儿童结肠镜检查前低纤维饮食肠道准备的最佳证据总结  

Summary of best evidence for low-fiber diet bowel preparation before colonoscopy in children

作　　者：丁玲[1] 谢珺 冯晓艳[2] 朱雪莲 席洁[4] 李青 毛红英[1] Ding Ling;Xie Jun;Feng Xiaoyan;Zhu Xuelian;Xi Jie;Li Qing;Mao Hongying(Department of Gastroenterology,Wuxi Children's Hospital,Wuxi 214023,China;Nursing Department,Wuxi Children's Hospital,Wuxi 214023,China;Department of Orthopedics,Wuxi Children's Hospital,Wuxi 214023,China;Department of Respiratory,Wuxi Children's Hospital,Wuxi 214023,China;Neonatology Department,Wuxi Children's Hospital,Wuxi 214023,China)

机构地区：[1]无锡市儿童医院消化内科,无锡214023 [2]无锡市儿童医院护理部,无锡214023 [3]无锡市儿童医院骨科,无锡214023 [4]无锡市儿童医院呼吸内科,无锡214023 [5]无锡市儿童医院新生儿科,无锡214023

出　　处：《中华现代护理杂志》2023年第16期2179-2185,共7页Chinese Journal of Modern Nursing

基　　金：无锡市"双百"中青年医疗卫生技术拔尖人才(BJ2020090)。

摘　　要：目的检索、评价和整合儿童结肠镜检查前低纤维饮食肠道准备的最佳证据,为临床护理实践提供依据。方法根据计算机检索国内外数据库、指南网、专业协会网站中与儿童结肠镜检查前低纤维饮食肠道准备相关的指南、系统评价、证据总结、专家共识、随机对照试验等,检索时间为建库至2021年10月31日。采用2014版澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)证据预分级及证据推荐级别系统对所纳入的证据进行分级。结果共纳入8篇文献,其中4篇指南、1篇证据总结、1篇系统评价、1篇专家共识、1篇随机对照试验,从进食前评估、限制饮食时长、饮食内容、评价指标、进食效果、肠道准备方法、健康教育等7个方面汇总出25条证据。结论本研究严格遵循循证方法,归纳、总结出儿童结肠镜检查前低纤维饮食肠道准备的最佳证据,可为我国儿童结肠镜检查前低纤维饮食肠道准备的规范化应用提供参考,提高儿童结肠镜检查前肠道准备质量。Objective To retrieve,evaluate,and integrate the best evidence of low-fiber diet bowel preparation before colonoscopy in children,providing a basis for clinical nursing practice.Methods Guidelines,systematic reviews,evidence summaries,expert consensus,randomized controlled trials and so on related to bowel preparation for low-fiber diet before colonoscopy in children were searched through computers in domestic and foreign databases,guideline websites and professional association websites.The search period was from database establishment to October 31,2021.The evidence included was graded using the Joanna Briggs Institute(JBI)evidence pre-grading and evidence recommendation grading system(2014 version)in Australia.Results A total of 8 articles were included,including four guidelines,one evidence summary,one systematic review,one expert consensus,and one randomized controlled trial.A total of 25 pieces of evidence were summarized from 7 aspects,including assessment before eating,duration of dietary restriction,dietary content,evaluation indicators,eating effectiveness,bowel preparation methods,and health education.Conclusions This study strictly follows evidence-based methods and summarizes the best evidence of low-fiber diet bowel preparation before colonoscopy in children.This can provide reference for the standardization of low-fiber diet bowel preparation before colonoscopy in children in China,and improve the quality of bowel preparation before colonoscopy in children.

关 键 词：儿童 低纤维饮食 结肠镜检查 肠道准备 循证护理 

分 类 号：R473.72[医药卫生—护理学]