Su Hui, Lao Yueqiong, Wu Jing, Liu Hong, Wang Canghai, Liu Kuiliang, Wei Nan, Lin Wu, Jiang Guojun, Tai Weiping, Guo Chunmei, Wang Yadan
Department of Gastroenterology, Capital Medical University Affiliated Beijing Shijitan Hospital, Beijing 100038, China.
Peking University Ninth School of Clinical Medicine, Beijing 100038, China.
Ann Palliat Med. 2020 Mar;9(2):420-427. doi: 10.21037/apm.2020.03.24. Epub 2020 Mar 17.
To analyze whether face-to-face education before colonoscopy improves the quality of bowel preparation and increases the detection of adenomas.
A retrospective cross-sectional study of adult patients with colorectal polyps identified by colonoscopy as outpatients was performed. The patients underwent an added colonoscopy inpatient for resection of colorectal polyps. As outpatients, we gave the patients written bowel preparation instructions; however, when they were inpatients, we supplied face-to-face education. We analyzed the data from the two colonoscopies of the same group of patients out- and in-patients, including the quality of the intestinal preparation, the time to reach the ileocecal region, and the detection of adenomas.
A total of 260 patients {age 63 [56, 68] years old, male/female (169/91)} were retrospectively included in our study. Two hundred fifty-two patients with a total of 685 adenomas were detected, 94 patients with 179 adenomas overlooked in the first colonoscopy. The BBPS Score during inpatient was higher than that during outpatient, {9 [8, 9] vs. 7 [6, 9]}, P<0.05, the Bubble Score during inpatient was lower than that during outpatient [0 (0.00, 0.00) vs. 0 (0.00, 1.00)], P<0.05. The time to reach the ileocecal region during inpatient is shorter than that during outpatient {6 [5, 9] vs. 7.5 [5, 11] min}, P<0.05. Poor bowel preparation, flat adenoma morphology, and adenoma diameter lower than 5mm were related adenoma misdiagnoses, P<0.05.
Face-to-face patient education can improve the quality of bowel preparation, then shorten the time to reach the ileocecal region, and increase detection of colorectal adenomas.
分析结肠镜检查前的面对面教育是否能提高肠道准备质量并增加腺瘤的检出率。
对经结肠镜检查确诊为门诊结直肠息肉的成年患者进行回顾性横断面研究。患者接受了额外的住院结肠镜检查以切除结直肠息肉。作为门诊患者时，我们为患者提供书面的肠道准备说明；然而，当他们住院时，我们提供面对面教育。我们分析了同一组患者门诊和住院两次结肠镜检查的数据，包括肠道准备质量、到达回盲部的时间以及腺瘤的检出情况。
共有260例患者（年龄63 [56, 68]岁，男/女[169/91]）被纳入本回顾性研究。共检测到252例患者有685个腺瘤，94例患者的179个腺瘤在首次结肠镜检查时被漏诊。住院期间的波士顿肠道准备评分（BBPS）高于门诊期间，{9 [8, 9] vs. 7 [6, 9]}，P<0.05，住院期间的气泡评分低于门诊期间[0 (0.00, 0.00) vs. 0 (0.00, 1.00)]，P<0.05。住院期间到达回盲部的时间比门诊期间短{6 [5, 9] vs. 7.5 [5, 11]分钟}，P<0.05。肠道准备不佳、扁平腺瘤形态以及腺瘤直径小于5mm与腺瘤误诊相关，P<0.05。
面对面的患者教育可提高肠道准备质量，进而缩短到达回盲部的时间，并增加结直肠腺瘤的检出率。
