Evidence-based practice of preoperative bowel preparation for colonoscopy in hospitalized children
WANG Lisi
WANG Li
XIE Lu
CHEN Lanqing
ZHOU Ruping
CHEN Meiling
Abstract：Objective:Evidence-based practice based on the best evidence for preoperative bowel preparation for colonoscopy in children to explore its application.Methods:Guided by an evidence-based continuous quality improvement model that applies the best evidence to hospitalized children needing colonoscopy through four phases:evidence acquisition,current status review,evidence introduction,and outcome evaluation,an interrupted time-series design was used to compare the preoperative bowel preparation compliance rate,tolerance of taking bowel preparation medications,implementation of each review metric,and pediatric providers'knowledge related to preoperative bowel preparation between pre-evidence-based practice(from February to May 2023)and post-evidence-based practice(from July to October 2023)in children.Results:Bowel preparation pass rate after evidence-based practice increased from 55.26%before practice to 76.19%,a statistically significant difference(P<0.05),decreased in the incidence of nausea and vomiting among adverse reactions seen in terms of tolerance after evidence-based practice compared to before evidence-based practice(P<0.05),improved implementation rates for indicators 1,2,3,6,7 and 9 of the review indicators(P<0.05),the scores of pediatric healthcare professionals on the assessment of knowledge related to preoperative bowel preparation for colonoscopy increased from(60.60±5.74)to(86.35±3.04),which was a statistically significant difference(P<0.01).Conclusion:Evidence-based practice based on the best evidence for preoperative bowel preparation for colonoscopy in children improves tolerance of bowel-preparation medications,reduces the incidence of major adverse effects,and improves the implementation of evidence-based knowledge related to bowel preparation by pediatric healthcare professionals,children,and families.
Keywords：childcolonoscopyendoscopybowel preparationevidence-based practiceevidence-based nursing
Publication Date：2025-02-14
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：8( 419-426 )