Volume 21 Issue 2
Feb.  2023
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CHEN Ling-ling, DUAN Xiao-xia, SHI Cai-hong, ZHENG Hai-lun. Application of micro-video combined with key point guidance in colonoscopy bowel preparation in elderly patients[J]. Chinese Journal of General Practice, 2023, 21(2): 341-344. doi: 10.16766/j.cnki.issn.1674-4152.002878
Citation: CHEN Ling-ling, DUAN Xiao-xia, SHI Cai-hong, ZHENG Hai-lun. Application of micro-video combined with key point guidance in colonoscopy bowel preparation in elderly patients[J]. Chinese Journal of General Practice, 2023, 21(2): 341-344. doi: 10.16766/j.cnki.issn.1674-4152.002878

Application of micro-video combined with key point guidance in colonoscopy bowel preparation in elderly patients

doi: 10.16766/j.cnki.issn.1674-4152.002878
Funds:

 1808085MH240

 2020byzd245sk

  • Received Date: 2022-02-25
    Available Online: 2023-04-20
  •   Objective  To explore the application effect of micro-video combined with key point guidance on bowel preparation in elderly patients.  Methods  Thirty elderly patients who underwent colonoscopy from August to December 2018 in the Second Affiliated Hospital of Bengbu Medical College were selected as the control group, and 30 elderly patients who underwent colonoscopy from March to December 2019 were selected as the intervention group. Routine bowel preparation health guidance and micro-video combined with key point guidance were used, respectively. The Ottawa bowel preparation scale (OBPS) and bowel preparation compliance scale were used for investigation, and the occurrence of adverse reactions during bowel preparation and the time of entering the lens during the examination were recorded. T-test was used to analyse the differences in the OBPS score and the time of entering the lens between the two groups. Chi-square test was used to analyse the differences in the bowel preparation qualification rate, the incidence of adverse reactions and the bowel preparation compliance between the two groups.  Results  In the intervention group, the OBPS score was (4.03±2.09) points, and the time of entering the lens was (7.20±1.48) min, which were lower than the OBPS score (6.53±2.56) points and the time of entering the lens (8.33±1.75) min in the control group (all P < 0.05). The incidence of adverse reactions in the intervention group was 13.3% (4/30), which was lower than that in the control group [46.7% (14/30), P < 0.05]. In the intervention group, the qualified rate of bowel preparation [73.3% (22/30)], dietary compliance [83.3% (25/30)], medication compliance [80.0% (24/30)] and exercise compliance [76.7% (23/30)] were higher than those in the control group [36.7% (11/30), 26.7% (8/30), 36.7% (11/30) and 30.0% (9/30), respectively], and the differences were statistically significant (all P < 0.05).  Conclusion  Micro-video combined with key point guidance can improve the quality of bowel preparation, which is worthy of clinical promotion and implementation.

     

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