在结肠镜检查期间减少疼痛的三种分心方法:一个随机对照试验,评估对疼痛和焦虑的影响
Selda Karaveli Cakir1, Sami Evirgen2
1Nursing Department, Health Science Faculty, Kastamonu University, Kastamonu, Turkey.
概括
音乐和视听干扰有效地减少了结肠镜检查期间的疼痛. 音乐也显著改善了患者的满意度,为疼痛管理提供了镇静的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 疼痛管理 疼痛管理
- 医学心理学 医学心理学
背景情况:
- 结肠镜检查是一种常见的手术,通常与患者的不适,疼痛和焦虑有关.
- 镇静药物经常用于管理患者的体验,但它具有自身的风险和成本.
- 探索非药物干预措施,如分心方法,对于提高结肠镜检查耐受性至关重要.
研究的目的:
- 评估不同分心技术在减轻疼痛,焦虑和增强结肠镜检查期间的满意度方面的有效性.
- 为了比较音乐,压力球和视听干扰对对照组的影响.
主要方法:
- 一个单中心,随机,并行组试验,涉及120名接受结肠镜检查的患者.
- 患者被分为四组:音乐,压力球,视听分心或控制.
- 疼痛,焦虑和满意度是使用经过验证的尺度 (视觉模拟尺度,状态特征焦虑库存) 来衡量的.
主要成果:
- 与压力球和对照组相比,音乐和视听分心组的疼痛严重程度明显较低 (P < .001).
- 干预组和对照组之间没有观察到焦虑水平的显著差异.
- 音乐组的患者满意度最高,表现优于视听,对照和压力球组 (P < .001).
结论:
- 分散注意力的方法,特别是音乐和视听技术,可以有效地减少结肠镜检查期间的疼痛.
- 与其他研究方法相比,音乐分心提供了更高的患者满意度结果.
- 这些发现表明,音乐和虚拟现实 (VR) 可以在结肠镜患者的疼痛管理中作为镇静剂的有价值的辅助或替代品.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
15:49Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
Published on: October 16, 2013
31.9K
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119
01:25Endoscopic Procedures II: Colonoscopy
133
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
133
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
109
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
109
01:20Drugs Affecting GI Tract Motility: Other Laxatives
275
Laxatives are primarily used to alleviate constipation, a common gastrointestinal disorder characterized by infrequent bowel movements and difficulty passing stools. They work by various mechanisms to increase the volume or frequency of bowel movements. The primary modes of action of laxatives include increasing stool bulk, softening the stool, stimulating intestinal motility, and osmotically drawing water into the intestines.
Osmotic or saline laxatives, like magnesium hydroxide or milk of...
Osmotic or saline laxatives, like magnesium hydroxide or milk of...
275
01:21Drugs for Treatment of Constipation-Predominant IBS
210
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
210
01:17Drugs for Treatment of Diarrhea-Predominant IBS
213
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
213