Hyams Travis, Curbow Barbara, Christie Juliette, Mueller Nora, King-Marshall Evelyn, Sultan Shahnaz, George Thomas J
Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD, USA.
Department of Medicine, University of Florida, Gainesville, FL, USA.
J Patient Exp. 2018 Dec;5(4):272-278. doi: 10.1177/2374373518759548. Epub 2018 Mar 23.
Colonoscopy screening is an effective method of detecting and preventing colorectal cancer. Standard procedure for most colonoscopies (98%) is to use conscious sedation, which can cause short-term cognitive impairment postprocedure, including communication difficulties. In this study, we explored providers' (gastroenterology doctors and nurses) perceptions of the barriers to optimal communication with patients immediately following colonoscopy.
We conducted interviews with 61 providers across 5 clinical configurations. Interviews were transcribed and coded with NVivo version 11 software.
Themes emerged regarding barriers to optimal provider-patient communication postcolonoscopy: patient barriers (sedation and patient characteristics), caregiver barriers, and system characteristics.
Providers' perceived barriers to communication are an important topic to study. They endorsed, in particular, interventions that target the postcolonoscopy time frame when patients may still be sedated, but providers must convey important discharge and follow-up instructions.
结肠镜检查筛查是检测和预防结直肠癌的有效方法。大多数结肠镜检查（98%）的标准程序是使用清醒镇静，这可能会导致术后短期认知障碍，包括沟通困难。在本研究中，我们探讨了医疗服务提供者（胃肠病学医生和护士）对结肠镜检查后立即与患者进行最佳沟通的障碍的看法。
我们对5种临床机构的61名医疗服务提供者进行了访谈。访谈内容被转录并用NVivo 11软件进行编码。
出现了关于结肠镜检查后医疗服务提供者与患者进行最佳沟通的障碍的主题：患者障碍（镇静和患者特征）、护理人员障碍和系统特征。
医疗服务提供者感知到的沟通障碍是一个值得研究的重要课题。他们特别认可针对结肠镜检查后时间段的干预措施，此时患者可能仍处于镇静状态，但医疗服务提供者必须传达重要的出院和随访指示。
