Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Eur J Gastroenterol Hepatol. 2013 Aug;25(8):964-72. doi: 10.1097/MEG.0b013e328361dcd3.
Colonoscopy is a frequently performed procedure worldwide with a negative perception, leading to reluctance to undergo the procedure. Perceptions could differ depending on the specific indication for the colonoscopy.
To compare patient satisfaction with the colonoscopy procedure between five different patient groups: inflammatory bowel disease (IBD), familial predisposition for cancer, adenoma/carcinoma surveillance, symptoms suggestive of cancer, and irritable bowel syndrome (IBS).
A prospective questionnaire study was carried out in two regional hospitals and two tertiary teaching hospitals in the Netherlands. A total of 797 consecutive patients scheduled for colonoscopy between October 2009 and June 2010, 146 (18%) IBD, 153 (19%) adenoma or carcinoma surveillance, 104 (13%) familial predisposition, 280 (35%) symptoms suggestive of cancer, and 114 (14%) IBS-like symptoms, were included. Two questionnaires were administered: one on the day of the procedure and another 6 weeks after the procedure. The main outcome measurements were embarrassment, pain, burden, most burdensome aspect, and overall level of satisfaction.
Patients with IBD and IBS reported significantly more embarrassment and burden from the bowel preparation phase (P=0.040 and 0.018, respectively) and more pain during the colonoscopy procedure (P=0.018). This difference in pain was also observed when adjusting for volume of sedation administered, familiarity with the endoscopist, duration of the colonoscopy, or whether or not an intervention was performed. All patient groups were less satisfied with the procedure at 6 weeks than directly after the colonoscopy; they recalled more embarrassment and burden, but less pain.
Patient groups, defined by indication for colonoscopy, experience the colonoscopy procedure differently.
结肠镜检查在全球范围内是一种常见的检查方法，但人们对其持有负面看法，这导致人们不愿意接受该检查。对结肠镜检查的看法可能因具体的适应证而异。
比较五种不同患者群体（炎症性肠病、癌症家族易感性、腺瘤/癌监测、疑似癌症症状和肠易激综合征）对结肠镜检查过程的满意度。
在荷兰的两家地区医院和两家三级教学医院进行了前瞻性问卷调查研究。共纳入 797 例 2009 年 10 月至 2010 年 6 月间拟行结肠镜检查的连续患者，其中 146 例（18%）为炎症性肠病，153 例（19%）为腺瘤或癌监测，104 例（13%）为癌症家族易感性，280 例（35%）为疑似癌症症状，114 例（14%）为肠易激综合征样症状。患者在检查当天和检查后 6 周时接受了两份问卷。主要观察指标是尴尬、疼痛、负担、最负担重的方面和总体满意度。
炎症性肠病和肠易激综合征患者在肠道准备阶段报告的尴尬和负担明显更高（P=0.040 和 0.018），结肠镜检查过程中的疼痛也更明显（P=0.018）。调整镇静剂用量、内镜医生熟悉程度、结肠镜检查时间或是否进行干预后，仍观察到疼痛的差异。所有患者群体在 6 周时对该检查的满意度均低于检查后直接评估时，他们报告了更多的尴尬和负担，但疼痛程度较轻。
以结肠镜检查适应证定义的患者群体对结肠镜检查过程的体验不同。
