Ho Loan H, Montealegre Jane R, Al-Arabi Safaʼa, Jibaja-Weiss Maria L, Suarez Milena Gould
Loan H. Ho, DNP, APRN, is Assistant Professor, Department of Gastroenterology and Hepatology, Baylor College of Medicine, Houston, Texas. Jane R. Montealegre, PhD, is Assistant Professor, Department of Pediatrics, Baylor College of Medicine, Dan L Duncan Comprehensive Cancer Center, Houston, Texas. Safa'a Al-Arabi, PhD, RN, MSN, MPH, CNL, is Associate Professor, Clinical Nurse Leader Track Administrator, University of Texas Medical Branch at Galveston, School of Nursing. Maria L. Jibaja-Weiss, EdD, is Director, Office of Outreach and Health Disparities, Dan L Duncan Comprehensive Cancer Center, and Associate Professor, Baylor College of Medicine, Houston, Texas. Milena Gould Suarez, MD, is Associate Professor of Medicine, Baylor College of Medicine; Department of Gastroenterology and Hepatology, Ben Taub General Hospital, Houston, Texas.
Gastroenterol Nurs. 2019 May/Jun;42(3):251-258. doi: 10.1097/SGA.0000000000000391.
Colorectal cancer (CRC) is the second leading cause of cancer-related deaths in the United States and the third most common cancer in men and the second most common cancer among women. Early detection of localized adenocarcinoma and adenomatous polyps helps reduce the mortality related to colon cancer. According to the American Gastroenterological Association, colonoscopy (CSPY) is the gold standard in screening for CRC. To improve the results of screening, the CSPY preparation (prep) needs to be optimal. This study was undertaken to determine whether a supplemental standardized educational video on bowel preparation in the viewer's native language would improve bowel preparation at the time of CSPY. After institutional review board approval, the records of adult patients who presented to the gastroenterology clinic were reviewed. Patients who underwent a CSPY were assigned according to whether they watched a supplemental educational video on CSPY bowel preparation in their native language. This video reflects the same information provided in written and verbal form at the time of CSPY scheduling. Bowel prep was rated by the endoscopist using the Boston Bowel Preparation Scale (BBPS) and quantifies the adequacy of the preprocedure bowel prep. Participant characteristics and BBPS scores were statistically assessed for significant differences. We identified a total of 186 patients, 91 in March 2015 (pre-video intervention) and 95 in March 2016 (post-video intervention). Mean BBPS score was 7.9 and 8.54 for the March 2015 and 2016 group, respectively (p value of .0039). Although there was no statistical difference between the 2 groups with concern to gender and age, the racial makeup and BBPS score were statistically different. Multivariate analysis was performed. There was no interaction between gender or race and year effect to account for any difference in that factors' performance. Thus, it can be implied that there is not a consistent race effect but there is a consistent gender effect with females having higher success rates, regardless of video intervention (p value of .003). After controlling for both gender and race, the year effect is modestly significant (p value of .025), with the post-video subjects having higher prep success rates. A supplemental educational video incorporated into precolonoscopy teaching may provide a standardized method of effectively conveying simple bowel prep instructions in an efficient manner. This study demonstrated that using such a video produced significant results in improving the quality of bowel preparation.
结直肠癌（CRC）是美国癌症相关死亡的第二大主要原因，在男性中是第三大常见癌症，在女性中是第二大常见癌症。早期发现局限性腺癌和腺瘤性息肉有助于降低结肠癌相关的死亡率。根据美国胃肠病学会的说法，结肠镜检查（CSPY）是CRC筛查的金标准。为了提高筛查结果，CSPY准备工作需要达到最佳状态。本研究旨在确定以观看者母语提供的关于肠道准备的补充标准化教育视频是否会改善CSPY时的肠道准备情况。经机构审查委员会批准后，对到胃肠病科诊所就诊的成年患者的记录进行了审查。接受CSPY的患者根据是否观看了以其母语制作的关于CSPY肠道准备的补充教育视频进行分组。该视频反映了在安排CSPY时以书面和口头形式提供的相同信息。内镜医师使用波士顿肠道准备量表（BBPS）对肠道准备情况进行评分，并量化术前肠道准备的充分程度。对参与者的特征和BBPS评分进行统计学评估以确定是否存在显著差异。我们共确定了186名患者，2015年3月有91名（视频干预前），2016年3月有95名（视频干预后）。2015年3月组和2016年3月组的平均BBPS评分分别为7.9和8.54（p值为0.0039）。虽然两组在性别和年龄方面没有统计学差异，但种族构成和BBPS评分存在统计学差异。进行了多变量分析。性别或种族与年份效应之间没有相互作用来解释这些因素表现上的任何差异。因此，可以推断不存在一致的种族效应，但存在一致的性别效应，即女性成功率更高，无论是否进行视频干预（p值为0.003）。在控制了性别和种族后，年份效应有适度的显著性（p值为0.025），视频干预后的受试者肠道准备成功率更高。纳入结肠镜检查前教学的补充教育视频可能提供一种标准化方法，以高效的方式有效地传达简单的肠道准备说明。本研究表明，使用这样的视频在改善肠道准备质量方面产生了显著效果。
