Construction of bowel preparation assessment scale for patients undergoing enteroscopy
10.3760/cma.j.cn115682-20220330-01520
- VernacularTitle:肠镜检查患者肠道准备评估单的构建
- Author:
Xianzhi ZHAO
1
;
Lili WEI
;
Menglu ZHAO
;
Wenjuan WANG
;
Weiwei BING
;
Mei KANG
;
Xue YANG
Author Information
1. 青岛大学附属医院消化内科，青岛 266003
- Keywords:
Colorectal neoplasms;
Enteroscopy;
Bowel preparation;
Delphi method;
Assessment scale
- From:
Chinese Journal of Modern Nursing
2022;28(27):3701-3707
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a bowel preparation assessment scale for patients undergoing enteroscopy based on Delphi method and provide clinical nurses with a scientific and convenient bowel preparation assessment tool.Method:The bowel preparation assessment scale for patients undergoing enteroscopy was constructed through literature review, Delphi expert correspondence and analytic hierarchy process. Using the convenient sampling method, a total of 1 988 patients who needed bowel cleansing due to enteroscopy in the Affiliated Hospital of Qingdao University from June 2020 to January 2022 were selected as the research objects. The patients who underwent enteroscopy from June 2020 to April 2021 were set up as the pre-application group ( n=980) and patients who underwent enteroscopy from April 2021 to January 2022 were set up as the post-application group ( n=1 008) . The qualified rate of bowel preparation in patients undergoing enteroscopy was compared between the two groups. Results:A total of 16 experts were invited for 2 rounds of correspondence. The effective recovery rates of the two rounds of questionnaires were respectively 100.00% and 93.75%, the expert authority coefficients were respectively 0.837 and 0.800, and the Kendall's harmony coefficients were respectively 0.207 and 0.280 (all P<0.01) . The final constructed bowel preparation assessment scale for patients undergoing enteroscopy included 4 first-level indicators, 18 second-level indicators and 47 third-level indicators. After the assessment scale was applied to the clinic, the bowel preparation qualified rate (82.24%) of patients in the post-application group was higher than that in the pre-application group (66.43%) , and the difference was statistically significant ( P<0.01) . Conclusions:The bowel preparation assessment scale for patients undergoing enteroscopy constructed based on the Delphi method is reliable, scientific and practical, which can effectively guide clinical nursing work.
