Pre-colonoscopy special guidance and education on intestinal cleaning and examination in older adult patients with constipation  

作　　者：Hui Wang Ying Wang Jun-Hua Yuan Xiao-Yin Wang Wei-Xia Ren 

机构地区：[1]Department of Geriatric Gastroenterology,Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,Shandong Province,China [2]Postgraduate,China Animal Health and Epidemiology Center,Qingdao 266032,Shandong Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2022年第8期778-787,共10页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND The prevalence of constipation in the Chinese population over 60 years of age is 11.5%, and this prevalence increases with age, which seriously affects the quality of life in older adults. Therefore, reducing the incidence of constipation in older adults is necessary to promote a healthy lifestyle as well as biochemical health.AIM To explore the value of preoperative guidance and education to improve the effects of bowel cleaning in older adult patients undergoing colonoscopy.METHODS In this study, 160 older adult patients with constipation requiring colonoscopy at Shandong Provincial Hospital between January 2019 and March 2021 were selected and randomly divided into a study group and a control group, with 80patients in each group. The study group received medication guidance and targeted educational guidance before the operation, while the control group received only medication and dietary guidance. The baseline data, colonoscopy duration, bowel preparation compliance, Boston bowel preparation(BBPS)assessment score, intestinal bubble score, the incidence of adverse reactions during bowel preparation, and nursing appointment satisfaction were compared between the two groups.RESULTS The colonoscopy duration times and intestinal bubble scores of the study group were shorter than those of the control group, with statistically significant differences. The BBPS scores for the right, left, and interrupted colon in the study group were also higher than those in the control group, and the difference was statistically significant. Additionally, the study group had a higher rate of liquid diet one day before the examination, higher rate of correct bowel-clearing agent dilution method, higher rate of accurate time of ingesting the bowel-clearing agent, and a higher proportion of patients ingesting bowelclearing agent at the specified time than the control group, with statistically significant differences.The incidence of nausea and vomiting during bowel clearance in the study group was significantly lower than t

关 键 词：Special guidance education Older adults CONSTIPATION COLONOSCOPY Intestinal cleansing effect 

分 类 号：R574.62[医药卫生—消化系统]