Vignally Pascal, Gentile Stéphanie, Grimaud Fanny, Ousset Sébastien, Vitton Véronique, Sambuc Roland, Grimaud Jean-Charles
Laboratoire de santé publique, Faculté de médecine, Marseille.
Gastroenterol Clin Biol. 2007 Dec;31(12):1055-61. doi: 10.1016/s0399-8320(07)78334-3.
The purpose of this study was to determine whether patients have a better level of information about colonoscopy and are more satisfied with medical care when they attend a dedicated consultation with a gastroenterologist prior to the procedure.
We conducted a prospective study which compared "exposed" (E) and "non exposed" (NE) patients. In group E, information about colonoscopy was delivered by a gastroenterologist during a special consultation at least 24 hours before the procedure. In group NE, information was delivered in the usual manner. The patients' level of information was measured after colonoscopy and 3 months later.
Thirteen patients were included in group E and 18 in group NE. The level of information was better in group E, 5.2 +/- 2.1 versus 3.3 +/- 2.1 (P<0.04), as was satisfaction with medical care, 24.9 +/- 4.6 versus 23.0 +/- 5.1 (P<0.03). The differences in information levels remained at 3 months.
The information delivered during a dedicated precolonoscopy consultation increases assimilation of knowledge concerning the procedure and the patient's satisfaction with medical care.
本研究旨在确定患者在结肠镜检查前与胃肠病专家进行专门会诊时,是否对结肠镜检查有更好的了解水平,以及对医疗护理更满意。
我们进行了一项前瞻性研究,比较“暴露组”(E)和“非暴露组”(NE)患者。在E组中,结肠镜检查的信息由胃肠病专家在检查前至少24小时的一次特殊会诊中提供。在NE组中,信息以常规方式提供。在结肠镜检查后及3个月后测量患者的信息水平。
E组纳入13例患者,NE组纳入18例患者。E组的信息水平更好,分别为5.2±2.1和3.3±2.1(P<0.04),对医疗护理的满意度也更高,分别为24.9±4.6和23.0±5.1(P<0.03)。信息水平的差异在3个月时仍然存在。
结肠镜检查前专门会诊期间提供的信息增加了患者对该检查的知识吸收以及对医疗护理的满意度。