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教育卡通对儿童结肠镜检查时肠道准备质量的影响。

Impact of Educational Cartoon on Pediatric Bowel Preparation Quality at Time of Colonoscopy.

作者信息

Maxwell Elizabeth, Simmons Marsha, Franklin Linda, Arnold Janis, Pall Harpreet

机构信息

St Christopher's Hospital for Children, Philadelphia, PA, USA; Drexel University College of Medicine, Philadelphia, PA, USA.

Boston Children's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.

出版信息

Glob Pediatr Health. 2014 Aug 12;1:2333794X14548199. doi: 10.1177/2333794X14548199. eCollection 2014.

Abstract

OBJECTIVE

To evaluate if addition of educational cartoon to pediatric bowel preparation instructions improves the quality of bowel preparation and patient experience.

METHODS

Patients were randomized to control group receiving standard bowel preparation instructions or intervention group receiving additional educational cartoon. To objectively rate bowel preparation, a blinded endoscopist completed numeric Ottawa score (0-14, with 0 being best). The family also completed a questionnaire rating the bowel preparation process.

RESULTS

Data from 23 patients were analyzed. Mean Ottawa score in the intervention group compared with controls was not significantly different (mean scores 3.73 and 3.33, respectively; P = .384). Level of education was significantly correlated with better Ottawa score in the overall population (ρ = -.462, P = .026) and within the control group (ρ = -.658, P = .02). Both groups of patients reported positive experience with bowel preparation.

CONCLUSION

There may be benefit to further investigation of this educational cartoon in parents with less than college level education or non-English-speaking families in larger population of patients.

摘要

目的

评估在儿科肠道准备说明中添加教育卡通片是否能提高肠道准备质量和患者体验。

方法

将患者随机分为接受标准肠道准备说明的对照组或接受额外教育卡通片的干预组。为客观评估肠道准备情况,一名不知情的内镜医师完成渥太华数字评分(0 - 14分,0分为最佳)。家属还完成了一份对肠道准备过程进行评分的问卷。

结果

分析了23名患者的数据。干预组与对照组的平均渥太华评分无显著差异(平均评分分别为3.73和3.33;P = 0.384)。在总体人群中,教育程度与更好的渥太华评分显著相关(ρ = -0.462,P = 0.026),在对照组中也是如此(ρ = -0.658,P = 0.02)。两组患者均报告肠道准备体验良好。

结论

对于教育程度低于大学水平的父母或非英语家庭的更多患者,可能有必要进一步研究这种教育卡通片。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eb7/4804678/d9a26741783c/10.1177_2333794X14548199-fig1.jpg

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