Effect of comfort-oriented intervention combined with medical sponge positioning cushion on treatment compliance and psychological status of patients undergoing side-lying enema operation: A retrospective study

• Published in: Medicine (Baltimore) Vol. 104; no. 15; p. e41717
• Main Authors: Li, Haiyan, Peng, Bo
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins 11.04.2025
• Subjects: Adult; Aged; Enema - methods; Enema - psychology; Female; Humans; Male; Middle Aged; Observational Study; Patient Compliance - psychology; Patient Satisfaction; Retrospective Studies; Surgical Sponges; medical sponge positioning cushion; comfort-oriented intervention; compliance; side-lying enema; psychological status
• ISSN: 1536-5964; 0025-7974; 1536-5964
• DOI: 10.1097/MD.0000000000041717

This study aims to observe the impact of comfort-oriented intervention combined with medical sponge positioning cushion on treatment compliance and psychological status of patients undergoing side-lying enema operation. A total of 110 patients who underwent retention enema operation in the Department of Gastroenterology of our hospital from January 2023 to December 2023 were selected as the research subjects. They were divided into 2 groups based on different nursing interventions. The control group consisted of 50 cases receiving routine care combined with the intervention of medical sponge positioning cushion, while the comfort group consisted of 60 cases receiving comfort-oriented intervention combined with the intervention of medical sponge positioning cushion. The comparison was made based on the coping Hamilton Depression Scale strategy scores, Hamilton Anxiety Scale (HAMA) scores, (HAMD) scores, compliance, and overall satisfaction. The comfort group had a total of 557 enema sessions, with 512 sessions (91.92%) having a drug retention time ≥ 2 hours. The control group had a total of 510 enema sessions, with 436 sessions (85.49%) having a drug retention time ≥ 2 hours. The proportion of drug retention time ≥ 2 hours after retention enema was higher in the comfort group than in the control group (P < .05). After nursing, the coping strategy scores of both groups were compared with those before nursing. After nursing, the HAMA and HAMD scores of both groups were compared with those before nursing. It was found that the scores of both groups were lower than before nursing, and the scores of the comfort group were lower than those of the control group after nursing (P < .05). The total compliance rate and overall satisfaction rate in the comfort group were 93.33% and 90.00%, respectively. In contrast, the total compliance rate and overall satisfaction rate in the control group were 80.00% and 76.00%, respectively. The total compliance rate and overall satisfaction rate were higher in the comfort group than in the control group (P < .05). Comfort-oriented intervention combined with medical sponge positioning cushion can improve treatment compliance of patients undergoing side-lying enema operation, promote patients to face enema with a positive attitude, prolong drug retention time, and improve satisfaction.