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Metas de Enfermería

Metas de Enfermería

MARZO 2020 N° 2 Volumen 23

Impact of an intervention in primary care nursing units for improvement in the quality of colonoscopy screening

Section: Originals

How to quote

Fernández Landa MJ, Portillo Villares MI, Bilbao Iturribarria MI, Idígoras Rubio MI, Regulez Campo V, Martínez Indart L. Impacto de una intervención en las consultas de Enfermería de Atención Primaria para la mejora de la calidad de la colonoscopia de cribado. Metas Enferm mar 2020; 23(2):16-22. Doi: https://doi.org/10.35667/MetasEnf.2019.23.1003081547

Authors

Mª José Fernández Landa1, Mª Isabel Portillo Villares2, Mª Isabel Bilbao Iturribarria3, Mª Isabel Idígoras Rubio1, Vanesa Regulez Campo4, Lorea Martínez Indart5

Position

1Doctora en Salud Pública. Osakidetza-Servicio Vasco de Salud (SVS)2Doctora en Psicología Social y Metodología de las ciencias del comportamiento. Osakidetza-SVS3Enfermera. Experto Universitario en Gestión de Servicios de Enfermería. Osakidetza-SVS4Enfermera. Máster en Cuidados Intensivos Neonatales y Enfermería Neonatal. Osakidetza-SVS5Licenciada en Matemáticas. Máster en modelización matemática, estadística y computación. Instituto de Investigación, Biocruces

Contact address

Mª José Fernández Landa. Gran Vía, 62. 48011 Bilbao (Vizcaya).

Contact email: mariajose.fernandezlanda@osakidetza.eus

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.

Keywords:

Colonoscopy; nursing interventions; quality; phone call; check-list; before-and-after controlled studies

Versión en Español

Título:

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

Artículo completo no disponible en este idioma / Full article is not available in this language

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