摘要
目的 探究改良灌肠法在术前肠道护理中应用效果。方法 选取我院2021年1月至9月期间294例术前灌肠患者为研究对象，随机分为对照组、观察组，各147例，分别予以传统灌肠法、改良灌肠法，比较两组灌肠清洁度、灌肠次数及术后并发症发生率。结果 观察组灌肠清洁度中Ⅰ级占比较对照组高，灌肠次数、总灌液量较对照组少，且一次灌肠成功率较对照组高、总灌肠操作时间较对照组短（P<0.05）为差异显著，有统计学意义；观察组灌肠后并发症发生率较对照组低（P<0.05）为差异显著，有统计学意义；观察组患者耐受评分较对照组低（P<0.05）为差异显著，有统计学意义；观察组患者护理满意度较对照组高（P<0.05）为差异显著，有统计学意义。观察组舒适度明显高于对照组（P<0.05）为差异显著，有统计学意义。结论 在术前肠道护理中，应用改良灌肠法，可提升肠道清洁度、减少灌肠次数及灌液总量，降低灌肠后并发症发生率，提升患者耐受性及护理满意度，提升护理工作效率，效果显著。
关键词： 术前肠道护理；改良灌肠法；并发症
Abstract
Objective To explore the application effect of improved enema in preoperative intestinal care. Methods 294 patients with preoperative enema in our hospital from January to September 2021 were selected as the research object and randomly divided into control group and observation group, 147 cases in each group. They were given traditional enema and improved enema respectively. The enema cleanliness, enema times and postoperative complication rate of the two groups were compared. Results in the observation group, the proportion of grade I in the enema cleanliness was higher than that in the control group, the number of enemas and the total volume of enema were less than those in the control group, and the success rate of one-time enema was higher than that in the control group, and the total enema operation time was shorter than that in the control group (p<0.05); The incidence of complications after enema in the observation group was significantly lower than that in the control group (p<0.05); The tolerance score of the observation group was significantly lower than that of the control group (p<0.05); The nursing satisfaction of the observation group was higher than that of the control group (p<0.05), which was statistically significant. The comfort of the observation group was significantly higher than that of the control group (p<0.05). Conclusion in the preoperative intestinal care, the application of improved enema method can improve the intestinal cleanliness, reduce the number of enemas and the total amount of irrigation fluid, reduce the incidence of complications after enema, improve patient tolerance and nursing satisfaction, and improve the nursing efficiency, with significant effect.
Key words： Preoperative intestinal nursing; Improved enema method; Complications
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