患者遵守选择性结直肠手术的肠道准备
Debora Kim1, Johnny Wang1, Abhinav Gupta2
1USC Keck School of Medicine, Los Angeles, California.
The Journal of surgical research
|August 30, 2024
概括
近90%的患者完成了机械肠道制备 (MBP) 和口服抗生素 (OA) 的结直肠手术. 在学术医院,OA的遵守率较低,而安全网医院改善了MBP的遵守.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术准备 手术准备
- 患者合规性 患者合规性
背景情况:
- 机械肠道制备 (MBP) 加上口服抗生素 (OA) 可减少选择性结直肠手术中的术后并发症.
- 关于患者遵守肠道准备 (BP) 协议的数据有限.
研究的目的:
- 评估患者在选择性结直肠外科手术中遵守MBP和OA.
- 为了比较第三级护理学术医院 (TCAH) 和安全网医院 (SNH) 之间的BP合规性.
主要方法:
- 在2020年4月至2022年3月期间,对接受选择性结直肠手术的患者进行了BP合规调查.
- 统计分析 (t-测试,费舍尔精确测试) 基于医院环境和BP完整性的患者遵守情况进行了比较.
主要成果:
- 总体而言,105名患者中有88.6%完成了MBP,其中86.7%接受了所有OA.
- 安全网医院 (SNH) 患者对OA的遵守率更高 (96%vs78.2%),并且更有可能完成BP (P=0.024).
- 45.7%的患者报告了高血压的不良症状.
结论:
- 总体上高度的合规性 (约. 90%) 与MBP和OA一起观察到.
- 在TCAH的OA遵守率较低表明机构因素影响了遵守.
- SNH设置与更好的BP完成有关,表明患者和机构因素影响遵守.
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