Bowel preparation experiences and needs before follow-up colonoscopy in older adult postoperative colorectal cancer patients: A qualitative study  

作　　者：Bin He Yi Xin Rui Li Fu-Cai Lin Guang-Ming Zhang Hai-Jing Zhu 

机构地区：[1]Wuxi Medical College,The Jiangnan University,Wuxi 214122,Jiangsu Province,China [2]Department of Nursing,The Tongren Hospital Shanghai Jiao Tong University School of Medicine,Shanghai 200335,China [3]Department of Anesthesiology,The Tongren Hospital Shanghai Jiao Tong University School of Medicine,Shanghai 200335,China [4]Department of Endoscopy,The Tongren Hospital Shanghai Jiao Tong University School of Medicine,Shanghai 200335,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第9期2968-2978,共11页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND The bowel preparation process prior to colonoscopy determines the quality of the bowel preparation,which in turn affects the quality of the colonoscopy.Colono-scopy is an essential procedure for postoperative follow-up monitoring of colorec-tal cancer(CRC)patients.Previous studies have shown that advanced age and a history of colorectal resection are both risk factors for inadequate bowel prepara-tion.However,little attention has been paid to the bowel preparation experiences and needs of predominantly older adult postoperative CRC patients.AIM To explore the experiences and needs of older adult postoperative CRC patients during bowel preparation for follow-up colonoscopy.METHODS Fifteen older adult postoperative CRC patients who underwent follow-up colonoscopy at a tertiary hospital in Shanghai were selected using purposive sampling from August 2023 to November 2023.The phenomenological method in qualitative research was employed to construct an interview outline and conduct semi-structured interviews with the patients.Colaizzi's seven-step analysis was utilized to organize,code,categorize,summarize,and verify the interview data.RESULTS The results of this study were summarized into four themes and eight sub-themes:(1)Inadequate knowledge about bowel preparation;(2)Decreased physiological comfort during bowel preparation(gastrointestinal discomfort and sleep deprivation caused by bowel cleansing agents,and hunger caused by dietary restrictions);(3)Psychological changes during different stages of bowel preparation(pre-preparation:Fear and resistance due to previous experiences;during preparation:Irritation and helplessness caused by taking bowel cleansing agents,and post-preparation:Anxiety and worry while waiting for the colonoscopy);and(4)Needs related to bowel preparation(detailed instructions from healthcare professionals;more ideal bowel cleansing agents;and shortened waiting times for colonoscopy).CONCLUSION Older adult postoperative CRC patients'knowledge of bowel preparation is not adequate,and

关 键 词：Older people Colorectal cancer COLONOSCOPY Bowel preparation Health promotion NURSING Qualitative research 

分 类 号：R574.62[医药卫生—消化系统]