智能手机社交软件改善结肠镜检查前肠道准备质量
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摘要
目的研究智能手机社交软件在结肠镜检查前肠道准备中的应用。方法采用微信公众号的形式,设计手机肠道准备指导软件,对603例拟行结肠镜检查并会使用微信软件的门诊患者随机分组,对照组按常规口头宣教和纸质宣传材料行肠道准备,软件组使用常规宣教及上述手机软件行肠道准备。采用Boston肠道准备评分量表、肠道准备优良率、肠镜成功率、进镜时间、息肉发现率、患者满意度和耐受性自我评价等指标评价两组间差异。结果软件组患者的肠道准备优良率及Boston总评分显著高于对照组[90.04%vs 75.90%,P<0.01;(8.02±1.32)vs(6.96±1.64),P<0.01],软件组在肠镜成功率、进镜时间、息肉发现率及患者满意度评分等方面均优于对照组(P<0.05)。结论采用微信公众号形式的智能手机社交软件能够提高门诊结肠镜患者的肠道准备质量,提高结肠镜诊疗的成功率,降低漏诊率,缩短检查时间,且患者满意度高、耐受性强。
Objective To study the application of smart phone social software in bowel preparation before colonoscopy.Methods Smartphone guidance software of bowel preparation was designed via We Chat public number.603 outpatients who were proposed to be given colonoscopy and who were able to use We Chat were randomized.The control group was given bowel preparation by routine oral education and paper education materials.The software group was given bowel preparation by routine education and the above-mentioned smartphone software.The difference between the two groups was evaluated by several indicators such as the Boston Intestinal Preparation Scale,the excellent and good rate of bowel preparation,the success rate of colonoscopy,the time of colonoscopy,the detection rate of polyps,patient satisfaction and tolerance self-evaluation.Results The excellent rate and good rate of bowel preparation and the total score of Boston in the software group were significantly higher than those in the control group[90.04% vs 75.90%,P<0.01;(8.02±1.32) vs(6.96±1.64),P<0.01].The software group was superior to the control group in terms of the colonoscopy success rate,the time of colonoscopy,the detection rate of polyps and patients' satisfaction rate,etc(P<0.05).Conclusion The smartphone social software via We Chat public number can improve the quality of bowel preparation in the outpatients receiving colonoscopy,improve the success rate of colonoscopy,reduce the rate of missed diagnosis,shorten the examination time,and the patients' satisfaction and tolerance are high.
Objective To study the application of smart phone social software in bowel preparation before colonoscopy.Methods Smartphone guidance software of bowel preparation was designed via We Chat public number.603 outpatients who were proposed to be given colonoscopy and who were able to use We Chat were randomized.The control group was given bowel preparation by routine oral education and paper education materials.The software group was given bowel preparation by routine education and the above-mentioned smartphone software.The difference between the two groups was evaluated by several indicators such as the Boston Intestinal Preparation Scale,the excellent and good rate of bowel preparation,the success rate of colonoscopy,the time of colonoscopy,the detection rate of polyps,patient satisfaction and tolerance self-evaluation.Results The excellent rate and good rate of bowel preparation and the total score of Boston in the software group were significantly higher than those in the control group[90.04% vs 75.90%,P<0.01;(8.02±1.32) vs(6.96±1.64),P<0.01].The software group was superior to the control group in terms of the colonoscopy success rate,the time of colonoscopy,the detection rate of polyps and patients' satisfaction rate,etc(P<0.05).Conclusion The smartphone social software via We Chat public number can improve the quality of bowel preparation in the outpatients receiving colonoscopy,improve the success rate of colonoscopy,reduce the rate of missed diagnosis,shorten the examination time,and the patients' satisfaction and tolerance are high.
引文
[1]Lorenzo-Zúiga V,de Vega V M,Marín I,et al.Improving the quality of colonoscopy bowel preparation using a smart phone application:A randomized trial[J].Dig Endosc,2015,27(5):590-595.
[2]Lai EJ,Calderwood AH,Doros G,et al.The Boston bowel preparation scale:A valid and reliable instrument for colonoscopy-oriented research[J].Gastrointest Endosc,2009,69(3 Pt 2):620-625.
