饮食种类及时间对肠道准备质量和患者舒适度的影响  

The effects of different types of diet and time on quality of bowel preparation and comforts of patients

作　　者：周梁云[1] 俞亚萍[1] 陆群[1] 姜鑫[1] ZHOU Liang-yun;YU Ya-ping;LU Qun;JIANG Xin

机构地区：[1]南京医科大学附属无锡市人民医院,无锡市214023

出　　处：《中华护理教育》2020年第9期842-844,共3页Chinese Journal of Nursing Education

摘　　要：目的探讨不同饮食种类及时间对肠道准备质量和患者舒适度的影响。方法选择本院消化内镜中心行肠镜检查的患者600例,随机分为3组,每组200例。A组,检查前3 d进食无渣或低渣半流质饮食,前1 d进流质饮食;B组,检查前3 d进食低渣饮食;C组,检查前1 d进食低渣饮食。3组患者肠道清洁剂均选用复方聚乙二醇电解质散。比较3组患者在肠道准备清洁度和患者舒适度的差异。结果3组患者在肠道准备清洁度方面效果相当,差异无统计学意义(P>0.05);B、C组在饥饿感、疲惫感、肠道不适反应等舒适度方面均优于A组(P<0.05)。结论目前临床上常用的几种饮食种类均可以获得满意的肠道准备质量,采用检查前1 d进食低渣饮食的方法可以提高患者舒适度。Objective To investigate the effects of different types of diet and time on quality of bowel preparation and comforts of patients.Methods A total of 600 patients undergoing colonoscopy in the center of digestive endoscopy of a hospital were recruited in the study.They were randomly and evenly divided into 3 groups.For patients in Group A,they were administered a non-slag or low-slag semi-liquid diet for 3 days before the examination and the liquid diet 1 day before the examination.For patients in Group B,a low-residue diet was administered to them for 3 days before the examination.For patients in Group C,a low-residue diet for one day was administered before the examination.Compound polyethylene glycol electrolyte powder was used as bowel cleaner in all 3 groups.The differences in bowel preparation,comforts and satisfaction of patients in three groups were compared.Results The quality of bowel preparation in 3 groups were similar(P>0.05).Patients in both group B and C showed better outcomes than patients in group A in comfort level(hunger,fatigue and bowel discomfort)(P<0.05).Conclusion Several kinds of diet commonly used in clinical settings can achieve satisfactory bowel preparation quality.Eating low-residue diet one day before the examination can improve patients'comforts.

关 键 词：结肠镜检查 饥饿 低渣饮食 肠道准备 

分 类 号：R472.9[医药卫生—护理学]