Impacto de una intervención en las consultas de Enfermería de Atención Primaria para la mejora de la calidad de la colonoscopia de cribado

  1. Mª José Fernández Landa
  2. Mª Isabel Portillo Villares
  3. Mª Isabel Bilbao Iturribarria
  4. Mª Isabel Idígoras Rubio
  5. Vanesa Regulez Campo
  6. Lorea Martínez Indart
Journal:
Metas de enfermería

ISSN: 1138-7262

Year of publication: 2020

Volume: 23

Issue: 2

Pages: 16-22

Type: Article

DOI: 10.35667/METASENF.2019.23.1003081547 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Metas de enfermería

Sustainable development goals

Abstract

Objective: to analyze the efficacy of a Primary Care (PC) nursing intervention for the colonic preparation of patients undergoing colonoscopy screening. Method: a before (2015 invitation by the Colorectal Cancer Screening Program – CCSP) and after (2018 invitation by the CCSP) evaluation study at a Primary Care Unit in the Basque Country, including 154 persons who underwent confirmation colonoscopy after obtaining a positive result in the CCSP. The intervention was conducted by PC Nursing professionals, and consisted of a specific training consultation for patients about colonic preparation, through a check-list available at the electronic clinical record, and a reminder call 24 hours prior to the colonoscopy. The primary variable was the quality of the colonic preparation (Boston Scale). Chi-square or Fisher’s exact test were used at bivariate analyses. Results: in total, 135 persons accepted to participate in the study; 54.1% of them viewed the videos on preparation, and 94.8% of them received the phone call. The “quality of the colonoscopy preparation” outcome variable showed statistically significant differences between both years compared: an adequate preparation could be observed in more cases in 2018 than in 2015 (97.8% vs. 88.7%; p= 0.003). Conclusions: conducting the nursing intervention, targeted to a better colonic preparation, and following the standard check-list available in the clinical record, as well as the phone call 24 hours prior to the colonoscopy, proved to be effective for the improvement of colonic cleansing. Moreover, it has led to the creation of a Nursing care process record.

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