主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
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中国护理管理 ›› 2025, Vol. 25 ›› Issue (10): 1487-1492.doi: 10.3969/j.issn.1672-1756.2025.10.010

• 论著 • 上一篇    下一篇

结肠镜检查儿童肠道准备综合干预方案的构建

姚宏雯 陈玉瑛 郁春 薛娟 成小丽   

  1. 扬州大学护理学院·公共卫生学院,225009 江苏省扬州市(姚宏雯);扬州大学附属医院护理部(陈玉瑛);儿科(郁春,薛娟,成小丽)
  • 出版日期:2025-10-15 发布日期:2025-10-15
  • 通讯作者: 成小丽,本科,副主任护师,护士长,E-mail:154018167@qq.com
  • 作者简介:姚宏雯,硕士在读

Construction of a comprehensive intervention program for bowel preparation in children undergoing colonoscopy

YAO Hongwen, CHEN Yuying, YU Chun, XUE Juan, CHENG Xiaoli   

  1. School of Nursing, School of Public Health, Yangzhou University, Yangzhou, Jiangsu province, 225009, China
  • Online:2025-10-15 Published:2025-10-15
  • Contact: E-mail:154018167@qq.com

摘要: 目的:构建针对儿童的结肠镜检查肠道准备综合方案,为临床实践提供参考。方法:于2023年12月至2024年11月,采用质性研究、文献回顾、专家函询等方法,以关键点控制原理和协同护理模式理论为指导,构建结肠镜检查儿童肠道准备综合干预方案,通过德尔菲法对14名专家进行函询,根据专家修改意见对所涉及的条目进行修订,形成干预方案。结果:2轮专家函询专家权威系数为0.872,积极系数为100%,肯德尔和谐系数为0.167和0.128(P<0.01)。最终形成的干预方案包括饮食准备、服药准备、运动准备和心理准备4个方面,共计15条具体干预措施。结论:结肠镜检查儿童肠道准备综合干预方案内容较为全面,具有可靠性、科学性,能够为临床实践提供借鉴和参考。

关键词: 结肠镜检查;儿童;肠道准备;关键点控制原理;协同护理模式;德尔菲法

Abstract: Objective: To construct a comprehensive program of colonoscopy bowel preparation for children to provide reference for clinical practice. Methods: From December 2023 to November 2024, a comprehensive intervention program for bowel preparation for colonoscopy in children was constructed using qualitative research, literature review, and expert consultation, guided by the key-point control principle and the collaborative care model. Totally 14 experts were consulted by letter through the Delphi method, and the items involved were revised according to the experts' revision opinions to form an intervention plan. Results: The authority coefficient of the two rounds of expert correspondence was 0.872, the positive coefficient was 100%, and the Kendall harmony coefficient was 0.167 and 0.128 (P<0.01). The final intervention program included four aspects: dietary preparation, medication preparation, exercise preparation and psychological preparation, with a total of 15 specific interventions. Conclusion: The comprehensive intervention program for bowel preparation for colonoscopy in children is fairly exhaustive, reliable and scientific, and can provide reference for clinical practice.

Key words: colonoscopy; child; bowel preparation; key-point control principle; collaborative care model; Delphi method

中图分类号:  R47;R197