基于移动应用程序的肠道准备培训:对结肠镜患者的服从,质量和焦虑的影响-随机对照试验
Kübra Şengör1, Metin Keskin2, Nuray Akyüz3
1Department of Surgical Nursing, Faculty of Health Sciences, Kütahya Health Sciences University, Germiyan Campus, Kütahya, Turkey. kubra.sengor@ksbu.edu.tr.
Surgical endoscopy
|August 27, 2025
概括
与标准指令相比,移动应用显著改善了结肠镜准备质量和患者的遵守. 这种mHealth方法提高了肠道清洁的效果.
科学领域:
- 胃肠病学
- 医疗信息学
- 患者教育
背景情况:
- 有效的肠道准备对于结肠镜成功至关重要,影响粘膜可视化和聚检测.
- 标准的教育方法有其局限性;移动健康 (mHealth) 提供了改善患者执法和准备质量的潜力.
研究的目的:
- 评估基于移动应用程序的肠道准备培训对结肠镜准备合规性,质量和患者焦虑的影响.
- 在随机对照试验中比较mHealth教育与标准指导的有效性.
主要方法:
- 一个前性,单盲,随机对照试验,涉及160名预定进行结肠镜检查的成人门诊患者.
- 患者被随机分为移动应用教育组或标准指导对照组.
- 使用波士顿肠道准备量表 (BBPS) 评估了肠道准备质量;符合性和焦虑 (STAI) 是次要结果.
主要成果:
- 移动应用组显示出明显更高的充分排便率 (94. 9% vs 83. 8%, p=0. 022) 和优异的细分BBPS得分.
- 在应用组中,改善了清晰液体饮食 (p=0. 002) 和整体坚持 (96%对90%,p=0. 005).
- 使用该应用程序的患者报告了较少的困难,在手术前的焦虑水平上没有显著差异.
结论:
- 基于移动应用程序的肠道准备教育显著提高了肠道清洁质量和患者的遵守性.
- 将移动健康工具纳入结肠镜前的患者教育可以改善手术结果.
- 这项研究支持移动卫生技术的使用,以优化患者对结肠镜检查的准备.
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