[3]Kim HG,Huh KC,Koo HS,et al.Sodium Picosulfate with Magnesium Citrate(SPMC)Plus Laxative Is a Good Alternative to Conventional Large Volume Polyethylene Glycol in Bowel Preparation:A Multicenter Randomized Single-Blinded Trial[J].Gut Liver,2015,9(4):494-501.
[4]Hancock KS,Mascarenhas R,Lieberman D.What Can We Do to Optimize Colonoscopy and How Effective Can We Be[J].Curr Gastroenterol Rep,2016,18(6):27.
[5]Rex DK,Imperiale TF,Latinovich DR,et al.Impact of bowel preparation on efficiency and cost of colonoscopy[J].Am J Gastroenterol,2002,97(7):1696-1700.
[6]Froehlich F,Wietlisbach V,Gonvers JJ,et al.Impact of colonic cleansing on quality and diagnostic yield of colonoscopy:The European Panel of Appropriateness of Gastrointestinal Endoscopy European multicenter study[J].Gastrointest Endosc,2005,61(3):378-384.
[7]Harewood GC,Sharma VK,de Garmo P.Impact of colonoscopy preparation quality on detection of suspected colonic neoplasia[J].Gastrointest Endosc,2003,58(1):76-79.
[8]Hassan C,Fuccio L,Bruno M,et al.A predictive model identifies patients most likely to have inadequate bowel preparation for colonoscopy[J].Clin Gastroenterol Hepatol,2012,10(5):501-506.
[9]Menees SB,Elliott E,Govani S,et al.The impact of bowel cleansing on follow-up recommendations in average-risk patients with a normal colonoscopy[J].Am J Gastroenterol,2014,109(2):148-154.
[10]Clark LE,Dipalma JA.Safety issues regarding colonic cleansing for diagnostic and surgical procedures[J].Drug Saf,2004,27(15):1235-1242.
[11]Modi C,Depasquale JR,Digiacomo WS,et al.Impact of patient education on quality of bowel preparation in outpatient colonoscopies[J].Qual Prim Care,2009,17(6):397-404.
[12]Calderwood AH,Lai EJ,Fix OK,et al.An endoscopistblinded,randomized,controlled trial of a simple visual aid to improve bowel preparation for screening colonoscopy[J].Gastrointest Endosc,2011,73(2):307-314.
[13]Spiegel BM,Talley J,Shekelle P,et al.Development and validation of a novel patient educational booklet to enhance colonoscopy preparation[J].Am J Gastroenterol,2011,106(5):875-883.
[14]Tae JW,Lee JC,Hong SJ,et al.Impact of patient education with cartoon visual aids on the quality of bowel preparation for colonoscopy[J].Gastrointest Endosc,2012,76(4):804-811.
[15]Prakash SR,Verma S,Mc Gowan J,et al.Improving the quality of colonoscopy bowel preparation using an educational video[J].Can J Gastroenterol,2013,27(12):696-700.
[16]Lee YJ,Kim ES,Choi JH,et al.Impact of reinforced education by telephone and short message service on the quality of bowel preparation:A randomized controlled study[J].Endoscopy,2015,47(11):1018-1027.
[17]Liu X,Luo H,Zhang L,et al.Telephone-based re-education on the day before colonoscopy improves the quality of bowel preparation and the polyp detection rate:A prospective,colonoscopist-blinded,randomised,controlled study[J].Gut,2014,63(1):125-130.
[18]刘潇东.电话再教育可提高结肠镜肠道准备质量及息肉检出率[D].第四军医大学,2013.
[19]方军,马丹,王树玲,等.肠道准备质量影响因素中患者相关因素的研究进展[J].中华消化内镜杂志,2016,33(4):265-267.
[20]Moriyama T,Uraoka T,Esaki M,et al.Advanced technology for the improvement of adenoma and polyp detection during colonoscopy[J].Dig Endosc,2015,27(Suppl 1):40-44.
