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专业人员的儿科结肠镜检查经历:一项访谈研究。

Professionals' experiences with paediatric colonoscopy: an interview study.

作者信息

Vejzovic Vedrana

机构信息

Department of Care Science, Malmö University, Faculty of Health and Society, SE-205 06 Malmö, Sweden.

出版信息

BMC Nurs. 2019 Mar 11;18:7. doi: 10.1186/s12912-019-0331-5. eCollection 2019.

DOI:10.1186/s12912-019-0331-5
PMID:30911284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6416969/
Abstract

BACKGROUND

Colonoscopy plays a crucial role in the diagnosis of paediatric inflammatory bowel disease (IBD), adolescents comprise 25% of all cases of IBD. Several studies have found that a safe, informative, and effective colonoscopy, performed in a child-friendly atmosphere with minimal distress to the child, is difficult to achieve.The aim of this study was to describe nurse's experiences of the pre-colonoscopy procedure prior in children.

METHODS

A qualitative design with a thematic content analysis approach was used. Fifteen nurses at a children's hospital participated in interviews regarding their experiences of the bowel cleansing procedure with PEG in children.

RESULTS

Four key themes were extracted from the nurses' experiences; lack of knowledge, challenges surrounding information, responsibility without control and assembly line- like procedure..

CONCLUSIONS

This study shows that nurses feel that they need more time and education opportunities before involved in paediatric colonoscopies.

摘要

背景

结肠镜检查在小儿炎症性肠病(IBD)的诊断中起着至关重要的作用,青少年占所有IBD病例的25%。多项研究发现,要在对儿童友好的氛围中、让儿童痛苦最小的情况下进行安全、信息丰富且有效的结肠镜检查并非易事。本研究的目的是描述护士在儿童结肠镜检查前准备过程中的经历。

方法

采用定性设计和主题内容分析方法。一家儿童医院的15名护士参与了关于他们在儿童使用聚乙二醇进行肠道清洁程序的经历的访谈。

结果

从护士的经历中提取了四个关键主题:知识不足、信息方面的挑战、有责任却无法掌控以及流水线式程序。

结论

本研究表明,护士们觉得在参与小儿结肠镜检查之前,他们需要更多时间和教育机会。

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本文引用的文献

1
Pain assessment in the Emergency Department. Correlation between pain rated by the patient and by the nurse. An observational study.急诊科的疼痛评估。患者与护士所评定疼痛之间的相关性。一项观察性研究。
Acta Biomed. 2018 Feb 27;89(4-S):64-70. doi: 10.23750/abm.v89i4-S.7055.
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Use of restraint with hospitalized children: A survey of nurses' perceptions of practices.住院儿童约束措施的使用:护士对相关做法的认知调查
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Pediatric Patient and Parental Anxiety and Impressions Related to Initial Gastrointestinal Endoscopy: A Japanese Multicenter Questionnaire Study.儿科患者及家长与初次胃肠内镜检查相关的焦虑及印象:一项日本多中心问卷调查研究
Scientifica (Cairo). 2015;2015:797564. doi: 10.1155/2015/797564. Epub 2015 Aug 31.
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Quality indicators for pediatric colonoscopy: results from a multicenter consortium.儿科结肠镜检查质量指标:多中心联盟的结果
Gastrointest Endosc. 2016 Mar;83(3):533-41. doi: 10.1016/j.gie.2015.06.028. Epub 2015 Aug 5.
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Parents' experiences when their child is undergoing an elective colonoscopy.孩子接受选择性结肠镜检查时父母的经历。
J Spec Pediatr Nurs. 2015 Apr;20(2):123-30. doi: 10.1111/jspn.12109.
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Specialist nurse in Europe: education, regulation and role.欧洲的专科护士:教育、监管与角色
Int Nurs Rev. 2014 Dec;61(4):454-62. doi: 10.1111/inr.12123. Epub 2014 Sep 12.
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Nurs Child Young People. 2014 Sep;26(7):16-21. doi: 10.7748/ncyp.26.7.16.e479.
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A private affair: children's experiences prior to colonoscopy.一件私密之事:儿童在结肠镜检查前的经历
J Clin Nurs. 2015 Apr;24(7-8):1038-47. doi: 10.1111/jocn.12661. Epub 2014 Jul 24.
9
Bowel preparations for colonoscopy: an RCT.结肠镜检查的肠道准备:一项随机对照试验。
Pediatrics. 2014 Aug;134(2):249-56. doi: 10.1542/peds.2014-0131. Epub 2014 Jul 7.
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Dev Neurorehabil. 2015 Jun;18(3):162-8. doi: 10.3109/17518423.2013.801529. Epub 2013 Aug 7.