Analysis of bowel cleansing situation and influencing factors in patients before colonoscopy
10.3760/cma.j.issn.1672-7088.2019.29.004
- VernacularTitle: 结肠镜检查患者肠道清洁效果的现况调查和影响因素分析
- Author:
Shaolian XU
1
;
Tang TANG
1
;
Jing CHEN
2
;
Yousheng YU
3
;
Zhenxiang ZHU
4
;
Benxin CHEN
3
Author Information
1. Department of Nursing, The Second People′s Hospital of Lu′an City, Anhui Province (The Affiliated Hospital of Western Anhui Health Vocational College), Lu′an 237008, China
2. Endoscopy Center, The Second People′s Hospital of Lu′an City, Anhui Province (The Affiliated Hospital of Western Anhui Health Vocational College), Lu′an 237008, China
3. General Surgery, The Second People′s Hospital of Lu′an City, Anhui Province (The Affiliated Hospital of Western Anhui Health Vocational College), Lu′an 237008, China
4. Department of Gastroenterology, The Second People′s Hospital of Lu′an City, Anhui Province (The Affiliated Hospital of Western Anhui Health Vocational College), Lu′an 237008, China
- Publication Type:Journal Article
- Keywords:
Outpatients;
Inpatients;
Colonoscopy;
Bowel preparation;
Bowel cleaning;
Influencing factors
- From:
Chinese Journal of Practical Nursing
2019;35(29):2256-2262
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the situation and influencing factors of bowel cleansing in patients before colonoscopy, and to provide reference for guiding patients′ bowel preparation.
Methods:The clinical data of 421 patients undergoing electronic colonoscopy in the endoscopy center of the second people′s hospital of Lu′an city in Anhui Province from April to September 2018, Prospective collection by systematic sampling, including general data of patients, clinical data of bowel preparation and score of Boston bowel preparation scale. Univariate analysis and logistic regression analysis were performed on the relevant factors of bowel preparation.
Results:Among the 421 patients, 52 cases were not eligible for intestinal cleaning, and the unqualified rate was 12.35%(52/421). Logistic regression analysis showed that: Total amount of drinking water prepared for intestinal tract before colonoscopy (OR=1.674, P=0.018),The total times of defecations after taking the drug (OR=1.270, P=0.014), the characteristics of last stool before colonoscopy (OR=2.211, P=0.042), the diet the day before colonoscopy (OR=0.553, P=0.006) , body mass index (OR=1.111, P=0.042), and intestinal diseases (P=0.022), were all intestinal clearance independent influencing factors of cleaning effect; While took laxative type (mannitol/PEG), drunk water speed (within 3 hours), first defecation time, the site of drinking bowel-clearing drugs, daily activity, none of the above factors affected the bowel preparation effect (P>0.05) .
Conclusion:Before colonoscopy, there were many factors affecting the cleaning effect of the intestine. The total water intake of intestinal preparation was less than 2 000 ml, the total number of defecation after taking medicine was less than 5 times, the last defecation contained residue, the day before the examination was strictly fasting, the body mass index was less than 18.5 kg/m2, and colitis, enterelcosis and occupying lesion are independent risk factors for intestinal cleaning. Attention should be paid to the comfort care and guidance of intestinal preparation, and prospective intervention can effectively improve the cleaning effect of intestinal tract.