[2]Lai EJ,Calderwood AH,Doros G,et al.The Boston bowel preparation scale:A valid and reliable instrument for colonoscopy-oriented research[J].Gastrointest Endosc,2009,69(3 Pt 2):620-625.
[3]Kim HG,Huh KC,Koo HS,et al.Sodium Picosulfate with Magnesium Citrate(SPMC)Plus Laxative Is a Good Alternative to Conventional Large Volume Polyethylene Glycol in Bowel Preparation:A Multicenter Randomized Single-Blinded Trial[J].Gut Liver,2015,9(4):494-501.
[4]Hancock KS,Mascarenhas R,Lieberman D.What Can We Do to Optimize Colonoscopy and How Effective Can We Be[J].Curr Gastroenterol Rep,2016,18(6):27.
[5]Rex DK,Imperiale TF,Latinovich DR,et al.Impact of bowel preparation on efficiency and cost of colonoscopy[J].Am J Gastroenterol,2002,97(7):1696-1700.
[6]Froehlich F,Wietlisbach V,Gonvers JJ,et al.Impact of colonic cleansing on quality and diagnostic yield of colonoscopy:The European Panel of Appropriateness of Gastrointestinal Endoscopy European multicenter study[J].Gastrointest Endosc,2005,61(3):378-384.
[7]Harewood GC,Sharma VK,de Garmo P.Impact of colonoscopy preparation quality on detection of suspected colonic neoplasia[J].Gastrointest Endosc,2003,58(1):76-79.
[8]Hassan C,Fuccio L,Bruno M,et al.A predictive model identifies patients most likely to have inadequate bowel preparation for colonoscopy[J].Clin Gastroenterol Hepatol,2012,10(5):501-506.
[9]Menees SB,Elliott E,Govani S,et al.The impact of bowel cleansing on follow-up recommendations in average-risk patients with a normal colonoscopy[J].Am J Gastroenterol,2014,109(2):148-154.
[10]Clark LE,Dipalma JA.Safety issues regarding colonic cleansing for diagnostic and surgical procedures[J].Drug Saf,2004,27(15):1235-1242.
[11]Modi C,Depasquale JR,Digiacomo WS,et al.Impact of patient education on quality of bowel preparation in outpatient colonoscopies[J].Qual Prim Care,2009,17(6):397-404.
[12]Calderwood AH,Lai EJ,Fix OK,et al.An endoscopistblinded,randomized,controlled trial of a simple visual aid to improve bowel preparation for screening colonoscopy[J].Gastrointest Endosc,2011,73(2):307-314.
[13]Spiegel BM,Talley J,Shekelle P,et al.Development and validation of a novel patient educational booklet to enhance colonoscopy preparation[J].Am J Gastroenterol,2011,106(5):875-883.
[14]Tae JW,Lee JC,Hong SJ,et al.Impact of patient education with cartoon visual aids on the quality of bowel preparation for colonoscopy[J].Gastrointest Endosc,2012,76(4):804-811.
[15]Prakash SR,Verma S,Mc Gowan J,et al.Improving the quality of colonoscopy bowel preparation using an educational video[J].Can J Gastroenterol,2013,27(12):696-700.
[16]Lee YJ,Kim ES,Choi JH,et al.Impact of reinforced education by telephone and short message service on the quality of bowel preparation:A randomized controlled study[J].Endoscopy,2015,47(11):1018-1027.
[17]Liu X,Luo H,Zhang L,et al.Telephone-based re-education on the day before colonoscopy improves the quality of bowel preparation and the polyp detection rate:A prospective,colonoscopist-blinded,randomised,controlled study[J].Gut,2014,63(1):125-130.
[18]刘潇东.电话再教育可提高结肠镜肠道准备质量及息肉检出率[D].第四军医大学,2013.
[19]方军,马丹,王树玲,等.肠道准备质量影响因素中患者相关因素的研究进展[J].中华消化内镜杂志,2016,33(4):265-267.
[20]Moriyama T,Uraoka T,Esaki M,et al.Advanced technology for the improvement of adenoma and polyp detection during colonoscopy[J].Dig Endosc,2015,27(Suppl 1):40-44.