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护理学报 ›› 2021, Vol. 28 ›› Issue (9): 22-28.doi: 10.16460/j.issn1008-9969.2021.09.022

• 循证护理 • 上一篇    下一篇

成年患者结直肠镜检查肠道准备不充分的预防及管理证据总结

李萍1a, 靳小雯1a, 李燕玲1a, 徐玉兰1b, 喻姣花1b, 李卓颖1c, 李应2, 邓睿1d   

  1. 1.华中科技大学同济医学院附属协和医院 a.消化内科; b.护理部; c.西区骨科; d.内镜中心,湖北 武汉430056;
    2.武汉市中心医院 护理部,湖北 武汉430022
  • 收稿日期:2021-01-04 出版日期:2021-05-10 发布日期:2021-06-09
  • 通讯作者: 李燕玲(1976-),女,湖北武汉人,本科学历,副主任护师,护士长。
  • 作者简介:李萍(1988-),女,湖北武汉人,硕士,主管护师。
  • 基金资助:
    湖北省自然科学基金(2016CKB706)

Evidence Summary for Prevention and Management of Poor Bowel Preparation of Adult Patients with Colorectoscopy

LI Ping1a, JIN Xiao-wen1a, LI Yan-ling1a, XU Yu-lan1b, YU Jiao-hua1b, LI Zhuo-ying1c, LI Ying2, DENG Rui1d   

  1. 1a. Dept. of Gastroenterology; 1b. Dept. of Nursing Administration; 1c. Dept. of Orthopedics, West District; 1d. Dept. of Endoscopy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430056, China;
    2. Dept. of Nursing Administration, the Central Hospital of Wuhan, Wuhan 430022, China
  • Received:2021-01-04 Online:2021-05-10 Published:2021-06-09

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摘要： 目的 检索并获取行结直肠镜检查的成年患者肠道准备不充分的预防及管理的相关证据,为临床护理工作提供参考依据。方法 运用循证护理方法,针对行结直肠镜检查的成年患者肠道准备不充分的预防及管理提出问题,按照证据资源的“6S”金字塔模型检索文献,采用英国2012版的《临床指南研究与评价系统》、JBI循证卫生保健中心的文献评价标准和证据分级系统（2014版）以及Johns Hopkins医院的循证实践项目管理工具对各类文献进行质量评价和分级评定。结果 结合相关专业人员评定,汇总出22 条肠道准备不充分的预防及管理的证据,包括肠道准备不充分的评估;相关因素;方案的选择;不良事件的处理;饮食护理及健康教育6个方面。结论 本研究总结了结直肠镜检查的成年患者肠道准备质量不充分的预防及管理的最佳证据,为肠道检查患者实施机械肠道准备提供了循证依据,以科学的方法来管理肠道准备不充分的问题,提升护理质量。

关键词: 结直肠镜, 肠道准备, 肠道准备不充分, 护理质量, 循证护理学

Abstract: Objective To retrieve and obtain relevant evidence for the prevention and management of poor bowel preparation in adult patients with colonoscopy, and to provide reference for clinical nursing. Methods Evidence-based nursing methods were used to address the problems on the prevention and management of poor bowel preparation in adult patients with colonoscopy. The literature was retrieved according to the "6S" pyramid model of evidence resource, and the British 2012 version of "Clinical Guidelines Research and Evaluation System", literature evaluation standards and evidence grading system in JBI Evidence-Based Health Care Center (2014 version), and evidence-based practice project management tool in Johns Hopkins Hospital were used for quality evaluation and grading evaluation of the included studies. Results Combined with the assessment of professionals, 22 pieces of evidence for the prevention and management of poor bowel preparation were collected, including six aspectsinadequate intestinal preparation assessment; related factors; choice of program; treatment of adverse events; dietary care and health education. Conclusion This study summarizes the best evidence for the prevention and management of poor bowel preparation in adult patients with colonoscopy, and provides evidence-based basis for mechanical intestinal preparation for patients with colonoscopy, which is beneficial to improving the quality of nursing.

Key words: colonoscopy, bowel preparation, poor bowel preparation, the quality of nursing, evidence-based nursing

中图分类号: 

  • R473.6
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