Construction and application of a bowel preparation drinking water program for colonoscopy based on the characteristics of gastric emptying in the elderly
10.3761/j.issn.0254-1769.2025.20.006
- VernacularTitle:基于老年人胃排空特点的结肠镜检查肠道准备饮水方案的构建及应用研究
- Author:
Lijuan ZHANG
1
;
Ying LIU
;
Bei WANG
;
Haiyan SHI
;
Ting LI
;
Yanlan MA
Author Information
1. 100853 北京市 解放军总医院第二医学中心血液科
- Publication Type:Journal Article
- Keywords:
Aged;
Colonoscopy;
Bowel Preparation;
Drink Water;
Ultrasonography;
Gastric Emptying;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(20):2472-2478
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the characteristics of gastric emptying in the whole process of drinking water for colonoscopy in the elderly,and to develop an elderly-friendly drinking water program,thereby improving the comfort and the quality of bowel preparation.Methods From April to September 2024,gastric ultrasound was used to monitor gastric emptying indicators in the whole process of drinking water for colonoscopy in the elderly,summa-rizing its physiological features.On this basis,in October 2024,through literature review and expert argumentation,a bowel preparation drinking water program that meets the characteristics of gastric emptying in the elderly was de-veloped.A convenience sample of 90 elderly patients scheduled for colonoscopy at 2 tertiary hospitals in Beijing was enrolled from November 2024 to January 2025.A non-concurrent controlled trial was conducted:an experimen-tal group from December 2024 to January 2025 received the new elderly-friendly drinking water program,while a control group in November 2024 followed the conventional program.Outcomes included drinking comfort assessed via Visual Analogue Scale(VAS),adverse events,total fluid intake volume and bowel preparation quality via Boston Bowel Preparation Scale(BBPS).Results The experimental group demonstrated superior VAS score(P＜0.05),bowel preparation quality(P＜0.05),total fluid intake(P＜0.05),and higher compliance with optimal stool consistency(P＜0.05),compared to the control group.The experimental group also exhibited a lower incidence of adverse events(P＜0.05).No significant difference was observed in total bowel preparation duration between 2 groups(P＞0.05).Conclusion The bowel preparation drinking water program based on the characteristics of gastric emptying in the elderly improved solution intake tolerance and bowel preparation quality,with practical implications for clinical implementation.
