使用患者教育移动应用程序提高肠道准备质量的有效性:一项随机对照试验。

IF 3.3 Q2 GASTROENTEROLOGY & HEPATOLOGY BMJ Open Gastroenterology Pub Date : 2023-06-01 DOI:10.1136/bmjgast-2023-001107
Hang Viet Dao, Quan Viet Dao, Hoa Ngoc Lam, Long Bao Hoang, Van Thi Nguyen, Thuy Thi Nguyen, Dat Quoc Vu, Christopher S Pokorny, Hoa Lan Nguyen, Jeroan Allison, Robert Joel Goldberg, An Thi Minh Dao, Toan Thanh Thi Do, Long Van Dao
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引用次数: 0

摘要

目的:确定移动应用程序(app)在提高结肠镜检查肠道准备质量方面的有效性。方法:一项内镜盲法随机对照试验纳入了在肠准备当天进行结肠镜检查的患者。干预使用越南移动应用程序,该应用程序提供肠道准备指导,而对照组患者则接受常规指导。结果包括波士顿肠准备量表(BBPS)评估肠准备质量、息肉检出率(PDR)和腺瘤检出率(ADR)。结果:共纳入515例患者(干预组256例)。年龄中位数为42岁,女性占50.9%,高中及以上学历占69.1%,城镇人口占45.2%。干预组患者对医嘱的依从性更高(60.9% vs 52.4%, p=0.05),服用泻药的时间更长(平均差异0.17小时,95% CI 0.06 ~ 0.27)。干预并没有降低排便不良的风险(总bbps)。结论:提供适当排便指导的移动应用程序改善了排便过程中的做法,但没有提高排便或PDR的质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Effectiveness of using a patient education mobile application to improve the quality of bowel preparation: a randomised controlled trial.

Aims: To determine the effectiveness of a mobile application (app) in improving the quality of bowel preparation for colonoscopy.

Method: An endoscopist-blinded randomised controlled trial enrolled patients who were undergoing a colonoscopy on the same day of bowel preparation. The intervention used a Vietnamese mobile app that provides instructions on bowel preparation while patients in the comparison group received conventional instructions. Outcomes included the Boston Bowel Preparation Scale (BBPS) to assess the quality of bowel preparation and the polyp detection rate (PDR) and adenoma detection rate (ADR).

Results: The study recruited 515 patients (256 in the intervention group). The median age was 42 years, 50.9% were females, 69.1% high school graduates and higher, and 45.2% from urban area. Patients in the intervention group had higher adherence to instructions (60.9% vs 52.4%, p=0.05) and longer length of taking laxatives (mean difference 0.17 hours, 95% CI 0.06 to 0.27). The intervention did not reduce the risk of poor bowel cleansing (total BBPS<6) in both overall (7.4% vs 7.7%; risk ratio 0.96, 95% CI 0.53 to 1.76) and subgroup analysis. PDR and ADR were similar between the two groups.

Conclusions: The mobile app providing instructions on proper bowel preparation improved the practice during bowel preparation but did not improve the quality of bowel cleansing or PDR.

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来源期刊
BMJ Open Gastroenterology
BMJ Open Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
5.90
自引率
3.20%
发文量
68
审稿时长
2 weeks
期刊介绍: BMJ Open Gastroenterology is an online-only, peer-reviewed, open access gastroenterology journal, dedicated to publishing high-quality medical research from all disciplines and therapeutic areas of gastroenterology. It is the open access companion journal of Gut and is co-owned by the British Society of Gastroenterology. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around continuous publication, publishing research online as soon as the article is ready.
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