コロノスコーピーの腸の準備中にインフォグラフィックポスターを用いた簡単な介入前後の水消費量:前向きな観察研究
Atsushi Imagawa1, Hideki Kobara2, Shintaro Fujihara2
1Department of Gastroenterology, Imagawa Medical Clinic, Mitoyo, Japan.
Endoscopy
|August 21, 2025
まとめ
腸内視鏡検査の準備中に小規模なトイレの洗浄を奨励することで,患者一人当たり約3. 5リットルの水の消費量が大幅に減少しました. 腸の清掃の質に影響を及ぼさず より環境に優しい内視鏡検査を促します
科学分野:
- 胃腸内科
- 医療における環境の持続可能性
- 公衆衛生の介入
背景:
- 大腸内視鏡検査には 大量の水分を消費する 腸の準備が必要です
- 日本のトイレは,通常,ダブルフロッシュオプション (大/小) を備えています.
- 排泄中の水分消費は 内視鏡検査で十分に研究されていない側面です
研究 の 目的:
- 排便の準備中に小便を洗い流すことで,全体的な水消費量を減らすことができるかどうかを評価する.
- コロノスコーピーの準備中の水の使用に対するインフォグラフィック介入の影響を評価する.
- 水を節約する措置が腸の浄化効果や患者の体液摂取に 影響するかどうかを判断する.
主な方法:
- コロノスコーピーを受ける患者220人を対象とした単一センターの予見観察研究です.
- 2つのグループを比較した. 標準的な指示を受けた対照群 (非意図的な水 [NW]) と,小さなフラッシュを促進するインフォグラフィックに曝された介入群 (GREEN-Water [GW]).
- 水の使用量,液体摂取量,腸の浄化品質に関するデータは10ヶ月間にわたって収集されました.
主要な成果:
- GREEN-Water (GW) グループは,意図しない水 (NW) グループ (35. 0 L) と比較して,平均総水消費量 (31.5 L) を著しく低下させた (p < 0. 005).
- これは大腸内視鏡検査で約3. 5リットルの水分を削減する.
- 2つのグループでは,患者の液体摂取量や排泄の質に統計的に有意な差は認められなかった.
結論:
- 適切な洗浄の選択を促すポスターを用いた教育的な介入は,排便の準備中に水の消費を減らすためのシンプルで効果的な方法です.
- この戦略は環境への影響を最小限に抑えることで"緑の内視鏡"イニシアチブに貢献します.
- この研究結果から 保健医療における 配慮した水の使用を促進することは 実現可能で有益であると示唆されています
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