| 张思佳,宋燕.门诊行结肠镜者肠道准备不充分的现状及影响因素[J].上海护理,2022,22(12): |
| 门诊行结肠镜者肠道准备不充分的现状及影响因素 |
| Current situation and influencing factors of inadequate bowel preparation of outpatients undergoing colonoscopy |
| DOI： |
| 中文关键词: 门诊 结肠镜检查 肠道准备 影响因素 |
| 英文关键词:Outpatient Colonoscopy Cathartics Infl uencing factors |
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| 中文摘要: |
| 摘要 目的 探讨门诊行结肠镜检查者肠道准备情况的现状，并分析其影响因素。方法 采取方便抽样方法，选取2021年9月—12月在上海某院消化内镜中心接受结肠镜检查者186名作为研究对象。由研究者自行设计调查问卷进行调查，肠道准备情况的评估采用波士顿肠道准备量表，组间比较采用2检验进行单因素分析，Logistic回归进行多因素分析。结果 186名检查者的年龄（50.69±14.49）岁，通过波士顿肠道准备量表测评，总得分范围为3-9分，中位数为7，肠道准备不充分检查者有66例（31.28%）。Logistic回归分析显示：自服泻药后总大便次数6～10次、携带末次大便照片、糖尿病、腹部手术史是肠道准备质量的独立危险因素。有糖尿病患者存在肠道准备不充分的可能性是无糖尿病患者的5.101倍（OR=5.101，95%CI：1.294～20.106），有腹部手术史的患者发生肠道准备不充分的可能性是无腹部手术史的2.721倍（OR=2.721，95%CI：1.324～5.592），大便次数为6～10次是肠道准备不充分的保护因素（OR=0.102,95%CI：1.324～5.592）。携带末次大便照片患者存在肠道准备不充分情况的可能性是未携带末次大便照片患者的0.432倍（OR=0.432，95%CI：0.217～0.082）。结论 门诊行结肠镜检查者的肠道准备情况欠佳，需重点关注门诊行结肠镜检查者大便次数少于6次及多于10次、未携带末次大便照片、糖尿病史、腹部手术史，从而提高其肠道准备的质量。 |
| 英文摘要: |
| Objective To investigate the current situation of insufficient intestinal preparation in outpatients undergoing colonoscopy and analyze its influencing factors. Methods 186 patients undergoing colonoscopy from September 2021 to December 2021 in digestive endoscopy center of a hospital in Shanghai were selected by convenient sampling. According to the general information prepared in the literature and the questionnaire about related influencing factors, the Boston Bowel Preparation Scale was used for evaluation of the results, and t-test, 2 test were used for univariate analysis and Logistic regression was used for multivariate analysis. Results The age of 186 patients was (50.69 14.49) years old, including 107 males (57.5%) and 79 females (42.5%). According to the Boston Intestinal Preparation Scale, 66 patients (31.28%) had inadequate intestinal preparation. Logistic regression analysis showed that stool frequency, photos of the last stool taken, diabetes mellitus and abdominal operation history were independent risk factors for intestinal insufficiency.Patients with diabetes were 5.101 times more likely to have inadequate bowel preparation (OR=5.101, 95% CI: 1.294–20.106) and patients with a history of abdominal surgery were 2,721 times more likely to have inadequate bowel preparation (OR=2.721, 95% CI: 1.324–5.592) and 6–10 stools were a protective factor for inadequate bowel preparation (OR = 0.102, 95% CI: 1.324–5.592). Conclusion The bowel preparation of patients undergoing colonoscopy in outpatient department is poor. It is necessary to focus on patients undergoing colonoscopy who have less than 6 and more than 10 stool times, no last stool photo, history of diabetes and abdominal surgery, so as to improve the quality of bowel preparation. |
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