摘要目的:探讨设立专门的老年肠道准备护理小组实施优化整体护理对老年患者肠镜围检查期质量的影响。方法:采用便利抽样法选取2015年10月—2018年7月北京同仁医院拟行普通或无痛肠镜检查的老年住院患者128例，随机分为对照组（ n=57）和观察组（ n=71），对照组采用常规护理，观察组采用优化整体护理模式。比较两组患者肠道准备安全性、肠道清洁度及患者满意度。 结果:肠道准备过程中，观察组肠道舒适度为优的56例，对照组为36例，两组舒适度比较差异有统计学意义（ Z=2.31， P<0.05）；观察组肠道清洁度1～2级的为64例，对照组36例，两组肠道清洁度比较差异有统计学意义（ Z=4.05， P<0.01）。 结论:老年肠道准备护理小组实施优化护理模式有助于改善老年住院患者肠道准备质量。

abstractsObjective:To explore the effect of setting up a special elderly bowel preparation nursing group to implement optimized holistic nursing on the quality of peri-enteroscopy in elderly patients.Methods:Using the convenient sampling method, a total of 128 elderly inpatients who were scheduled to undergo ordinary or painless enteroscopy in Beijing Tongren Hospital from October 2015 to July 2018 were selected. They were randomly divided into the control group ( n=57) and the observation group ( n=71) . The control group was given routine nursing, while the observation group was given optimized holistic nursing mode. The safety of intestinal preparation, intestinal cleanliness and satisfaction of patients were compared between the two groups. Results:During intestinal preparation, a total of 56 patients in the observation group and 36 patients in the control group had excellent intestinal comfort. There was a statistically significant difference in comfort between the two groups ( Z=2.31, P< 0.05) . There were 64 cases in the observation group and 36 cases in the control group with grade 1-2 intestinal cleanliness. The difference in intestinal cleanliness between the two groups was statistically significant ( Z=4.05, P< 0.01) . Conclusions:The implementation of optimized nursing mode by the elderly bowel preparation nursing group can help improve the quality of bowel preparation of hospitalized elderly inpatients.