护士实施强化患者教育对结肠镜肠道准备质量的影响。
Effect of nurse-performed enhanced patient education on colonoscopy bowel preparation quality.
机构信息
Prof. Dr. Cemil Taşcıoğlu City Hospital, Colonoscopy Department, Istanbul, Turquia.
Biruni University, Graduate Education Institute Nursing Program, Istanbul, Turquia.
出版信息
Rev Lat Am Enfermagem. 2022;30:e3626. doi: 10.1590/1518-8345.5597.3626.
OBJECTIVE
to evaluate the effect of nurse-performed enhanced patient education sessions on adequate bowel preparation and cecal intubation rates.
METHOD
a prospective, quasi-experimental, comparative study with a quantitative approach. The intervention group (n=150) received education enhanced by a visual presentation and reminder calls. The control group (n=156) received the clinic's standard written instructions. Adequate bowel preparation rates and other colonoscopy quality indicators were compared between the groups.
RESULTS
Boston Bowel Preparation scale scores and adequate bowel preparation rates were higher in the intervention group than in the control group (respectively, 6.76±2.1 vs. 5.56±2.4, p=0.000, and 80% vs. 69.2%, p=0.031). The cecal intubation rates were higher in the intervention group (80% vs. 67.3%, p=0.012). Due to inadequate bowel preparation, unsuccessful cecal intubation rates were 0% in the intervention group and 17.6% in the control group. Biopsy rates were higher in the intervention group (28% vs. 13.3%, p=0.002).
CONCLUSION
the nurse-performed enhanced patient education sessions increase adequate bowel preparation rates and, in parallel, cecal intubation rates. To reach the colonoscopy quality standards recommended in the guidelines, it is suggested that patient education be supported by different training tools and given by health professionals.
目的
评估护士实施强化患者教育对充分肠道准备和盲肠插管率的影响。
方法
这是一项前瞻性、准实验、比较性研究，采用定量方法。干预组（n=150）接受了增强视觉演示和提醒电话的教育。对照组（n=156）接受了诊所的标准书面说明。比较两组之间的充分肠道准备率和其他结肠镜检查质量指标。
结果
干预组的波士顿肠道准备量表评分和充分肠道准备率高于对照组（分别为 6.76±2.1 与 5.56±2.4，p=0.000 和 80%与 69.2%，p=0.031）。干预组的盲肠插管率更高（80%与 67.3%，p=0.012）。由于肠道准备不充分，干预组的盲肠插管失败率为 0%，对照组为 17.6%。干预组的活检率更高（28%与 13.3%，p=0.002）。
结论
护士实施的强化患者教育可提高充分肠道准备率，同时提高盲肠插管率。为了达到指南推荐的结肠镜检查质量标准，建议通过不同的培训工具并由卫生专业人员为患者提供教育支持。
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