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身体形象认知以及不同教育项目对结肠镜检查患者尴尬情绪的影响。

Body Image Perception and the Effect of Different Educational Programs on Embarrassment in Patients Undergoing Colonoscopy.

作者信息

Erdaği Oral Semra, Özer Nadiye

机构信息

Kafkas University, Faculty of Health Sciences, Surgical Nursing Department, Kars, Turkey.

Atatürk University, Faculty of Nursing, Surgical Nursing Department, Erzurum, Turkey.

出版信息

J Perianesth Nurs. 2023 Feb;38(1):76-82. doi: 10.1016/j.jopan.2022.05.071. Epub 2022 Aug 8.

Abstract

PURPOSE

Colonoscopy is recognized as a safe and effective tool for detecting colorectal cancer. However, patients may experience discomfort and embarrassment arising from their body image, with the prejudice that health care professionals will have negative thoughts about their bodies. This study was carried out to determine the effect of the perception of body image and education given with different educational programs on the feeling of embarrassment in patients who were scheduled to undergo colonoscopy.

DESIGN

Quasi-experimental study with pre-test, post-test.

METHODS

The population of this quasi -experimental study with pre-test, post-test, and experimental groups consisted of 184 patients who underwent colonoscopy for the first time at the endoscopy department of a university hospital.

FINDINGS

No statistically significant difference in the mean Colonoscopy Embarrassment Scale (CES) pre-test scores was found between the groups (P > .05). The mean CES post-test scores of the video group were lower than those of the other groups, with a statistically significant difference (P < .05). Comparing the intragroup CES pre-test and post-test mean scores, the mean CES post-test scores were found to be lower in all three groups, with a statistically significant difference between the groups (P < .05). Although a statistically weak negative correlation was found between the body image mean scores and the pre-test CES mean scores of the booklet and video groups, no correlation was observed in the control group.

CONCLUSIONS

The body image perception was found to affect the sense of embarrassment in patients undergoing colonoscopy, and the mean embarrassment scores decreased with planned training programs.

摘要

目的

结肠镜检查被认为是检测结直肠癌的一种安全有效的工具。然而,患者可能会因自身身体形象而感到不适和尴尬,担心医护人员会对他们的身体有负面看法。本研究旨在确定身体形象认知以及不同教育项目所提供的教育对计划接受结肠镜检查的患者尴尬感的影响。

设计

采用前测、后测的准实验研究。

方法

这项前测、后测的准实验研究的对象包括184名首次在某大学医院内镜科接受结肠镜检查的患者。

结果

各实验组间结肠镜检查尴尬量表(CES)前测平均分无统计学显著差异(P >.05)。视频组的CES后测平均分低于其他组,差异有统计学意义(P <.05)。比较组内CES前测和后测平均分,发现三组的CES后测平均分均较低,组间差异有统计学意义(P <.05)。虽然手册组和视频组的身体形象平均分与CES前测平均分之间存在统计学上较弱的负相关,但对照组未观察到相关性。

结论

发现身体形象认知会影响接受结肠镜检查患者的尴尬感,且通过有计划的培训项目,尴尬平均分降低。

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