肠镜检查患者肠道准备评估单的构建

Construction of bowel preparation assessment scale for patients undergoing enteroscopy

目的基于德尔菲法构建肠镜检查患者肠道准备评估单,为临床护士提供科学、便捷的肠道准备评估工具。方法通过文献回顾、德尔菲专家函询和层次分析法构建肠镜检查患者肠道准备评估单。采用便利抽样法,选取2020年6月—2022年1月在青岛大学附属医院因肠镜检查需行肠道清洁的1988例患者为研究对象,2020年6月—2021年4月行肠镜检查的患者为应用前组(n=980),2021年4月—2022年1月行肠镜检查的患者为应用后组(n=1008),比较两组肠镜检查患者的肠道准备合格率。结果共邀请16名专家进行2轮函询。2轮函询问卷的有效回收率分别为100.00%和93.75%,专家权威系数分别为0.837、0.800,肯德尔和谐系数分别为0.207、0.280(均P<0.01)。最终构建的肠镜检查患者肠道准备评估单包含4个一级指标、18个二级指标、47个三级指标。将评估单应用于临床后,应用后组患者的肠道准备合格率(82.24%)高于应用前组(66.43%),差异有统计学意义(P<0.01)。结论基于德尔菲法构建的肠镜检查患者肠道准备评估单具有可靠性、科学性和实用性,能够有效指导临床护理工作。

Objective To construct a bowel preparation assessment scale for patients undergoing enteroscopy based on Delphi method and provide clinical nurses with a scientific and convenient bowel preparation assessment tool.Method The bowel preparation assessment scale for patients undergoing enteroscopy was constructed through literature review,Delphi expert correspondence and analytic hierarchy process.Using the convenient sampling method,a total of 1988 patients who needed bowel cleansing due to enteroscopy in the Affiliated Hospital of Qingdao University from June 2020 to January 2022 were selected as the research objects.The patients who underwent enteroscopy from June 2020 to April 2021 were set up as the pre-application group(n=980)and patients who underwent enteroscopy from April 2021 to January 2022 were set up as the post-application group(n=1008).The qualified rate of bowel preparation in patients undergoing enteroscopy was compared between the two groups.Results A total of 16 experts were invited for 2 rounds of correspondence.The effective recovery rates of the two rounds of questionnaires were respectively 100.00%and 93.75%,the expert authority coefficients were respectively 0.837 and 0.800,and the Kendall's harmony coefficients were respectively 0.207 and 0.280(all P<0.01).The final constructed bowel preparation assessment scale for patients undergoing enteroscopy included 4 first-level indicators,18 second-level indicators and 47 third-level indicators.After the assessment scale was applied to the clinic,the bowel preparation qualified rate(82.24%)of patients in the post-application group was higher than that in the pre-application group(66.43%),and the difference was statistically significant(P<0.01).Conclusions The bowel preparation assessment scale for patients undergoing enteroscopy constructed based on the Delphi method is reliable,scientific and practical,which can effectively guide clinical nursing work.