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行结肠镜检查前接受分剂量肠道准备的意愿和对分剂量方案的遵从性。

Willingness to undergo split-dose bowel preparation for colonoscopy and compliance with split-dose instructions.

机构信息

Department of Medicine, Division of Gastroenterology/Hepatology, Indiana University Medical Center, Indianapolis, IN, USA.

出版信息

Dig Dis Sci. 2010 Jul;55(7):2030-4. doi: 10.1007/s10620-009-1092-x. Epub 2010 Jan 16.

DOI:10.1007/s10620-009-1092-x
PMID:20082216
Abstract

BACKGROUND

Split-dose bowel preparations for colonoscopy have superior effectiveness compared with giving all the preparation the evening before colonoscopy. Some physicians believe that split-dose preparations would be unpopular with patients scheduled for early morning colonoscopies.

AIMS

To determine the willingness of potential patients to undergo split-dose bowel preparation for colonoscopy and the actual adherence of colonoscopy patients to split-dose instructions.

METHODS

We performed a survey of esophagogastroduodenoscopy patients and drivers of colonoscopy patients asking whether they would accept split-dose preparations for early morning colonoscopy appointments. We also asked colonoscopy patients scheduled in the early morning if they had complied with the written preparation instructions.

RESULTS

Of the 300 individuals surveyed, the majority (85%) stated they would be willing to get up during the night to take the second dose of preparation. Of 107 colonoscopy patients with early morning appointments, 78% actually got up during the night to take the second dose of preparation.

CONCLUSIONS

Acceptance of and compliance with split-dose bowel preparations is high and should not be a deterrent to prescribing split-dose preparations for colonoscopy.

摘要

背景

与结肠镜检查前一晚给予所有准备相比,分次剂量肠道准备对结肠镜检查具有更好的效果。一些医生认为,对于安排在清晨进行结肠镜检查的患者,分次剂量准备可能不受欢迎。

目的

确定潜在患者对接受结肠镜检查分次剂量肠道准备的意愿,以及结肠镜检查患者对分次剂量医嘱的实际依从性。

方法

我们对食管胃十二指肠镜检查患者和结肠镜检查患者的司机进行了一项调查,询问他们是否愿意接受清晨结肠镜检查的分次剂量准备。我们还询问了安排在清晨的结肠镜检查患者是否遵守了书面准备说明。

结果

在接受调查的 300 人中,大多数(85%)表示他们愿意在夜间起床服用第二剂准备。在 107 名安排在清晨的结肠镜检查患者中,78%的患者实际上在夜间起床服用第二剂准备。

结论

接受和遵守分次剂量肠道准备的意愿很高,不应成为为结肠镜检查开分次剂量准备的障碍。

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American College of Gastroenterology guidelines for colorectal cancer screening 2009 [corrected].美国胃肠病学会2009年结直肠癌筛查指南[修订版]
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Ward nurses-focused educational intervention improves the quality of bowel preparation in inpatients undergoing colonoscopy: A CONSORT-compliant randomized controlled trial.
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Medicine (Baltimore). 2020 Sep 4;99(36):e20976. doi: 10.1097/MD.0000000000020976.
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Does It work in Clinical Practice? A Comparison of Colonoscopy Cleansing Effectiveness in Clinical Practice Versus Efficacy from Selected Prospective Trials.它在临床实践中有效吗?临床实践中结肠镜检查肠道准备效果与部分前瞻性试验疗效的比较。
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