结肠镜检查前肠道准备效果的现况调查及影响因素分析  

Investigation on the effect of bowel preparation before colonoscopy and its influencing factors

作　　者：张媛媛[1] 钮美娥[2] 汪茜雅[1] 吴振云[3] 顾洁[1] 赵媛媛[3] 杨小辉[3] 

机构地区：[1]苏州大学附属第一医院消化内科,215006 [2]苏州大学附属第一医院护理部,215006 [3]苏州大学护理学院

出　　处：《中国实用护理杂志》2017年第14期1085-1088,共4页Chinese Journal of Practical Nursing

基　　金：苏州市科技计划（SYS201615）

摘　　要：目的了解结肠镜检查前肠道准备的效果并探讨其影响因素。方法采用便利抽样的方法，应用肠道准备基本信息调查表对283例结肠镜检查患者进行调查并使用渥太华肠道准备评估量表对患者的肠道清洁度进行评分，分析患者的肠道准备现状及影响因素。结果患者的渥太华肠道准备评估量表总分为（5．37±2．22）分，肠道清洁有效率仅为59％（167／283）；Logistic回归分析显示，年龄（OR=1．033，P=0．013）、慢性便秘史（OR=10．341，P=0．000）、阑尾切除史（OR=5．349，P=0．007）、服药期间的步行时间（OR=0.350，P=0．000）、是否服完全部清肠药（OR=0.078，P=0．000）、开始服药-排便的时间间隔（OR=1．034，P=0．000）、排便总次数（OR=0.794，P=0．004）以及最后一次粪便性状（OR=0.159，P=0．000）均是患者肠道准备效果的影响因素。结论结肠镜检查患者的肠道清洁度仍处于较低水平，今后医务人员应早期识别具有肠道准备不充分危险因素的患者，并且给予针对性的肠道准备方案，从而切实地提高患者的肠道准备质量。Objective To investigate the effect of bowel preparation before colonoscopy and its influencing factors. Methods A total of 283 patients with colonoscopy were recruited by convenience sampling method. They were investigated with basic information questionnaire of bowel preparation and their intestinal cleanliness were assessed by the Ottawa Assessment Scale. The status of bowel preparation and it＇s influenced factors were analyzed. Results The total score of Ottawa Assessment Scale was （5.37 ± 2.22） points, and the efficiency of intestinal cleaning was only 59% （167/283）. Logistic regression analysis showed that age （OR=1.033, P=0.013）; history of chronic constipation （OR=10.341, P=0.000）; history of appendectomy （OR=5.349, P=0.007）; walking time during medication （0R=0.350, P=0.000）; incomplete intake of the preparation （OR=0.078, P=0.000）, the time interval between the initiation of ingestion and the onset of bowel activity （OR=1.034, P=0.000）, defecation frequency （OR =0.794, P= 0.004）;characteristics of last stool （OR=0.159, P=0.000） were influencing factors of intestinal cleanliness. Conclusions The intestinal cleanliness of patients with colonoscopy is still at a low level. In the future, medical personnel should identify patients with risk factors early, and give them specific bowel preparation, so as to improve the quality of bowel preparation effectively .

关 键 词：结肠镜检查 肠道准备 影响因素 

分 类 号：R473.5[医药卫生—护理学]