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Received:June 13, 2023 Published Online:January 20, 2024
Received:June 13, 2023 Published Online:January 20, 2024
中文摘要: 目的 观察在结肠息肉内窥镜下黏膜切除术（EMR）患者中应用IDEAS模式访视干预的效果。
方法 选择成都医学院第二附属医院2021年1月至2022年12月收治的137例行EMR的结肠息肉患者为研究对象，依照随机化法将其分为对照组68例和观察组69例。对照组实施常规护理干预，观察组则在常规护理干预基础上实施IDEAS模式访视干预。比较两组围术期基本情况（手术时间、住院时间、术后并发症发生率），对比干预前、干预后两组患者应对方式［简易应对方式问卷（SCSQ）］及生活质量［生存质量评定量表（SF-12）］评分。
结果 两组手术时间比较差异无统计学意义（P＞0.05），观察组住院时间［（3.07±0.34）d vs（3.48±0.51）d, t=5.544, P＜0.01］、术后并发症发生率［18.84% vs 35.29%, χ2=4.703,P＜0.05］低于对照组，差异有统计学意义。干预后观察组SCSQ量表积极应对维度评分、SF-12量表总评分较干预前均有显著升高（P＜0.05），且干预后两种评分观察组均高于对照组［（19.25±4.13）分vs(16.60±3.72)分，(71.78±8.88)分vs（66.62±8.90）分， P＜0.01］。观察组SCSQ量表消极应对维度评分较干预前均有降低（P＜0.05），且观察组低于对照组［（10.83±4.08）分vs（12.94±4.32）分， P＜0.01］，差异均有统计学意义。
结论 IDEAS模式访视干预能缩短结肠息肉EMR术患者住院时间，降低术后并发症发生率，同时还能增加患者的积极应对方式和提高生活质量，具有较好的临床应用价值。
Abstract:Objective To observe the application effect of IDEAS model visit intervention on patients with colonic polyps undergoing endoscopic mucosal resection (EMR).
Methods A total of 137 patients with colonic polyps who were treated by EMR in the Second Affiliated Hospital of Chengdu Medical College from January 2021 to December 2022 were selected as the research subjects. According to the randomization method, the patients were divided into the control group (68 cases) and the observation group (69 cases). Both groups were given routine nursing intervention, and the observation group was given extra IDEAS model visit intervention. The perioperative basic conditions (surgical time, hospital stay, incidence rate of postoperative complications), and coping styles ［Simplified Coping Style Questionnaire (SCSQ)］ and quality of life ［Short Form 12-Item Survey (SF-12)］scores before and after intervention were compared between the two groups of patients.
Results There was no statistical difference in surgical time between the two groups (P＞0.05). The hospital stay［(3.07±0.34) d vs (3.48±0.51) d, t=5.544, P＜0.01］and incidence rate of postoperative complications［18.84% vs 35.29%, χ2=4.703, P＜0.05］ in the observation group were lower than those in the control group, and the differences were statistically significant. After intervention, the SCSQ positive coping dimension score and the total score of SF-12 scale in the observation group were increased compared with those before intervention (P＜0.05), and the above scores were higher compared to the control group （19.25±4.13 vs 16.60±3.72, 71.78±8.88 vs 66.62±8.90, P<0.01). The score of negative coping dimension of SCSQ scale in observation group was reduced compared with those before intervention (P<0.05), and the score in observation group was lower than that in control group (10.83±4.08 vs 12.94±4.32, P<0.01).
Conclusion IDEAS model visit intervention can shorten the hospital stay, and reduce the incidence rate of postoperative complications. It can increase positive coping styles and enhance the quality of life, which has high clinical application value.
keywords: IDEAS model visit Colonic polyps Endoscopic mucosal resection Coping style Quality of life Simplified Coping Style Questionnaire Short Form 12-Item Survey
文章编号： 中图分类号：R473.5 文献标志码：B
基金项目:
| Author Name | Affiliation |
| YANG Wen, CHEN Yue, ZHONG Yixin, ZUO Luo | Department of Gastroenterology, The Second Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan 610051, China |
| Author Name | Affiliation |
| YANG Wen, CHEN Yue, ZHONG Yixin, ZUO Luo | Department of Gastroenterology, The Second Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan 610051, China |
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