糖尿病患者结直肠镜检查肠道准备不充分的现况、影响因素及策略

Inadequate bowel preparation for colorectal endoscopy in diabetic patients:current status and influencing factors

目的探讨糖尿病患者结直肠镜检查肠道准备不充分的现况、影响因素分析并制订相关策略。方法采用便利抽样法,纳入2021年1月至2022年12月于本院拟行结直肠镜检查的325例糖尿病患者为研究对象,采用患者一般资料、疾病资料及波士顿肠道准备评分调查并分析糖尿病患者结直肠镜检查肠道准备不充分的影响因素。结果325例糖尿病患者中肠道准备不充分率为25.85%(84/325)。男性(OR=2.157)、年龄(OR=1.212)、文化程度初中及以下(OR=2.811)、便秘(OR=2.649)、门诊患者(OR=2.213)、日常生活活动能力评分低(OR=0.858)、行走功能状态评分低(OR=0.701)是肠道准备不充分的危险因素(均P<0.05)。结论糖尿病患者结直肠镜检查肠道准备不充分率较高,医护工作者应根据男性、年龄、文化程度初中及以下、便秘、门诊患者、日常生活活动能力评分低、行走功能状态评分低等影响因素采取相应的措施,减少肠道准备不充分率。

Objective To investigate current situations,influencing factors and related strategies in insufficient bowel preparation for colorectal endoscopy in diabetic patients.Methods A total of 325 diabetic patients who were going to undergo colorectal endoscopy in our hospital were included as the research subjects from January 2021 to December 2022.The demographic,sociological and clinical data of the patients were collected to review and analyse the current situation of inadequate bowel preparation for colorectal endoscopy by convenience sampling method.The influencing factors of inadequate bowel preparation were analysed so as to provide references for formulating relevant interventional strategies for bowel preparation.Results The rate of inadequate bowel preparation in the 325 diabetic patients was found at 25.85%(84/325).The risk factors of insufficient bowel preparation included male(OR=2.157),age(OR=1.212),poor education(OR=2.811),constipation(OR=2.469),outpatients(OR=2.213),low score in activity of daily living(ADL,OR=0.858)and lower score in walking function(OR=0.701)(P<0.05 for all the factor).Conclusions The insufficient bowel preparation in patients with diabetes is at a higher level.The influencing factors of the insufficient bowel preparation include male,age,poor education,constipation,outpatients,lower score in activity of daily living and lower score in walking function.Medical staff should take measures corresponding to the influencing factors in order to reduce the influence upon an insufficient bowel preparation and ensure a smooth colonoscopy.