The effect of multiple educational models on intestinal preparation in elderly patients undergoing colonoscopy
10.3969/j.issn.1673-9701.2024.24.010
- VernacularTitle:多重宣教模式对老年结肠镜检查患者肠道准备的影响
- Author:
Yanping MA
1
;
Xinfeng SHEN
;
Meiping QIAN
;
Minjun NI
Author Information
1. 嘉兴市第二医院内镜中心,浙江嘉兴 314000
- Keywords:
CICARE;
Feedback method;
Elderly;
Colon preparation;
Colonoscopy
- From:
China Modern Doctor
2024;62(24):50-53,63
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact of the connect,introduce,communicate,ask,respond,exit(CICARE)communication model combined with feedback health education model on the compliance and anxiety level of elderly outpatients before colonoscopy.Methods A total of 346 patients aged ≥60 who visited the Outpatient Department,the Second Hospital of Jiaxing City for the first time and underwent colonoscopy from September to December 2023 were randomly divided into control group(n=86),communication group(n=84),feedback group(n=86),and combined group(n=90)using random number table method.The control group were provided routine education to patients undergoing colonoscopy through watching colon preparation videos,verbal education,and written propaganda educational materials;The communication group were implemented health education for colonoscopy by using the CICARE communication model;The feedback group were implemented health education for colonoscopy by using feedback method;The combined group were implemented the above education to patients by using the CICARE communication model combined with feedback method.The compliance with colon preparation,intestinal cleanliness,and patient anxiety scores before colonoscopy were evaluated and compared among the four groups.Results There were no statistically significant differences in dietary compliance and medication compliance among the four groups(P＞0.05),but there was a statistically significant difference in exercise compliance(P＜0.05).Different educational methods had statistical significance on patients'intestinal cleanliness and anxiety scores(P＜0.001),and further post hoc comparisons showed that the education method of the combined group could improve the overall intestinal cleanliness score and reduce patient anxiety score.Conclusion The health education model of the CICARE communication method combined with feedback has a significant effect on health education for elderly patients,which can improve the compliance with colon preparation and reduce patient anxiety scores.
