Lee Eugene, Shafer Leigh Anne, Walker John R, Waldman Celeste, Michaud Valerie, Yang Chengyue, Bernstein Charles N, Hathout Linda, Park Jason, Sisler Jeff, Wittmeier Kristy, Restall Gayle, Singh Harminder
Department of Internal Medicine.
Department of Community Health Sciences.
Medicine (Baltimore). 2019 May;98(20):e15738. doi: 10.1097/MD.0000000000015738.
Better pre-colonoscopy education may lead to improved bowel preparation, decreased anxiety, and a willingness to go direct-to-colonoscopy. We assessed information experiences, needs, and preferences of patients undergoing colonoscopy.A self-administered survey was distributed between 08/2015 and 06/2016 to patients in Winnipeg, Canada when they attended an outpatient colonoscopy. The amount, type, helpfulness, and satisfaction with information provided were analyzed. Linear and logistic regression analyses were used to assess predictors of satisfaction with various aspects of the information received, as well as overall satisfaction with the provided information.Although the majority of the 1580 respondents were satisfied with the information they received, only 68% of respondents coming for a repeat colonoscopy and 59% of those coming for first colonoscopy perceived receiving just the right amount of information from their endoscopy doctor. One quarter or less of the respondents indicated they received just the right amount of information from any source other than their colonoscopy doctor. 38% coming for a first colonoscopy and 44% coming for a repeat colonoscopy indicated they received no information from their family physician. Those coming for their first colonoscopy had a lower average score (9.7 vs 11.1; P < .001) for amount of information received (scale 0-15), were less satisfied with the information they received (P = .005) and found the information to be less clear (P = .004).Many patients going for colonoscopy in a large urban practice are inadequately informed about the various aspects of the procedure and it is worse for those going for first rather than repeat colonoscopy.
更好的结肠镜检查前教育可能会带来更好的肠道准备、减轻焦虑,并使患者更愿意直接接受结肠镜检查。我们评估了接受结肠镜检查患者的信息体验、需求和偏好。
2015年8月至2016年6月期间,在加拿大温尼伯,当患者前往门诊进行结肠镜检查时,发放了一份自我管理的调查问卷。对所提供信息的数量、类型、有用性和满意度进行了分析。使用线性和逻辑回归分析来评估对所接收信息各个方面的满意度预测因素,以及对所提供信息的总体满意度。
虽然1580名受访者中的大多数对他们收到的信息感到满意,但只有68%接受重复结肠镜检查的受访者和59%接受首次结肠镜检查的受访者认为从他们的内镜医生那里获得了适量的信息。四分之一或更少的受访者表示,他们从结肠镜检查医生以外的任何来源获得了适量的信息。38%接受首次结肠镜检查的受访者和44%接受重复结肠镜检查的受访者表示他们没有从家庭医生那里获得任何信息。接受首次结肠镜检查的受访者在收到的信息量(0-15分制)方面的平均得分较低(9.7分对11.1分;P<0.001),对收到的信息不太满意(P=0.005),并且认为信息不太清晰(P=0.004)。
在大型城市医疗机构中,许多进行结肠镜检查的患者对该检查的各个方面了解不足,对于接受首次而非重复结肠镜检查的患者来说情况更糟。