摘要
目的:调查老年患者结肠镜检查的肠道准备现状并分析其影响因素。方法:选取2018年1-4月在山西省某三级甲等医院消化内镜中心行结肠镜检查的180例老年患者为研究对象,收集其一般资料、肠道准备相关资料、社会支持状况资料,患者肠镜检查过程中采用Boston肠道准备评分量表(BBPS)进行肠道清洁度评分。采用Logistic回归分析肠道准备的影响因素。结果:老年结肠镜检查患者肠道准备不合格发生率达32.8%,Logistic回归分析显示,肠道准备不合格的影响因素包括患者的腹部手术史、糖尿病史、运动及饮食习惯、检查前一天饮食类型、服药时间及剂量的准确性、耐受度、检查前的末次排便性状、患者的文化程度和社会支持状况。结论:老年患者结肠镜检查前肠道准备状况仍处于较低水平,多种因素对老年患者的肠道清洁有影响,相关医务工作者应识别肠道准备不合格因素,给予针对性的护理措施和方案,从而提高老年患者肠道准备质量。
Objective:To investigate the status of intestinal preparation for colonoscopy in old people and to analyze the influential factors.Methods:The data from 180 elderly patients who underwent colonoscopy at the Digestive Endoscopy Center of a tertiary hospital in Shanxi province from January to April 2018.General information,information on intestinal preparation,and information on social support status were collected by endoseopists.BBPS was used to evaluate patients' intestinal cleanliness during the course of the procedure.Logistic regression was used to data analysis.Results:In elderly patients with colonoscopy,the incidence of unqualified bowel preparation was 32.8%.Logistic regression analysis showed that the failing of bowel preparation correlated to the patient's history of abdominal surgery,diabetes history,exercise and eating habits,the type of diet of patients on the day before the examination,and medication time,dose accuracy,tolerance,defecation traits before patient examination,patient's educational level,and social support status.Conclusion:Intestinal readiness before colonoscopy remains low in elderly patients,and many factors have effects on intestinal cleansing in elderly patients.Relevant medical workers should identify factors of intestinal insufficiency and provide targeted nursing measures,and thus improves the quality of intestinal preparation in elderly patients.
作者
梁蓉
杨支兰
闫晓晓
董花云
刘丽萍
谢晓芬
姜会真
周雪
冯振
刘明星
LIANG Rong;YANG Zhilan;YAN Xiaoxiao;DONG Huayun;LIU Liping;XTE Xiaofen;JIANG Huizhen;ZHOU Xue;FENG Zhen;LIU Mingxing(Nursing School,Shanxi University of Traditional Chinese Medicine,Taiyuan,030619,China)
出处
《中国护理管理》
CSCD
北大核心
2019年第2期182-187,共6页
Chinese Nursing Management
关键词
老年患者
肠镜检查
肠道准备
影响因素
elderly patients
enteroscopy
bowel preparation
influencing factors