■肠道准备质量和患者依从性是评估结肠镜检查质量的最重要指标之一。探讨影响结肠镜检查患者肠道准备质量的独立因素及其对患者依从性的影响。
■共收集329份患者记录,分为肠道准备充足组(272例)和肠道准备不足组(57例),或顺从组(260例)和不顺从组(69例),基于肠道准备质量或依从性。使用波士顿肠道准备量表评价肠道准备的质量。使用Kolcaba一般舒适问卷(GCQ)评估受试者在肠道准备期间的舒适水平。根据自行制定的依从性问卷评估受试者的依从性。进行预测分析以确定与肠道准备质量和依从性相关的因素。
■年龄,肠道准备持续时间,肠不足的病史,肠道准备充足和不充足组之间的通便剂量和通便剂量差异有统计学意义(P<0.05)。年龄,肠道准备持续时间,通便用量是肠道准备质量的独立影响因素。相关分析显示,GCQ评分与年龄呈显著负相关,肠道准备持续时间,泻药剂量,排便频率,结肠镜检查时间(r<0,P<0.05),与睡眠时间呈正相关(r>0,P<0.05)。此外,年龄,性别,肠道准备持续时间,顺服组和非顺服组之间存在统计学差异(P<0.05)。Logistic回归分析显示,年龄,肠道准备持续时间,通便剂量是肠道准备依从性的独立影响因素。年龄和肠道准备时间是肠道准备充分性和依从性的独立影响因素。
■年龄,肠道准备持续时间,和泻药剂量是在第一附属医院接受结肠镜检查的患者肠道准备充分性和依从性的独立影响因素,医学院,浙江大学。建议将一天的低残留饮食与2000mL泻药剂量结合用作一般结肠镜检查人群的肠道准备方案。
UNASSIGNED: Quality of bowel preparation and patient compliance are among the most important indicators to assess the quality of colonoscopy. To investigate the independent factors associated with the quality of bowel preparation in subjects undergoing colonoscopy and its impact on compliance.
UNASSIGNED: A total of 329 patient records were collected and were divided into an adequate bowel preparation group (272 cases) and an inadequate bowel preparation group (57 cases), or a compliant group (260 cases) and a non-compliant group (69 cases), based on bowel preparation quality or compliance. The quality of bowel preparation is evaluated using the Boston Bowel Preparation Scale. The comfort level of subjects during bowel preparation is assessed using the Kolcaba General Comfort Questionnaire (GCQ). Subjects\' compliance was assessed according to a self-developed compliance questionnaire. Prediction analyses were conducted to identify factors associated with the quality of bowel preparation and compliance.
UNASSIGNED: Age, bowel preparation duration, history of bowel inadequacy, and
laxative dosage showed statistical differences between the adequate and inadequate bowel preparation groups (p < 0.05). Age, bowel preparation duration, and laxative dosage were independent influencing factors of bowel preparation quality. Correlation analysis showed that GCQ scores were significantly negatively correlated with age, bowel preparation duration, laxative dose, defecation frequency, and colonoscopy duration (r < 0, p < 0.05), and positively correlated with sleep duration (r > 0, p < 0.05). In addition, age, gender, bowel preparation duration, and
laxative dosage showed statistical differences between the compliant and non-compliant groups (p < 0.05). Logistic regression analysis revealed that age, bowel preparation duration, and
laxative dosage were independent influencing factors of bowel preparation compliance. Age and bowel preparation duration were independent influencing factors for bowel preparation adequacy and compliance.
UNASSIGNED: Age, bowel preparation duration, and
laxative dosage are independent influencing factors for bowel preparation adequacy and compliance among patients undergoing colonoscopy at the First Affiliated Hospital, School of Medicine, Zhejiang University. It is recommended that a one-day low-residue diet combined with a 2000 mL
laxative dosage be used as the bowel preparation protocol for the general colonoscopy population.