Liu Aihong, Wang Huashe, Lin Yijia, Fu Liping, Liu Yanan, Yan Shuhong, Chen Honglei
Department of Gastrointestinal Surgery, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou.
Department of Gastrointestinal Endoscopy, The Sixth Affiliated Hospital, Sun Yat-sen University. Guangzhou.
Medicine (Baltimore). 2020 Aug 21;99(34):e21278. doi: 10.1097/MD.0000000000021278.
Previous studies showed difference results about the effect of nurse in improvement of the colonoscopy detection rate. This meta-analysis aims to investigate whether nurse participation during colonoscopy can help in improving the detection rate of polyps and adenomas.
Original studies in English were searched from the MEDLINE database, PubMed, Web of Science, and the Cochrane Library database. Randomized control trials (RCT) comparing colonoscopy with and without nurse participation for the detection of colorectal polyps and adenomas were identified. A meta-analysis was performed using Revman 5.3 software.
A total of 2268 patients from 4 RCTs were included in this meta-analysis. Outcomes of colonoscopy with nurse participation were compared with those of colonoscopy without nurse participation. The results showed that nurses' participation during colonoscopy could significantly increase both, polyp detection rate and adenoma detection rate.
Nurse assistance during colonoscopy can help improve the rate of detection of polyps and adenomas.
先前的研究显示，关于护士在提高结肠镜检查检出率方面的作用，结果存在差异。本荟萃分析旨在调查结肠镜检查期间护士的参与是否有助于提高息肉和腺瘤的检出率。
从MEDLINE数据库、PubMed、科学网和Cochrane图书馆数据库中检索英文原始研究。纳入比较有护士参与和无护士参与的结肠镜检查对结直肠息肉和腺瘤检出情况的随机对照试验（RCT）。使用Revman 5.3软件进行荟萃分析。
本荟萃分析共纳入来自4项随机对照试验的2268例患者。将有护士参与的结肠镜检查结果与无护士参与的结肠镜检查结果进行比较。结果显示，结肠镜检查期间护士的参与可显著提高息肉检出率和腺瘤检出率。
结肠镜检查期间护士的协助有助于提高息肉和腺瘤的检出率。
