2型糖尿病患者在结肠镜检查前实施基于Bristol大便分型肠道准备的指导价值  

The guiding value of bowel preparation based on Bristol stool classification for patients with type 2 diabetes before colonoscopy

作　　者：于萌[1] 金延春[1] 曹丹丹 程秀 YU Meng;JIN Yanchun;CAO Dandan;CHENG Xiu(The Affiliated Hospital of Qingdao University,School of Nursing and Rehabilitation,Shandong University,Qingdao,Shandong,266555,China)

机构地区：[1]青岛大学附属医院山东大学护理与康复学院,山东青岛266555

出　　处：《中西医结合护理(中英文)》2025年第1期65-68,共4页Journal of Clinical Nursing in Practice

摘　　要：目的考察2型糖尿病患者在结肠镜检查前实施基于Bristol大便分型肠道准备的指导价值。方法选取2023年11月至2024年1月于青岛大学附属医院行结肠镜检查的138例2型糖尿病患者,采用随机数字表法分为2组,对照组69例患者实施常规肠道准备方案,观察组69例患者实施基于Bristol大便分型肠道准备方案。比较2组的肠道准备质量、检查期间的焦虑感和舒适度、不良反应发生率以及护理满意度。结果肠道准备结束后,观察组的Bristol大便性状评估量表总分和肠道准备合格率均高于对照组(P均<0.05)。检查前30 min和检查后10 min,观察组的焦虑自评量表评分均低于同一时间对照组,简化舒适状况量表评分均高于同一时间对照组(P均<0.05),且2组均较预约日更优(P均<0.05)。肠道准备结束后,观察组腹胀、腹痛等不良反应的总发生率较对照组低,护理总满意率较对照组高(P均<0.05)。结论2型糖尿病患者在结肠镜检查前实施基于Bristol大便分型肠道准备,有助于提高患者的肠道准备合格率和舒适感,缓解焦虑感,降低腹胀、腹痛等不良反应发生率,且护理满意度相对较高。Objective To investigate the guiding value of bowel preparation based on Bristol stool classification in patients with type 2 diabetes before colonoscopy.Methods A total of 138 patients with type 2 diabetes who underwent colonoscopy in the Affiliated Hospital of Qingdao University from November 2023 to January 2024 were selected and divided into two groups by random number table method.69 patients in the control group received routine bowel preparation plan,and 69 patients in the observation group received bowel preparation plan based on Bristol stool classification.The quality of intestinal preparation,anxiety and comfort during examination,incidence of adverse reactions,and nursing satisfaction were compared between the two groups.Results After the completion of intestinal preparation,the total score of Bristol Stool Form Scale and the pass rate of intestinal preparation in the observation group were higher than those in the control group(all P<0.05).At 30 minutes before and 10 minutes after the examination,the Self-Rating Anxiety Scale scores of the observation group were lower than those of the control group at the same time,and the General Comfort Questionnaire scores of the observation group were higher than those of the control group at the same time(all P<0.05),and both groups were better than the appointment day(all P<0.05).After intestinal preparation,the total incidence of adverse reactions such as abdominal distension and abdominal pain in the observation group was lower than that in the control group,and the overall satisfaction rate of nursing in the observation group was higher than that in the control group(both P<0.05).Conclusion The implementation of bowel preparation based on Bristol stool classification before colonoscopy in patients with type 2 diabetes is helpful to improve the qualification rate of bowelpreparation and comfort of patients, alleviate anxiety, reduce the incidence of adverse reactions such asabdominal distension and abdominal pain, and have relatively high nursing satisfactio

关 键 词：2型糖尿病 结肠镜检查 Bristol大便分型 肠道准备质量 

分 类 号：R574.62[医药卫生—消化系统]