使用患者教育移动应用程序提高肠道准备质量的有效性:一个随机对照试验
Hang Viet Dao1,2,3, Quan Viet Dao2, Hoa Ngoc Lam3
1Department of Internal Medicine, Hanoi Medical University, Hanoi, Viet Nam daoviethang@hmu.edu.vn.
BMJ open gastroenterology
|June 5, 2023
概括
一个移动应用程序改善了对结肠镜检查的肠道准备指令的遵守,但没有提高肠道清洁的质量或多检测率.
科学领域:
- 胃肠病学 胃肠病学
- 医疗信息学 医疗信息学
- 临床试验 临床试验
背景情况:
- 有效的肠道准备对于成功的结肠镜检查和精确的多体检测至关重要.
- 移动应用程序提供了一个潜在的工具,以改善患者遵守复杂的医疗指令.
- 在常规结肠镜实践中,优化肠道准备质量仍然是一个挑战.
研究的目的:
- 为了评估移动应用程序在提高肠道准备大肠镜检查质量的有效性.
- 评估移动应用程序对遵守肠道准备说明的影响.
- 为了确定是否改善的粘附性转化为更好的聚和腺瘤检测率.
主要方法:
- 进行了一项内镜盲目随机对照试验.
- 患者可以通过手机应用程序获得肠道准备指令或常规指令.
- 结果包括波士顿肠道准备量表 (BBPS),聚检测率 (PDR) 和腺瘤检测率 (ADR).
主要成果:
- 移动应用程序组对指令的遵守率更高 (60.9%对52.4%) 和更长的松剂摄入时间.
- 两组之间没有观察到肠道清洗质量的显著差异 (BBPS < 6: 7.4% vs 7.7%).
- 在干预组和对照组中,多体检测率和腺瘤检测率相似.
结论:
- 一个移动应用程序可以改善患者遵守肠道准备指南的情况.
- 研究的移动应用程序并没有显著改善肠道清洁的整体质量.
- 该应用程序在结肠镜检查期间没有导致更高的多或腺瘤检测率.
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