【摘要】 目的:探讨应用信息化宣教手段指导个体化肠镜前肠道准备的效果。方法:选取608例在门诊行结肠镜检查的患者并随机分为观察组(302人)及对照组(304人),每组再各分为三组:便秘组(A1与A2组)、腹泻组(B1与B2)、排便正常组(C1与C2)。所有入组患者均口服复方聚乙二醇电解质散(PEG)。护士对观察组患者通过实时微信指导,根据排泄情况时实调整服用PEG的总剂量,直至达到最佳清肠效果。对照组给予口服1 L+2 L PEG,护士给予口头讲解并结合宣传彩页告知肠道准备方法。总结患者服用洗肠剂总量,采用Boston肠道准备评分(BBBP)量表判断肠道准备情况及患者服用洗肠剂的不良反应。结果:观察组中便秘组服用洗肠剂总量比对照组的便秘患者明显增加[(3.9±1.2) L vs 3 L,P<0.05)],观察组中便秘患者的肠道准备BBBP分显著高于对照组的便秘患者[(8.1±0.3) vs (6.5±0.2),P<0.05],观察组口服洗肠剂总不良反应率低于对照组(19.9%vs 38.2%,P<0.05),不同排便习惯各组患者服用洗肠剂不良反应率均低于对照组(P<0.05)。结论:通过微信与患者实时沟通指导,提高了患者肠道准备的清洁率,并降低了患者服用洗肠液引起的不良反应,建议便秘的患者服用1 L+3 L聚乙二醇的清肠方案。更多还原

【Abstract】 Objective: To explore the effect of using smartphone guidance education to guide the preparation of individual bowel preparation before colonoscopy. Methods: 608 outpatient before colonoscopy was randomly divided into two groups. The observation group(302 patients) and the control group(304 patients) were divided into three groups respectively: constipation group(A1 and A2 group), diarrhea group(B1 and B2) and normal defecation group(C1 and C2). All patients in the group received oral compound polyethylene glycol electrolyte(PEG) powder. The nurse gave instructions to the patients in the observation group through real-time WeChat, and the total dose of taking PEG was adjusted in real time according to the excretion situation, until the best bowel cleansing effect was achieved. The control group was given 1 L+2 L PEG orally, and the nurses gave oral explanations and informed the bowel preparation methods in combination with the promotional color pages. The total amount of bowel preparations taken by the patients was summarized, and the Boston Bowel Preparation Score(BBBP) scale was used to judge the bowel preparation and the adverse reactions of the patients taking bowel cleansing. Results: In the observation group, the total amount of intestinal lotion taken in the constipation group was significantly higher than that in the control group([3.9±1.2] L and 3 L, P<0.05). The bowel preparation BBBP score of constipation patients in the observation group was significantly higher than that of constipation patients in the control group([8.1±0.3] vs [6.5±0.2], P<0.05). The total adverse reaction rate of oral colon cleansing agent in the observation group was lower than that in the control group(19.9% vs 38.2%, P<0.05). The incidence of bad bowel cleansing in patients with different bowel habits was lower than that in the control group(P<0.05). Conclusion: Through the use of WeChat to communicate and guide with patients in real time, the cleaning rate of patients’ bowel preparation is improved, and the adverse reactions caused by patients taking colon cleansing liquid are reduced. It is recommended that patients with constipation take 1 L+3 L polyethylene glycol bowel cleansing program.更多还原