首页|书面指导联合电话教育和单一书面指导的肠道准备对比研究

书面指导联合电话教育和单一书面指导的肠道准备对比研究

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目的 探讨肠道准备过程中不同指导方式对患者肠道准备质量的影响,为临床科学规范开展肠道准备工作提供参考依据.方法 本研究是一项前瞻性、单盲、随机、对照、单中心临床研究.所有患者在结肠镜预约时均接受肠道准备书面指导,其中书面指导+电话教育组患者在结肠镜检查前48 h通过电话接受强化教育和指导.行结肠镜检查时,根据BBPS评分判断肠道准备质量.结果 最终纳入681例行结肠镜检查的患者,书面指导+电话教育组与书面指导组BBPS评分差异有统计学意义(P=0.004).两组间右半结肠、横结肠、左半结肠评分相比,差异有统计学意义(P<0.05).多因素分析发现,年龄≥60岁、糖尿病、便秘、饮食限制不合格、未服用规定剂量泻药、未辅助运动是肠道准备不合格的独立危险因素;书面指导联合电话教育是一种保护因素.结论 书面指导联合电话教育较单一书面指导能够提升肠道准备质量.
A comparative study of bowel preparation with written guidance combined tele-phone education and single written guidance
Objective To explore the effect of different guidance methods on the quality of patients'bowel prepara-tion in the process of bowel preparation,and to provide reference for clinical scientific and standardized bowel prepara-tion.Methods This study was a prospective,single blind,randomized,controlled,single center clinical study.All patients received written guidance on bowel preparation at the colonoscopy appointment.Patients in the written guidance combined with telephone education group received intensive education by telephone 48 hours before colonoscopy.The bowel preparation status was judged according to the BBPS.Results A total of 681 patients undergoing colonoscopy were finally included in this study.The BBPS score of the written guidance combined with telephone education group with statistical difference(P=0.004).The scores of right colon,transverse colon,left colon was statistical difference(P<0.05).Multivariate analysis showed that,age ≥60 years old,diabetes mellitus,constipation,unqualified dietary restriction,not taking the prescribed dose of laxatives,the unaided exercise were independent risk factors for unqualified bowel preparation,and written guidance combined with telephone education was a protective factor.Conclusion Com-pared with single written guidance,written guidance combined with telephone education can improve the quality of intes-tinal preparation.

Written guidanceTelephone educationBowel preparationBBPS

周军伟、徐志东、杨冬媛、赵睿、顾林、王启之、燕善军、郑海伦

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蚌埠医科大学第一附属医院消化内科,安徽蚌埠 233000

书面指导 电话教育 肠道准备 波士顿肠道准备评估量表

安徽省高等学校科学研究项目

2022AH040216

2024

胃肠病学和肝病学杂志
郑州大学

胃肠病学和肝病学杂志

CSTPCD
影响因子:1.029
ISSN:1006-5709
年,卷(期):2024.33(9)