Liu Xin, Gao Ju
Department of Anesthesiology, Northern Jiangsu People's Hospital, Yangzhou, China.
Department of Anesthesiology, Northern Jiangsu People's Hospital, Yangzhou, China.
J Perianesth Nurs. 2025 Jun;40(3):712-717. doi: 10.1016/j.jopan.2024.08.023. Epub 2024 Dec 6.
The purpose of this study was to systematically encapsulate the array of discomfort symptoms ensuing from sedative-administered colonoscopy, with the overarching objective of formulating screening criteria conducive to the identification of the core clinical symptoms characterizing postoperative fatigue syndrome (POFS).
A single-center descriptive study.
We selected patients who had undergone a sedative-administered colonoscopy and conducted a telephone follow-up to examine the occurrence of postoperative discomfort symptoms.The Common Terminology Criteria for Adverse Events (Version 5.0) was used to determine the discomfort symptoms and preliminarily assess the severity by comparing the collected patient feedback information. Basic patient information was collected at the anesthesia clinic or at the endoscopy center. The initial telephone follow-ups were conducted 24 hours after the examination.
The analysis involved 542 patients who successfully completed the investigation, yielding a compilation of 19 postoperative discomfort symptoms, encompassing fatigue, lethargy, dizziness, and others. Following a meticulous screening process, the identified core clinical symptoms of POFS were narrowed down to fatigue, lethargy, dizziness, and headache.
The diagnostic criteria for POFS should encompass the presence of fatigue, lethargy, dizziness, and headache, as these symptoms constitute the core clinical manifestations.
本研究旨在系统归纳镇静下结肠镜检查后出现的一系列不适症状,其总体目标是制定有助于识别术后疲劳综合征(POFS)核心临床症状的筛查标准。
单中心描述性研究。
我们选取了接受过镇静下结肠镜检查的患者,并进行电话随访以检查术后不适症状的发生情况。使用《不良事件通用术语标准》(第5.0版)来确定不适症状,并通过比较收集到的患者反馈信息初步评估严重程度。在麻醉门诊或内镜中心收集患者的基本信息。首次电话随访在检查后24小时进行。
分析涉及542名成功完成调查的患者,汇总出19种术后不适症状,包括疲劳、嗜睡(无精打采)、头晕等。经过细致的筛查过程,确定的POFS核心临床症状被缩小到疲劳、嗜睡(无精打采)、头晕和头痛。
POFS的诊断标准应包括疲劳、嗜睡(无精打采)、头晕和头痛的存在,因为这些症状构成了核心临床表现。