視覺分散和視聽分散對接受結腸鏡檢病人焦慮和接受性的影響_《中國循證醫學雜志》

作者：

周會蘭 ¹ , 蔣曉蓮 ¹ , Mimi M Y Tse ² ,  朱丹 ¹

1. 四川大學華西護理學院（成都 610041） 2. 香港理工大學護理學院（香港九龍）;

關鍵詞：

結腸鏡檢查分散注意力焦慮接受性

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目的　通過在結腸鏡檢查中給患者看DVD，了解視覺分散和視聽聯合分散對受檢者焦慮和接受性的影響。
方法　采用隨機對照的研究方法，將180例準備行結腸鏡檢查的患者隨機分為三組，每組60例，視覺分散組檢查時看DVD但不聽DVD里播放的聲音，視聽分散組檢查時看DVD并戴著耳機聽DVD里播放的聲音，對照組檢查時不看DVD，比較三組患者間的焦慮水平和接受性。
結果　視覺分散組和視聽分散組檢查后焦慮水平降低較對照組顯著，但這種差異未達到統計學意義。視覺分散組和視聽分散組的愿再檢查率均較對照組高（P lt;0.05）。
結論　視覺分散和視聽分散能增加結腸鏡檢查患者的接受性，對患者的焦慮水平無顯著影響。

引用本文： 周會蘭,蔣曉蓮,Mimi M Y Tse,朱丹. 視覺分散和視聽分散對接受結腸鏡檢病人焦慮和接受性的影響. 中國循證醫學雜志, 2006, 06(9): 630-634. doi: 復制

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1. 徐富星. 下消化道內鏡學. 第1版. 上海: 上海科學技術出版社, 2003.
2. 汪向東. 心理衛生評定量表手冊 (增訂版). 中國心理衛生雜志社, 1999; 12.
3. Lindsay DC, Freeman JG, Cobden I, et al. Should colonoscopy be the first investigation for colonic disease? Br Med J (Clin Res Ed), 1988; 296(6616): 167–169.
4. Xu FX. Lower digestive tract endoscopy. 1st ed. Shanghai: Shanghai Science & Technology Press, 2003.
5. Jones MP, Ebert CC, Sloan T, et al. Patient anxiety and elective gastrointestinal endoscopy. J Clin Gastroenterol, 2004; 38(1):35–40.
6. Bejes C, Marvel MK. Attempting the improbable: offering colorectal cancer screening to all appropriate patients. Fam Pract Res J, 1992; 12(1): 83–90.
7. Thiis-Evensen E, Hoff GS, Sauar J, et al. Patient tolerance of colonoscopy without sedation during screening examination for colorectal polyps. Gastrointest Endosc, 2000; 52(5): 606–610.
8. Simmons D, Chabal C, Griffith J, et al. A clinical trial of distraction techniques for pain and anxiety control during cataract surgery. Insight, 2004; 29(4): 13–16.
9. Vagnoli L, Caprilli S, Robiglio A, et al. Clown doctors as a treatment for preoperative anxiety in children: a randomized, prospective study. Pediatrics, 2005; 116(4): e563–567.
10. Polit DF, Beck CT. Nursing Research: Principles and Methods. 7th ed. Baltimore: Lippincott Williams & Wilkins, 2003.
11. Polit DF, Hungler BP. Nursing research: Principles and methods. 5th ed. Philadelphia: J. B. Lippincott Company, 1995.
12. Wang XD. Handbook of Mental Health Assessment (Supplement). Chinese Mental Health Journal, 1999; 12.
13. Lopez-Cepero Andrada JM, Amaya Vidal A, Castro Aguilar-Tablada T, et al. Anxiety during the performance of colonoscopies: modification using music therapy. Eur J Gastroenterol Hepatol, 2004; 16(12): 1381–1386.
14. Schneider SM, Prince-Paul M, Allen MJ, et al. Virtual reality as a distraction intervention for women receiving chemotherapy. Oncology Nursing Forum, 2004; 31(1): 81–88.
15. Schneider SM, Workman ML. Effects of virtual reality on symptom distress in children receiving cancer chemotherapy. CyberPsychology and Behavior, 1999; 2: 125–134.
16. Diette GB, Lechtzin N, Haponik E, et al. Distraction therapy with nature sights and sounds reduces pain during flexible bronchoscopy: a complementary approach to routine analgesia. Chest, 2003; 123(3): 941–948.
17. Lee DW, Chan AC, Wong SK, et al. Can visual distraction decrease the dose of patient-controlled sedation required during colonoscopy? A prospective randomized controlled trial. Endoscopy, 2004; 36(3): 197–201.

《中國循證醫學雜志》

視覺分散和視聽分散對接受結腸鏡檢病人焦慮和接受性的影響

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《中國循證醫學雜志》

視覺分散和視聽分散對接受結腸鏡檢病人焦慮和接受性的影響

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料