欢迎来到OAJRC平台！

核心 CSCIED

期刊栏目

投稿

审稿

期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据：

当前位置：国际护理学研究 > 2025年 7卷 (3)期

Open Access Article

International Journal of Nursing Research. 2025; 7: (3) ; 15-21 ; DOI: 10.12208/j.ijnr.20250119.

Evaluation of the effectiveness of improved laxative administration method in colonoscopy bowel preparation
改良后导泻剂服用方法在肠镜肠道准备中的效果评价

作者： 黄淑菡¹, 钟克波², 高培纯³, 汤灵莉¹, 陈燕玲¹, 肖楠楠¹, 王丽姿¹ *

1 南方医科大学珠江医院健康管理科广东广州

2 南方医科大学珠江医院肝胆外科广东广州

3 南方医科大学珠江医院临床研究中心广东广州

*通讯作者：王丽姿,单位：南方医科大学珠江医院健康管理科广东广州；

发布时间: 2025-03-04 总浏览量: 62

PDF 全文下载引用本文

摘要

目的从清洁度和舒适度两个维度分析采用改良后导泻剂服用方法在肠镜检查前肠道准备中的效果。方法以2023年10月—2024年5月200例接受结肠镜检查的健康体检人群作为研究对象，推行多元化宣教并收集受检者采用改良后导泻剂服用方法后的肠道准备情况。根据波士顿肠道准备评分量表（BBPS）对清洁度进行评价，及运用视觉模拟评分法（VAS）对舒适度进行评价。结果肠道准备的清洁度合格达到182例，占比94%，评估BBPS和VAS评分，Logistic单因素分析显示：“前一天饮食情况”是影响改良方法后肠道准备合格相关因素（P=0.033）；进一步多因素分析显示，影响肠道准备的舒适度主要有“服药后呕吐”（P=0.002）、“前一天饮食情况”（P=0.006）。同时“多元化宣教方法”综合推广达96%。结论减少导泻剂用量、缩短服药时长，联合多元化宣教可有效提高肠镜检查前肠道准备清洁度和舒适度。

关键词： 改良方法；肠镜检查；肠道准备；聚乙二醇电解质散；多元化宣教

Abstract

Objective Analyze the effect of using the improved laxative administration method in intestinal preparation before colonoscopy from the dimensions of cleanliness and comfort.
Methods Taking 200 healthy individuals who underwent colonoscopy from October 2023 to May 2024 as the research subjects, we will promote diversified education and collect information on their intestinal preparation after using the improved laxative medication method. Evaluate cleanliness using the Boston Bowel Preparation Scale (BBPS) and assess comfort using the Visual Analog Scale (VAS).
Results The cleanliness of intestinal preparation reached 182 cases, accounting for 94%. BBPS and VAS scores were evaluated, and logistic univariate analysis showed that "previous day's diet" was a related factor affecting the qualification of intestinal preparation after the improvement method (P=0.033); Further multivariate analysis showed that the main factors affecting the comfort level of intestinal preparation were "vomiting after medication" (P=0.002) and "previous day's diet" (P=0.006). At the same time, the comprehensive promotion of diversified educational methods has reached 96%.
Conclusion Reducing the dosage of laxatives, shortening the duration of medication, and combining diversified education can effectively improve the cleanliness and comfort of intestinal preparation before colonoscopy.

Key words： Colonoscopy examination; Intestinal preparation; Polyethylene glycol electrolyte powder; Diversified missionary work

参考文献 References

[1] Ho, S.B., R. Hovsepians and S. Gupta, Optimal Bowel Cleansing for Colonoscopy in the Elderly Patient. Drugs Aging, 2017. 34(3): p. 163-172.

[2] 王静,尚辉辉,吕娟,等. 复方聚乙二醇电解质散联合乳果糖口服液分次口服在便秘患者肠镜检查前肠道准备中应用效果.临床军医杂志,2022.50(1):51-53,56.

[3] 赵兵,吴至久,唐学贵,等. 改良后复方聚乙二醇电解质散肠道准备方法在便秘患者肠镜检查中的应用. 中国药房, 2021. 32(13): 1607-1610.

[4] 年媛媛,孟宪梅,江振宇,等. 利那洛肽在结肠镜肠道准备中的辅助应用价值—随机对照单盲临床研究[J]. 临床消化病杂志, 2024, 36(1): 47-52.

