直腸置物:常識と挿入方法
K H Abd-el-Maeboud1, T el-Naggar, E M el-Hawi
1Ain Shams University Hospitals, Cairo, Egypt.
Lancet (London, England)
|September 28, 1991
まとめ
ほとんどの人は誤って直腸サポーチトリーを先頭に挿入します. 研究によると,サポーチトリーを先端から挿入すると,保持が改善され,排泄が減少し,より効果的な直腸サポーチトリー挿入方法になります.
科学分野:
- 薬理学 薬理学とは
- 胃腸内科 胃腸内科
- 患者教育についてです.
背景:
- 直腸サポジトリアは,一般的な薬剤投与システムです.
- 典型的なサポシトリーの形状は,尖った頂点と鈍いベースを特徴としています.
- 最適な suppository 挿入技術に関する情報は不足しています.
研究 の 目的:
- を直腸に挿入する一般的な慣行を調査する.
- アペックス・ファーストとベース・ファーストの入れ物挿入の有効性を比較する.
- 入れ物投与に関する根拠に基づいた勧告を提供すること.
主な方法:
- 360人の非専門家と260人の医療従事者に,挿入の好みに関するアンケートが提出されました.
- 比較研究では,挿入方向に基づいて,100人の被験者 (成人と子供) での suppository retentionと expulsionの割合を評価した.
- データ分析は,一般的な挿入慣行,好みの理由,および臨床結果に焦点を当てました.
主要な成果:
- 圧倒的な割合で,非専門の被験者と医療従事者の両方が,常識と事前の情報を理由に,アペックスファースト挿入を好みました.
- 仮設の保持は,ベースファーストの挿入で (98%の成功率) 明らかに簡単でした.
- ベースファーストの挿入は,デジタル操作が少なくなり (1%対83%) 退治率が低くなり (0%対3%).
結論:
- 現在,直腸サポシトリー挿入の一般的な慣行は,最適以下である.
- 証拠は,改善された有効性と患者の快適性のために,ベースファースト挿入を支持しています.
- 患者と医療教育は,エビデンスに基づいた薬投与方法を反映するように更新されるべきです.
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