Disease of Lower Digestive Tract, Nurse-Patient Relations
Conditions
Keywords
colonoscopy; body position identification; bed sheet
Brief summary
Before colonoscopy, the nursing staff need to educate the patient with posture coordination.However, it is difficult for some patients to understand the placement of the correct body position, which takes too much time to conduct repeated education, which wastes medical resources, reduces work efficiency, and even causes conflicts between doctors and patients.In this study, the colonoscopy position identification sheet with indicator function was designed to assist the position placement of patients. Preliminary experiments of small samples have achieved good clinical results. Now, multicenter, randomized controlled research is carried out to further verify the clinical application effect.
Detailed description
This study was a prospective, multicenter, randomized controlled study involving patients who first underwent colonoscopy in 11 centers in China. Patients were randomly divided into two groups: the experimental group used colonoscopy position identification sheet, and the control group used ordinary clean sheets. The main evaluation index was the time required from the nurse guide to the patient complete the position placement, and the secondary indicators were doctors' satisfaction, nurse satisfaction and patient satisfaction.
Interventions
DEVICEcolonoscopy position identification sheet
According to the body position requirements of the left lying position during colonoscopy, the research group used ink to add the body position prompt sign on the disposable bed sheet .Through the position identification, patients can intuitively understand the position that should be used in the operation and the position that should be placed in each part of the body.
DEVICETraditional disposable cleaning sheet
Traditional disposable cleaning sheets were used during control colonoscopy.Before the examination, the nursing staff took a unified and simple language to guide the patient.
Sponsors
Changhai Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* between 18 and 65 and signed informed consent * with first colonoscopy * with complete self-care (ADL 100)
Exclusion criteria
* patients with emergency colonoscopy * communication or cognitive impairment * patients requiring endoscopic intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| One-time success rate of body position placement | 30 minutes | Refers to the proportion of the number of patients in the total study cases that can be accurately placed by the nurse |
| The time required for the nurse to guide it to complete the body position placement | 30 minutes | The timing begins when the nurse began posture education, Until the patient correctly puts the required body position timing stops |
| Time for nurses to conduct physical position education | 30 minutes | Refers to the length of the nurse to guide the completion of the body placement |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction of doctors, nurses and patients | 5 minutes | Scoring was performed using a visual simulation scale |
Outcome results
None listed