影响住院肠道准备的因素:一个范围审查
Marianne Marchildon1, Jennifer Jackson1, Janet Rankin2
1Faculty of Nursing, University of Calgary, Calgary, Canada.
Journal of gastroenterology and hepatology
|August 21, 2024
概括
在住院结肠镜检查期间,肠道准备不足是很常见的. 诸如年龄和便秘等因素是不可改变的,而药物和指令的遵守是可改变的,影响手术的成功.
科学领域:
- 胃肠病学 胃肠病学
- 护理研究 护理研究
- 医疗保健管理的管理
背景情况:
- 与门诊患者相比,住院患者的肠道准备不足为结肠镜检查的比例更高.
- 准备不足导致手术取消,患者压力,延长住院时间,增加医疗费用.
研究的目的:
- 进行对住院患者肠道准备结肠镜检查的研究进行范围审查.
- 确定可修改和不可修改的因素,影响住院患者肠道准备的充分性.
- 确定护理干预措施的领域,以提高肠道准备率.
主要方法:
- 在MEDLINE,CINAHL,Scopus和Embase搜索了2000-2022年的研究.
- 包括以英语出版的研究.
- 选了37篇全文文章,其中22篇符合纳入标准.
主要成果:
- 准备不足的不可修改因素包括晚年,运动能力下降,便秘,长时间住院和并发症.
- 可修改的因素包括麻醉剂的使用,不遵守准备说明和延迟的程序时间.
结论:
- 多方面的教育和专业间干预措施可以改善肠道准备.
- 护理干预措施,如提示表,流程表和肠道运动得分是有益的.
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