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国际护理学研究

International Journal of Nursing Research

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International Journal of Nursing Research. 2025; 7: (3) ; 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；

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.
Published: 2025/3/4 12:00:38

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

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