接受查结肠镜检查的患者的适当肠道准备:教育状况是否重要? 一个追溯的数据分析
Anna K Hinterberger1, Susanne Mayer2, Lena Jiricka3
1Quality Assurance Working Group, Austrian Society for Gastroenterology and Hepatology, Vienna, Austria.
Wiener klinische Wochenschrift
|December 10, 2024
概括
高质量的结肠镜取决于良好的肠道准备. 在奥地利,有高等教育的患者有更好的肠道准备,这表明需要改善所有教育水平的健康素养策略.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 卫生识字 卫生识字
背景情况:
- 高质量的查结肠镜对于检测结肠直肠癌至关重要.
- 适当的肠道准备对于结肠镜检查的质量至关重要.
- 健康素养,即理解和根据健康信息采取行动的能力,影响患者遵守肠道准备指令.
研究的目的:
- 调查患者的教育状况与肠道准备检查结肠镜检查质量的关系.
- 检查教育成绩作为健康素养的代理在结肠镜准备的背景下.
主要方法:
- 来自奥地利国家结直肠癌查计划 (2012-2022) 数据的回顾性分析.
- 使用后勤回归分析来评估高等教育与肠道准备质量 (阿罗尼奇克尺度) 之间的关系.
- 性别和年龄被纳入分析中的控制变量.
主要成果:
- 总共有329,778名患者 (30至99岁) 进行了分析.
- 88.46%的高等教育患者实现了充分的肠道准备,而非学术人员的比例为84.79%.
- 高等教育的患者获得充分的肠道准备的几率是1.37倍 (95% CI 1.32-1.43,p < 0.001).
结论:
- 高等教育与在奥地利进行查结肠镜检查时的优质肠道准备有关.
- 需要有针对性的战略来提高健康素养,改善受教育程度较低的人群的肠道准备.
- 通过改善患者教育来优化肠道准备质量,可以提高查结肠镜的有效性和资源利用率.
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