慢性便秘患者结肠镜检查前肠道准备不合格的影响因素及护理对策分析  

Influencing factors and nursing countermeasures of unqualified bowel preparation before colonoscopy in patients with chronic constipation

作　　者：白爱莲[1] 侯丽英[1] 张惠玲[1] 闫凌瑁 白永飞 Bai Ailian;Hou Liying;Zhang Huiling;Yan Lingmao;Bai Yongfei(Department of Gastroenterology,Shanxi Provincial People's Hospital,Taiyuan 030012,China)

机构地区：[1]山西省人民医院消化科,太原030012

出　　处：《中华现代护理杂志》2022年第1期86-90,共5页Chinese Journal of Modern Nursing

摘　　要：目的探究慢性便秘患者结肠镜检查前肠道准备不合格的影响因素,提出相关护理对策。方法采用便利抽样法,选择2018年2月—2020年4月于山西省人民医院消化科行结肠镜检查的146例慢性便秘患者为研究对象,统计其肠道准备不合格情况,利用单因素分析和多因素Logistic回归分析法筛选出肠道准备不合格的影响因素,提出相应护理对策。结果146例慢性便秘患者中结肠镜检查前肠道准备不合格15例(10.27%),其中左侧结肠、横结肠、右侧结肠分别为7例(4.79%)、5例(3.42%)、3例(2.05%);单因素分析显示,不同年龄、服药期间是否活动不足、是否有糖尿病史、是否有腹部/盆腔手术史、不同慢性便秘病程的患者肠道准备合格情况差异有统计学意义(P<0.05);多因素Logistic回归分析显示,年龄>60岁、服药期间活动不足、糖尿病史均是慢性便秘患者结肠镜检查前肠道准备不合格的独立危险因素(P<0.05)。结论高龄、服药期间活动不足、糖尿病史均是慢性便秘患者结肠镜检查前肠道准备不合格的危险因素,应根据患者实际情况制定针对性护理方案提高肠道准备合格率。Objective To explore the influencing factors of unqualified bowel preparation before colonoscopy in patients with chronic constipation,in order to propose corresponding countermeasures.Methods Using the convenient sampling method,a total of 146 patients with chronic constipation who underwent colonoscopy in Gastroenterology Department of Shanxi Provincial People's Hospital from February 2018 to April 2020 were selected as the research subjects,and the unqualified conditions of them were counted.Single factor analysis and multivariate Logistic regression analysis were used to screen out the influencing factors of unqualified intestinal preparation and propose the corresponding nursing countermeasures.Results Among 146 patients with chronic constipation,15 cases(10.27%)were unqualified in intestinal preparation before colonoscopy,including 7 cases(4.79%)in left colon,5 cases(3.42%)in transverse colon and 3 cases(2.05%)in right colon.Univariate analysis showed that there were statistically significant differences in intestinal preparation qualification among patients of different ages,whether they had insufficient activity during medication,whether they had a history of diabetes,whether they had a history of abdominal or pelvic surgery and different courses of chronic constipation(P<0.05).Multivariate Logistic regression analysis showed that age older than 60 years,insufficient activity during medication and history of diabetes were independent risk factors for unqualified bowel preparation before colonoscopy in patients with chronic constipation(P<0.05).Conclusions Old age,insufficient activity during medication and history of diabetes are all risk factors for unqualified bowel preparation before colonoscopy in patients with chronic constipation.And targeted nursing programs should be developed according to the actual conditions of patients to increase the pass rate of bowel preparation.

关 键 词：结肠镜检查 慢性便秘 肠道准备 影响因素 

分 类 号：R473.5[医药卫生—护理学]