集束化护理对结肠镜检查患者肠道准备清洁度的影响  

Influence of cluster based care on the patients cleanness of colonoscopy at intestinal preparation

作　　者：别小芹 黄燕 范甜甜 孙婷[2] BIE Xiaoqin;HUANG Yan;FAN Tiantian;SUN Ting(Department of Gastroenterology, Huaihn Hospital Affiliated to Xuzhou Medical University, Huai~n, Jiangsu 223002, China;Department of Gastroenterology, the Second Affiliated Hospital of Medical College of Zhejiang University, Hangzhou, Zhejiang 310009)

机构地区：[1]徐州医科大学附属淮安医院消化内科,江苏淮安223002 [2]浙江大学医学院附属第二医院消化内科,浙江杭州310009

出　　处：《徐州医科大学学报》2018年第5期348-350,共3页Journal of Xuzhou Medical University

基　　金：浙江省医药卫生科技计划项目（2017KY081）

摘　　要：目的探讨集束化护理对结肠镜检查患者肠道准备清洁度的影响。方法选取2016年10-12月我科收治的150例结肠镜检查患者作为对照组，采用常规的肠道准备护理；将2017年1-3月我科收治的150例结肠镜检查患者作为观察组，在常规护理基础上，实施集束化护理干预。2组均采用波士顿肠道清洁度量表（BB-PS）进行肠道清洁度评估，同时观察2组肠道准备过程中的不良反应发生率和镜检成功率。结果观察组肠道清洁度总得分明显高于对照组，差异有统计学意义（P〈0．01）。结论集柬化护理干预能够有效提高结肠镜检查患者肠道准备清洁度及镜检成功率，同时可以降低肠道准备过程中患者不良反应的发生率，从而提高护理质量及患者满意度。Objective To investigate the effects of cluster based care on the cleanliness of bowel preparation in pa- tients undergoing colonoscopy. Methods A total of 150 patients undergoing colonoscopy in our department from October to December 2016 were selected as a control group and received routine bowel preparation. Another 150 patients undergo- ing colonoscopy in our department from January to March 2017 were enrolled as an observation group and received cluster based care interventions on the basis of routine care. Both groups were compared for the bowel cleanliness using the Bos- ton Intestinal Cleansing Scale （BBPS）. The incidence of adverse events during the bowel preparation and the successful rate of microscopy were observed. Results The BBPS score was （2.20 ± 0.54） for the right segment （the caecum to the ascending colon）, （2.50 ± 0.32） for the transection segment （ the liver to the spleen curve）, and （2.60 ± 0.15 ） for the left segment （ the descending colon, sigmoid, and rectum）, which were higher than the control group （ 1.8 ± 0.31 ）, （2.1 ±0.82） and （2.3±0.26） （P 〈0.01 ）. The observation group showed a remarkable decreased incidence of ad- verse events and a marked increased successful rate of microscopic examination compared with the control group （P 〈 0.05） . Conclusions Cluster based care intervention can effectively improve the cleanliness of bowel preparation and the successful rate of microscopy in patients undergoing colonoscopy. It can also reduce the incidence of adverse events in the process of bowel preparation, thereby improving the quality of care and patient satisfaction.

关 键 词：集束化护理 结肠镜 肠道清洁度 

分 类 号：R472.91[医药卫生—护理学]