在接受结肠镜检查的患者中遵守肠道准备及其影响因素:横截面研究
Huan Jiang1,2, Chuanhui Li1, Bing Hu1,2
1Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, 37 Guo Xue Alley, Wuhou District, Chengdu, 610041, China, 86 02885422522.
改善结肠镜检查准备包括根据患者的年龄和教育程度量身定制指令,并考虑药的口味偏好. 充足的知识和舒适性也可以促进合规性,以获得更好的结果.
科学领域:
- 胃肠病学 胃肠病学
- 临床研究 临床研究
- 患者合规性研究 患者合规性研究
背景情况:
- 肠道准备的质量对于结肠镜的有效性至关重要.
- 患者遵守肠道准备说明是影响质量的关键因素.
- 影响合规性和整体利率的因素需要进一步调查.
研究的目的:
- 为了确定接受结肠镜检查的患者对肠道准备指令的遵守率.
- 为了确定影响肠道准备的因素.
主要方法:
- 对740名参与者进行了基于问卷的横截面研究.
- 一个8项自我报告尺度 (0-24) 评估了肠道准备的合规性.
- 多变量逻辑回归分析了诸如年龄,教育,知识,口味满意度和不适等影响因素.
主要成果:
- 只有42.0%的患者实现了充分的肠道准备遵守.
- 充分遵守的关键因素包括年龄较大,高等教育,良好的知识,口味满意度和缺乏身体不适.
- 一些因素,包括高血压史,知识,药类型,口味满意度,焦虑和不适,在单变量分析中显示出统计学意义.
结论:
- 根据患者的年龄和教育程度来个性化指令可以提高合规性.
- 提供与患者口味偏好一致的药是一种实用的策略.
- 提高合规性对于优化结肠镜检查结果至关重要.
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