Construction of key-point guidelines of bowel preparation for elderly patients undergoing colonoscopy
10.3969/j.issn.1671-8283.2018.01.002
- VernacularTitle:老年结肠镜检查患者肠道准备关键点指导方案的构建研究
- Author:
Yuanyuan ZHANG
1
;
Mei'e NIU
;
Qianya WANG
;
Zhenyun WU
;
Jie GU
Author Information
1. 苏州大学附属第一医院消化内科
- Keywords:
elderly;
colonoscopy;
bowel preparation;
key-point control principle
- From:
Modern Clinical Nursing
2018;17(1):10-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct the key-point guidelines of bowel preparation for elderly patients with colonoscopy. Methods The guidelines were made based on literature review,theoretical analysis,qualitative interview.Then they were determined by 14 clinical nurse specialists, nursing education experts and medical experts from 6 provinces or cities through two rounds of expert consultations. Results The response rate of two rounds'questionnaire was 100.00%. The authority of experts coefficient in the two rounds were 0.89. The coefficients of variation of the first and second rounds were respectively 0.07~0.27 and 0.05~0.13. The coordination coefficients for the 2 rounds were 0.377 and 0.404 respectively (Χ2=105.473 and 124.307,P<0.001).In the first round,the average of the importance rating was 3.50~4.95, with a standard deviation of 0.35~0.95.In the second round,the average of the importance rating was 4.71~4.93,with a standard deviation of 0.27~0.61.The key-point guidelines of bowel preparation included 3 key points for bowel preparation, 4 key moments,7 key guidance contents, 4 criteria for the process of bowel preparation and the corresponding remedial measures. Conclusion This study established the key-point guidelines of bowel preparation for elderly patientsand the degree of enthusiasm,authority,coordination and concentration of the experts was high so as to provide a reference for the clinical implementation of standardized bowel preparation guidance.