[5] 张文华,劳景茂,吴锡平,等. 糖尿病患者结肠镜检查肠道准备质量护理干预的研究进展[J]. 中国社区医师, 2024, 40(5): 5-7.

[6] Lai E J, Calderwood A H, Doros G, et al. The Boston bowel preparation scale: a valid and reliable instrument for colonoscopy-oriented research[J]. Gastrointest Endosc, 2009,69(3 Pt 2): 620-625.

[7] Gkolfakis P,Tziatzios G,Papanikolaou IS,et al.Strategies to improve inpatients quality of bowel preparation for colonoscopy:A systematic reriew and meta-analysis[J]. Gastroenterol Res Pract,2019(107):1-15.

[8] 谈碧波,何娜. 不同溶媒口服复方聚乙二醇电解质散对患者结肠镜检查前肠道准备效果的比较研究. 山西医药杂志, 2021. 50(2): 235-237.

[9] 中华医学会肿瘤学分会早诊早治学组. 中国结直肠癌早诊早治专家共识（2023版）[J]. 中华医学杂志,2023,103 (48): 3896-3908.

[10] 白爱莲,侯丽英,张惠玲,等. 慢性便秘患者结肠镜检查前肠道准备不合格的影响因素及护理对策分析. 中华现代护理杂志, 2022. 28(1): 86-90.

[11] Rex DK, Imperiale TF, Latinovich DR, Bratcher LL. Impact of bowel preparation on efficiency and cost of colonoscopy. Am J Gastroenterol 2002; 97:1696.

[12] Chokshi RV, Hovis CE, Hollander T, et al. Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy. Gastrointest Endosc 2012; 75:1197.

[13] Kilgore, T.W., et al., Bowel preparation with split-dose polyethylene glycol before colonoscopy: a meta-analysis of randomized controlled trials. Gastrointest Endosc, 2011. 73(6): p. 1240-5.

[14] Gurudu, S.R., et al., Increased adenoma detection rate with system-wide implementation of a split-dose preparation for colonoscopy. Gastrointest Endosc, 2012. 76(3): p. 603-8.e1.

[15] Shahini E, Sinagra E, Vitello A, Ranaldo R, Contaldo A, Facciorusso A, Maida M. Factors affecting the quality of bowel preparation for colonoscopy in hard-to-prepare patients: Evidence from the literature. World J Gastroenterol. 2023 Mar 21;29(11):1685-1707.

[16] 中国医药信息查询平台. 聚乙二醇电解质口服溶液. https://www.dayi.org.cn/drug/1145289.

[17] 戴华梅,朱晓佳,冷芳,等. 乳果糖口服液联合复方聚乙二醇电解质散在行结肠镜检查患者肠道准备中的应用. 医疗装备, 2022. 35(03): 98-100.

[18] 扈萍. 行结肠镜检查前患者单次和分次服用复方聚乙二醇电解质散溶液的效果观察. 山西医药杂志, 2022. 51(04): 406-408.

[19] 莫小雨,黄丽云,李冬梅,等. 个性化肠道准备方案联合细节护理在结肠镜检查前肠道准备中的应用[J]. 齐鲁护理杂志,2019,25(14):112-114.

[20] 王秀华,刘荣耀,陈学芝,等. 维生素饮料溶解复方聚乙二醇电解质散对结肠镜检查患者服药依从性及不良反应的影响[J]. 齐鲁护理杂志,2022,28(7):155-157.

[21] 皮军芳,卢玲玲,郭凡. 结肠镜检查病人肠道准备时咀嚼口香糖的最佳证据总结[J]. 循证护理,2023,9(1):44-49.

[22] 杨英姿,吕琼,王非,等. 健康体检人群结肠镜检查前肠道准备质量的影响因素分析[J]. 护理实践与研究,2022,19 (14): 2074-2078.

引用本文

黄淑菡, 钟克波, 高培纯, 汤灵莉, 陈燕玲, 肖楠楠, 王丽姿, 改良后导泻剂服用方法在肠镜肠道准备中的效果评价[J]. 国际护理学研究, 2025; 7: (3) : 15-21.

入驻平台

回到首页

搜索文章: