次接受肠镜检查的患者多于对照组;就诊体验总满意度高于对照组。差异均有统计学意义(P<0.05)。结论基于COX健康行为互动模式构建的护理干预措施可以提高门诊结肠镜检查患者的服药依从性,减少患者恶心、腹胀等不良反应的发生,提高患者就诊体验及满意度。

Application of COX's interaction model of client health behavior in bowel preparation for outpatients undergoing colonoscopy

Objective To explore the application effect of nursing intervention based on COX's interaction model of client health behavior(IMCHB)in outpatient colonoscopy patients.Methods Using the convenient sampling method,a total of 209 patients who underwent colonoscopy at the Digestive Endoscopy Center of International Medical Department in Peking Union Medical College Hospital from March 2019 to August 2019 were selected as the research objects.They were divided into the control group(103 cases)and the intervention group(106 cases)according to the order of examination date.The control group received basic nursing intervention according to routine requirements,while the intervention group implemented nursing intervention based on COX's IMCH on the basis of the control group.The medication compliance,occurrence of adverse reactions and satisfaction of patients'experience in medical treatment were compared between the two groups.Results The medication,diet and exercise compliance of the intervention group during bowel preparation were higher than those of the control group.The incidence of adverse reactions during bowel preparation in the intervention group was better than that in the control group.More patients in the intervention group were willing to undergo colonoscopy again than in the control group.The total satisfaction of the intervention group was higher than the control group.The differences were all statistically significant(P<0.05).Conclusions Nursing intervention based on COX's IMCHB can improve medication compliance of outpatients undergoing colonoscopy,reduce the occurrence of adverse reactions such as nausea and abdominal distension and improve patients'medical experience and satisfaction.