Miniter Christopher
is an Advanced Practice Registered Nurse/Nurse Practitioner at the US Department of Veterans Affairs Connecticut Healthcare System in West Haven, Connecticut.
Fed Pract. 2021 Jul;38(7):328-331. doi: 10.12788/fp.0151.
A colonoscopy is recommended for prevention and early detection of colorectal cancers. A high-quality bowel preparation is associated with adequate polyp detection and one of the colonoscopy preparation quality measures. However, many patients arrive for colonoscopy appointments with inadequate bowel preparation, and approximately 20% of patients with colonoscopy failure were not adherent to instructions. The purpose of this study was to determine whether using a questionnaire would improve the outcomes of patient education and proper bowel preparation.
Charts were reviewed to develop a patient questionnaire. A mix of open-and closed-ended, patient-centered questions were developed to further patient education in a time-efficient manner and achieve consistent responses for determining barriers and issues, improve documentation, and then assist the patient in achieving a good-to-excellent quality bowel preparation.
Proper cleansing instructions as well as identifying and overcoming barriers to achieving adequate bowel preparation for colonoscopy can result in improved patient satisfaction, care quality, and cost savings.
推荐进行结肠镜检查以预防和早期发现结直肠癌。高质量的肠道准备与充分的息肉检测相关，是结肠镜检查准备质量的衡量标准之一。然而，许多患者在进行结肠镜检查预约时肠道准备不充分，约20%结肠镜检查失败的患者未遵守医嘱。本研究的目的是确定使用问卷是否会改善患者教育和正确肠道准备的结果。
查阅病历以制定患者问卷。设计了一系列开放式和封闭式的、以患者为中心的问题，以便以高效的方式进一步开展患者教育，并获得一致的回答，从而确定障碍和问题、改进记录，进而帮助患者实现良好至优秀质量的肠道准备。
适当的清洁说明以及识别和克服结肠镜检查肠道准备不充分的障碍，可提高患者满意度、护理质量并节省成本。
