关键词: 护士处方；协议处方；消化内镜中心；肠道准备

Abstract: Objective: To explore the practical effect of doctor-nurse collaborative prescribing mode in patients undergoing colonoscopy in the digestive endoscopy center. Methods: The doctor-nurse collaborative prescribing mode was carried out in the digestive endoscopy center of a tertiary hospital in Chengdu in October, 2022. The nurses were authorized to perform intestinal assessments on patients undergoing colonoscopy in advance and prescribe intestinal cleansing drugs. The number of collaborative prescriptions, the occurrence of adverse events, the intestinal preparation adequacy rate and satisfaction of patients, and the satisfaction of doctors and nurses were used to evaluate the practical effect. Results: A total of 108 patients were prescribed intestinal cleansing drugs by nurses, and no adverse events occurred. The intestinal preparation adequacy rate of patients was 90.7%, the satisfaction score of patients was 19.46±1.02, the satisfaction score of doctors was 4.90±0.41, and 4.76±0.57 of nurses. Conclusion: The doctor-nurse collaborative prescribing mode is beneficial to improve the quality of intestinal preparation of patients, leads to great medical experience of patients, high satisfaction and good feedback of medical staff, and promotes the further development of nurses' right to prescribe in China.

Key words: nurse prescribing; collaborative prescribing; digestive endoscopy center; intestinal preparation