Rosenfeld Greg, Krygier Darin, Enns Robert A, Singham Janakie, Wiesinger Holly, Bressler Brian
Department of Medicine, University of British Columbia, Vancouver.
Can J Gastroenterol. 2010 Sep;24(9):543-6. doi: 10.1155/2010/718628.
For patients requiring colonoscopy while admitted to hospital, achieving adequate cleansing of the colon is often difficult.
To assess the impact of patient education, in the form of both counselling and written instructions, on bowel cleanliness at colonoscopy.
A total of 38 inpatients at a tertiary care hospital in Vancouver, British Columbia, who were referred to the gastroenterology service for colonoscopy were enrolled in the present study. Sixteen patients were randomly assigned to the intervention group, while 22 patients comprised the control group. Both groups received a clear liquid diet and 4 L of a commercially available bowel preparation. The intervention group also received a brief counselling session and written instructions outlining the methods and rationale for bowel preparation before colonoscopy. Bowel cleanliness was assessed by the endoscopist using a five-point rating scale.
The two groups were similar with respect to demographics, the indication for colonoscopy and findings at colonoscopy. The median bowel cleanliness scores in the control group and the enhanced-instruction group were 3.0 and 2.0, respectively (P=0.001).
Patient counselling and written instructions are inexpensive, safe and simple interventions. Such interventions are an effective means of optimizing colonoscopy preparation in the inpatient setting.
对于住院期间需要进行结肠镜检查的患者，实现结肠的充分清洁往往很困难。
评估以咨询和书面指导形式进行的患者教育对结肠镜检查时肠道清洁度的影响。
在不列颠哥伦比亚省温哥华的一家三级护理医院，共有38名被转介到胃肠病科进行结肠镜检查的住院患者纳入本研究。16名患者被随机分配到干预组，22名患者组成对照组。两组均接受清流质饮食和4升市售肠道准备剂。干预组还接受了一次简短的咨询，并收到了一份书面指导，概述结肠镜检查前肠道准备的方法和基本原理。内镜医师使用五点评分量表评估肠道清洁度。
两组在人口统计学、结肠镜检查指征和结肠镜检查结果方面相似。对照组和强化指导组的肠道清洁度中位数评分分别为3.0和2.0（P=0.001）。
患者咨询和书面指导是廉价、安全且简单的干预措施。此类干预措施是在住院患者中优化结肠镜检查准备的有效手段。
