胶囊内镜在儿科应用的护理.docVIP

胶囊内镜在儿科应用的护理 　　[摘要] 目的 探讨儿科胶囊内镜检查的护理措施及影响。 方法 该研究对象为整群选取的2014年9月―2015年10月在该院实施胶囊内镜检查的72例患儿，按患儿就诊顺序分为观察组36例与对照组36例。对照组：接受常规护理。观察组：在行胶囊内镜检查前为患儿进行心理护理、物品准备及肠道准备，检查中做好饮食与活动的宣教，观察检查进行情况，检查后观察胶囊排出情况、前肠道准备清洁度及检查效果，同时比较患儿对护理质量的满意度。 结果 观察组患儿的肠道清洁度较对照组明显改善，差异有统计学意义（P中国论文网 /6/view-7248813.htm 　　[关键词] 胶囊内镜；护理干预措施；临床观察 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742（2015）12（c）-0151-03 　　Nursing for Capsule Endoscopy Applied to Pediatrics 　　PAN Yu-feng 　　Beijing Childrens Hospital， Beijing， 100045 China 　　[Abstract] Objective To study the nursing intervention for pediatric capsule endoscopy and its effect. Methods 72 children underwent capsule endoscopy in our hospital from September 2014 to October 2015 were selected as the subjects and divided into the observation group and the control group with 36 cases in each in accordance with the order of admission. The control group were treated by the conventional nursing. The observation group were treated by the following nursing intervention： psychological nursing before the capsule endoscopy， preparation of articles and bowel preparation， education of diet and activities during the examination， observation of the performing of capsule endoscopy and the discharge of the capsule after the examination， the intestinal cleanliness before the examination and the results of examination. And the level of satisfaction with the nursing in the children was compared between the two groups. Results The degree of intestinal cleanliness was much better in the observation group than that in the control group， the difference was statistically significant （P 　　小肠是消化道中最长的器官，同时也是人体中最重要的器官之一。小肠较长容易加大检查难度，大部分情况下无法准确判断小肠病变，是消化道内镜检查的盲区。随着临床医疗技术的不断更新，胶囊内镜作为新型的无线检测系统，凭借自身便捷、无创伤、风险低、实时监控、图像清晰度高等优势，广泛得到临床应用，为小肠可视性检查增添了一个高效安全的方式[1]。但胶囊内镜电池只能维持8 h左右的电量，加之患儿胃肠动力不足，容易发生粪便遮盖病变区域，导致胶囊内镜无法到达盲肠端，从而造成误诊、漏诊的发生，严重影响胶囊内镜的检查效果。相关文献报道[2]，在胶囊内镜检查期间给予患儿相关护理干预，可明显提高胶囊内镜检查的有效率，同时可保证一个良好的患护关系。该研究为论证上述结论，分别给予该院实施胶囊内镜检查的72例患儿常规护理与护理干预，并将护理结果进行对比，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　该研