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1. 广州中医药大学第二附属医院
2. 广州中医药大学第二临床医学院
3. 广州中医药大学护理学院
纸质出版日期:2021,
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丁美祝, 林燕凤, 胡佩欣, 等. 无痛结肠镜检查后患者腹胀完全缓解时间的影响因素[J]. 保健医学研究与实践, 2021,18(5):63-66.
Ding Meizhu, Lin Yanfeng, Hu Peixin, et al. Influencing factors of complete remission time of abdominal distension in patients after painless colonoscopy[J]. Health Medicine Research and Practice, 2021,18(5):63-66.
目的分析无痛结肠镜检查后患者腹胀完全缓解时间的影响因素
为护理工作提供临床指导。方法选取2019年7-9月于广东省某医院消化内镜中心行无痛结肠镜检查后伴有腹胀患者96例为研究对象。本研究纳入研究对象的腹胀完全缓解时间均值为4.51 h
腹胀完全缓解时间>4.51 h的患者纳入观察组
共39例;腹胀完全缓解时间≤4.51 h的患者纳入对照组
共57例。收集所有患者临床资料
包括:性别、年龄、饮食口味、体质指数(BMI)、临床表现、腹部手术史、肠道准备分级、数字疼痛评分、舒适度评分和胃肠道症状评分(GSRS)等。将单因素分析结果中有统计学意义的因素作为自变量
以腹胀完全缓解时间为因变量
进行多因素Logistic回归分析影响腹胀完全缓解时间的相关危险因素。结果 2组患者性别、年龄分布以及在腹部手术史、肠道准备分级和数字疼痛评分方面的差异无统计学意义(P>0.05)
而在饮食口味、BMI、每分钟肠鸣音次数、舒适度评分和GSRS评分方面的差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示
每分钟肠鸣音次数(OR=0.176
P=0.038)是无痛结肠镜检查后腹胀完全缓解时间的保护因素。舒适度评分(OR=1.679
P=0.048)和GSRS评分(OR=1.508
P=0.021)是无痛结肠镜检查后腹胀完全缓解时间的危险因素。结论在临床工作中
应对无痛结肠镜检查后患者的腹胀予以关注
尤其是每分钟肠鸣音次数较低、舒适度评分和GSRS评分较高的患者
更应加强管理
缩短腹胀完全缓解时间
提高检查术后舒适度。
Objective To analyze the influencing factors of complete remission time of abdominal distension after painless colonoscopy in order to provide clinical guidance for nursing. Methods A total of 96 patients with abdominal distension after painless colonoscopy were selected from July to September 2019 in a hospital in Guangdong province. In this study
the average time of complete remission of abdominal distension was 4.51 h. 39 cases of patients with complete remission time of abdominal distension >4.51 h were included in the observation group
and 57 cases of patients with complete remission time of abdominal distension ≤4.51 h were included in the control group. The clinical data of all patients were collected
including gender
age
dietary taste
body mass index(BMI)
clinical manifestation
history of abdominal operation
intestinal preparation grade
Numerical Pain Rating Scale
Bruggrmann Comfort Scale and Gastrointestinal Symptom Rating Scale(GSRS). The statistically significant factors in the results of univariate analysis were taken as independent variables and the time of complete remission of abdominal distension as dependent variables. Multivariate Logistic regression analysis was carried out to analyze the relevant risk factors affecting the time of complete remission of abdominal distension. Results There was no significant difference in gender
age
history of abdominal operation
intestinal preparation grade and Numerical Pain Rating Scale between the two groups(P>0.05)
but there were significant differences in dietary taste
BMI
times of bowel sounds per minute
Bruggrmann Comfort Scale and GSRS score between the two groups(P<0.05). The results of multivariate Logistic regression analysis showed that the number of bowel sounds per minute(OR=0.176
P=0.038) was a protective factor for the time of complete remission of abdominal distension after painless colonoscopy. Bruggrmann Comfort Scale(OR=1.679
P=0.048) and GSRS score(OR=1.508
P=0.021) were risk factors for complete remission of abdominal distension after painless colonoscopy. Conclusion In clinical work
we should pay attention to the abdominal distension of patients after painless colonoscopy
especially the patients with lower intestinal sounds per minute
higher Bruggrmann Comfort Scale and GSRS score. We should strengthen management
shorten the time of complete remission of abdominal distension and improve the comfort after examination.
无痛结肠镜腹胀影响因素检查
Painless colonoscopyAbdominal distensioninfluencing factorsExamination
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