手机微信短视频教育指导方式对结肠镜检查患者肠道准备清洁质量的影响

Effect of the short video sent by mobile phone We Chat for educational methods on the quality of bowel preparation in patients undergoing colonoscopy

目的:观察手机微信短视频的教育指导方式对结肠镜检查患者肠道准备清洁质量的影响。方法:前瞻性纳入我院门诊拟行结肠镜检查患者100例,随机分为常规组和实验组,每组50例。常规组采用常规的口头和书面形式告知结肠镜检查注意事项和肠道准备方法,实验组在常规口头和书面形式告知的基础上通过微信发送教育指导短视频。两组患者均采用相同的聚乙二醇电解质散剂4 L分次标准方案进行肠道准备。记录两组患者肠道准备过程中的不良反应和耐受性,结肠镜检查过程中采用波士顿评分法评估两组患者肠道准备清洁质量,计算两组患者肠道准备充分的百分比。结果:与常规组比较,实验组患者不良反应发生率显著降低(10.0%vs 26.0%,P=0.037),患者耐受性显著增强(3.8±1.2 vs 4.5±1.6,P=0.015),结肠镜下肠道清洁质量波士顿评分显著提高(6.8±1.5 vs 4.7±2.1,P=0.000),肠道准备充分率显著提高(76%vs52%,P=0.012),差异均具有统计学意义(P<0.05)。结论:常规口头和书面形式基础上联合手机微信短视频对结肠镜检查患者肠道准备进行教育指导,有助于增强患者对肠道准备的理解和遵循能力,进而提高安全性、耐受性和肠道清洁质量。

Objective To observe the effect of the short video sent by mobile phone WeChat for instruction on the quality of bowel preparation for colonoscopy patients. Methods ： A total of 100 out - patients who underwent colonosco-py in our hospital were randomly divided into conventional group （n =50） and experimental group （ n = 50） . The con-ventional group received routine oral and written form to inform the colonoscopy precautions and bowel preparation methods,and the experiment group was send a short video by WeChat based on conventional informed oral and written guide nursing. The 2 groups used the same and standard programme of 4 L polyethylene glycol electrolyte powder for bowel preparation. The adverse reactions and tolerability of the 2 groups were recorded. The boston score was used to evaluate the quality of bowel preparation. Results ： Compared with the control group, in the experimental group the ad-verse reaction rate was significantly lower（10% vs 2 6 % ,P =0.037）. The tolerance was significantly enhanced（3. 8 ±1.2 vs4.5 ±1.6, P =0.015）.The intestinal cleaning quality score was increased significantly（6.8 ±1.5 vs4.7 ±2. 1,P = 0. 000）,the ratio of patients with a fair level of bowel preparation was significantly increased（76% vs 52% ,P =0. 012）. The differences were statistically significant （ P 〈0. 05）. Conclusion ： The conventional oral and written form with a short video on intestinal colonoscopy in patients, can help patients to enhance bowel preparation ability to understand and follow,and improve the safety, tolerability and intestinal cleaning quality.