微信小程序在结肠镜检查患者肠道准备指导中的应用体会

Experience in application of WeChat mini program in the guidance of intestinal preparation for patients undergoing colonoscopy

目的探讨如何利用智能手机微信小程序功能提高结肠镜检查前肠道准备质量。方法开发一个微信小程序指导患者行肠道准备,选取2019年6~10月在我院行结肠镜检查的630例患者随机分为对照组和试验组,对照组由预约护士采用传统的纸质说明加口头讲解的方法进行肠道准备宣教,试验组则采用上述微信小程序指导患者行肠道准备。内镜医生在检查过程中对患者的肠道准备质量进行评分,计算肠道准备合格率,对患者和内镜医生进行问卷调查,比较患者在肠道准备过程中的依从性,患者再次行结肠镜检查的意愿,内镜医生对患者肠道准备的满意度,统计两组患者息肉检出率、结肠镜检查时间,将所得数据进行比较。结果试验组患者的波士顿评分、肠道准备合格率均高于对照组,在患者肠道准备过程中的依从性、再次行结肠镜检查的意愿、内镜医生对患者肠道准备的满意度上试验组也优于对照组,试验组息肉检出率与对照组比较,差异无统计学意义(P>0.05),但直径<5mm的息肉的检出数量上试验组高于对照组,差异有统计学意义(P<0.05),结肠镜检查时间也短于对照组,差异有统计学意义(P<0.05)。结论在结肠镜检查患者肠道准备指导中应用微信小程序效果显著,可以推广。

Objective To research how to improve the quality of intestinal preparation before colonoscopy by applying WeChat mini program of smart phone.Methods A WeChat mini program was developed in the guidance of intestinal preparation for patients undergoing colonoscopy.A total of 630 patients treated with colonoscopy admitted to our hospital from June to October 2019 were randomly divided into the control group and the experimental group.The control group was still taught by the appointment nurse with conventional paper instructions and oral explanations,while the experimental group was guided by the above WeChat mini program for patients undergoing intestinal preparation.The intestinal preparation quality of patients during the examination was scored by the endoscopists,the qualified rate of intestinal preparation was calculated,the questionnaire survey on patients and endoscopists was conducted,the patients'compliance during the intestinal preparation process was compared,the patients'willingness to undergo colonoscopy again,and the endoscopists'satisfactory degree with the intestinal preparation of patients,and the polyp detection rate and colonoscopy time of the two groups were counted.The obtained data was compared.Results The Boston score and the qualified rate of intestinal preparation in the experimental group were both higher than those in the control group,and the compliance in the process of intestinal preparation,the willingness of colonoscopy again and the satisfactory degree of endoscopists with intestinal preparation were also superior to those in the control group.Although the detection rate of polyps in the experimental group was equal to that in the control group,and the difference was not statistically significant(P>0.05),the number of polyps with diameter less than 5 mm was higher in the experimental group than that in the control group,with statistically significant difference(P<0.05).Meanwhile,the time of colonoscopy examination was also shorter than that of the control group,the difference was statistically significant(P<0.05).Conclusion The application of WeChat mini program in the guidance of intestinal preparation for colonoscopy patients is effective and can be promoted.