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舒适导向干预联合医用海绵定位垫对侧卧位灌肠手术患者治疗依从性和心理状态的影响:一项回顾性研究。

Effect of comfort-oriented intervention combined with medical sponge positioning cushion on treatment compliance and psychological status of patients undergoing side-lying enema operation: A retrospective study.

作者信息

Li Haiyan, Peng Bo

机构信息

Department of Gastroenterology, Wuhan Third Hospital, Wuhan, Hubei, China.

出版信息

Medicine (Baltimore). 2025 Apr 11;104(15):e41717. doi: 10.1097/MD.0000000000041717.

Abstract

This study aims to observe the impact of comfort-oriented intervention combined with medical sponge positioning cushion on treatment compliance and psychological status of patients undergoing side-lying enema operation. A total of 110 patients who underwent retention enema operation in the Department of Gastroenterology of our hospital from January 2023 to December 2023 were selected as the research subjects. They were divided into 2 groups based on different nursing interventions. The control group consisted of 50 cases receiving routine care combined with the intervention of medical sponge positioning cushion, while the comfort group consisted of 60 cases receiving comfort-oriented intervention combined with the intervention of medical sponge positioning cushion. The comparison was made based on the coping Hamilton Depression Scale strategy scores, Hamilton Anxiety Scale (HAMA) scores, (HAMD) scores, compliance, and overall satisfaction. The comfort group had a total of 557 enema sessions, with 512 sessions (91.92%) having a drug retention time ≥ 2 hours. The control group had a total of 510 enema sessions, with 436 sessions (85.49%) having a drug retention time ≥ 2 hours. The proportion of drug retention time ≥ 2 hours after retention enema was higher in the comfort group than in the control group (P < .05). After nursing, the coping strategy scores of both groups were compared with those before nursing. After nursing, the HAMA and HAMD scores of both groups were compared with those before nursing. It was found that the scores of both groups were lower than before nursing, and the scores of the comfort group were lower than those of the control group after nursing (P < .05). The total compliance rate and overall satisfaction rate in the comfort group were 93.33% and 90.00%, respectively. In contrast, the total compliance rate and overall satisfaction rate in the control group were 80.00% and 76.00%, respectively. The total compliance rate and overall satisfaction rate were higher in the comfort group than in the control group (P < .05). Comfort-oriented intervention combined with medical sponge positioning cushion can improve treatment compliance of patients undergoing side-lying enema operation, promote patients to face enema with a positive attitude, prolong drug retention time, and improve satisfaction.

摘要

本研究旨在观察舒适导向干预联合医用海绵定位垫对侧卧位灌肠手术患者治疗依从性及心理状态的影响。选取2023年1月至2023年12月在我院消化内科行保留灌肠手术的110例患者作为研究对象。根据不同的护理干预措施将其分为2组。对照组50例,接受常规护理联合医用海绵定位垫干预;舒适组60例,接受舒适导向干预联合医用海绵定位垫干预。比较两组的应对汉密尔顿抑郁量表策略得分、汉密尔顿焦虑量表(HAMA)得分、汉密尔顿抑郁量表(HAMD)得分、依从性及总体满意度。舒适组共进行557次灌肠,其中512次(91.92%)药物保留时间≥2小时。对照组共进行510次灌肠,其中436次(85.49%)药物保留时间≥2小时。舒适组保留灌肠后药物保留时间≥2小时的比例高于对照组(P<0.05)。护理后,比较两组护理前后的应对策略得分。护理后,比较两组护理前后的HAMA和HAMD得分。结果发现,两组得分均低于护理前,且护理后舒适组得分低于对照组(P<0.05)。舒适组的总依从率和总体满意率分别为93.33%和90.00%。相比之下,对照组的总依从率和总体满意率分别为80.00%和76.00%。舒适组的总依从率和总体满意率高于对照组(P<0.05)。舒适导向干预联合医用海绵定位垫可提高侧卧位灌肠手术患者的治疗依从性,促进患者以积极的态度面对灌肠,延长药物保留时间,提高满意度。

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