改善患者的肠道准备质量和结肠镜准备程度
Maryjane D Johnson1,2,3,4,5, Elaine D Kauschinger1,2,3,4,5, Kathleen M Turner1,2,3,4,5
1About the authors: Maryjane D. Johnson, DNP, AGNP-C, was a Student at Duke University School of Nursing (DUSON), Durham, North Carolina.
概括
改善结肠镜准备是癌症查的关键. 以健康素养为导向的指令显著减少了患者的呼叫,并改善了肠道的清洁性,提高了结肠镜的有效性.
科学领域:
- 胃肠病学 胃肠病学
- 卫生识字 卫生识字
- 提高质量 提高质量
背景情况:
- 有效的结肠镜肠道准备对于结肠癌和腺瘤查至关重要.
- 低健康素养使遵守多步骤的肠道准备指令变得复杂.
- 患者的理解,遵守和肠道清洁对于成功的结肠镜检查至关重要.
研究的目的:
- 评估健康素养指导的结肠镜指令是否能改善患者的理解和肠道准备.
- 评估多媒体指令对患者遵守和肠道清洁的影响.
- 为了确定对护理工作流程,程序时间和程序取消的影响.
主要方法:
- 一个质量改善项目向1031名患者提供书面 (弗莱什-金凯德6.5级) 和视频指导.
- 指令的目标是提高医疗素养,为结肠镜检查做准备.
- 在12周内收集的数据包括电话,取消,准备质量和程序时间.
主要成果:
- 观察到,护士电话要求提供额外的肠道准备指令减少了83%.
- 不太理想的肠道制备减少了相对的20%.
- 同日取消程序的数量增幅极小 (0.2%),程序时间基本保持不变.
结论:
- 针对健康素养的多媒体指导是增强结肠镜检查准备的实用和经济高效方法.
- 这种方法减少了护理工作流程中断,并改善了肠道准备的质量.
- 通过可访问的说明,增加了患者对结肠镜准备的信心和坚持.
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