基于关键点控制原理的流程图在老年病人肠道准备方案中的应用

目的探讨基于关键点控制原理设计的流程图在老年病人肠道准备方案中的应用效果。方法选取行结肠镜检查病人120例，随机分为对照组和观察组，各60例。对照组采取常规结肠镜检查宣教，观察组采用基于关键点控制原理的流程图进行肠道准备干预。干预结束后观察组最终纳入56例，对照组最终纳入55例，比较2组病人干预后波士顿肠道准备评估量表(BBPS)评分、肠道准备依从率和不良反应发生率。结果观察组肠道准备失败率为17.86%(10/56)，明显低于对照组的41.82%(23/55)(P < 0.01)。观察组BBPS量表总分明显高于对照组(P < 0.01)，饮食准备、服药准备和运动准备依从性均明显优于对照组(P < 0.01)，恶心、腹胀和头晕发生率均低于对照组(P < 0.05)。结论基于关键点控制原理的流程图应用于老年病人肠道准备，有助于提高老年病人肠道准备质量，值得临床应用。

Application of flow chart based on key point control principle in intestinal preparation program for elderly patients

ObjectiveTo analyze the application effect of flow chart based on key point control principle in intestinal preparation program for elderly patients.MethodsA total of 120 patients undergoing colonoscopy were selected and randomly divided into control group and observation group, 60 patients in each group.The control group received routine colonoscopy education, and the observation group adopted flow chart based on the key points control principle for intestinal preparation intervention.After the intervention, there were 56 patients in the observation group and 55 patients in the control group.The Boston bowel preparation scale (BBPS) score, bowel preparation compliance rate and incidence of adverse reactions were compared between the two groups.ResultsThe intestinal preparation failure rate in the observation group 17.86% (10/56) was lower than that in the control group 41.82% (23/55)], the differences were statistically significant (P < 0.01).The BBPS score in the observation group was higher than that in the control group (P < 0.01).The compliance of diet preparation, medication preparation and exercise preparation in the observation group was significantly higher than those in the control group (P < 0.01), and the incidence of nausea, abdominal distention and dizziness was significantly lower than those in the control group (P < 0.05).ConclusionsThe application of flow chart based on key point control principle can improve the quality of intestinal preparation in elderly patients, which is worthy of clinical application.