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Clinical and nursing practice of fecal microbiota transplantation in treating diarrhea-predominant irritable bowel syndrome
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Citation of this paper:ZHU Xin-yu1,FU Li-ting1,ZHAO Hui-hua1,WU Sheng-di2,DONG Ling2,LIU Hai-ning2*.Clinical and nursing practice of fecal microbiota transplantation in treating diarrhea-predominant irritable bowel syndrome[J].Chinese Journal of Clinical Medicine,2018,25(4):613-616
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Author NameAffiliation
ZHU Xin-yu1,FU Li-ting1,ZHAO Hui-hua1,WU Sheng-di2,DONG Ling2,LIU Hai-ning2* 1.Department of Nursing, Zhongshan Hospital, Fudan University, Shanghai 200032, China2.Department of Gastroenterology, Zhongshan Hospital, Fudan University, Shanghai 200032, China 
Abstract:Objective:To investigate the nursing care of diarrhea predominant irritable bowel syndrome (IBS-D) patients treated with fecal microbiota transplantation (FMT) and the improvement of diarrhea symptoms and comfort degree of patients after FMT. Methods:A retrospective analysis was conducted in IBS-D patients receiving nasointestinal FMT from April to October, 2016. We summarized the nursing interventions, recorded the adverse reactions after FMT, and used Bristol stool scale and general comfort questionnaire (GCQ) to estimate the changes of patients’ parameters. Results:Through the clinical treatment and a series of nursing interventions, the frequency of defecation and scores of Bristol fecal property decreased significantly (P<0.01), while the scores of GCQ had a significant improvement (P=0.004). However, some adverse reactions were observed, such as nausea, vomiting, fever, and an aggravation of diarrhea. Conclusions:FMT can improve patients’ diarrhea symptoms and improve their comfort, standardized nursing measures are worthy of clinical promotion.
keywords:fecal microbiota transplantation  nursing  diarrhea-predominant irritable bowel syndrome  nasointestinal tube  degree of comfort
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