Clinical Researches
Best evidence summary of bowel preparation before colonoscopy in children
Liu Lu, Zhang Chunhua, Zhu Lin, Yang Bingxiang, Liu Qian
Published 2022-12-16
Cite as Chin J Mod Nurs, 2022, 28(35): 4939-4946. DOI: 10.3760/cma.j.cn115682-20220228-00912
Abstract
ObjectiveTo comprehensively retrieve the evidence on bowel preparation before colonoscopy in children, evaluate and summarize the best evidence, so as to provide scientific reference for clinical improvement of bowel preparation quality in children, as well as for children and parents.
MethodsAccording to the "6S" pyramid classification model of evidence-based retrieval resources, we systematically searched BMJ Best Practice, UpToDate, clinical guideline website, professional society website and database for clinical decisions, guidelines, expert consensus, evidence summary and systematicreview on children's bowel preparation before colonoscopy.The retrieval time limit was from the establishment of the database (station) to December 31, 2021.Two researchers independently evaluated the article quality, extracted theevidence and determined the level of evidence recommendation.
ResultsA total of 11 articles were included, involving 3 clinical guidelines, 4 systematic reviews and 4 expert consensus.After summarizing the relevant evidence, a total of 16 pieces of evidence were summarized from 8 aspects, including the method of education, diet preparation, the selection and use of intestinal cleanser.
ConclusionsThe endoscopic team, surgeon, nurseand other multi-disciplinary teams should consider different ages and special conditions of children before colonoscopy, and jointly discuss the best bowel preparation plan, so as to improve the quality of children's colonoscopy.
Key words:
Child; Colonoscopy; Bowel preparation; Best evidence; Evidence-based nursing
Contributor Information
Liu Lu
School of Nursing, Wuhan University, Wuhan 430071, China
Operating Room, Sichuan Cancer Hospital, Chengdu 610041, China
Zhang Chunhua
Nursing Department, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
Zhu Lin
Operating Room, Sichuan Cancer Hospital, Chengdu 610041, China
Yang Bingxiang
School of Nursing, Wuhan University, Wuhan 430071, China
Liu Qian
School of Nursing, Wuhan University, Wuhan 430071, China