Kocaeli University, Faculty of Medicine, Department of Internal Medicine, Izmit, Turkey.
Kocaeli University, Faculty of Medicine, Department of Gastroenterology, Izmit, Turkey.
Acta Gastroenterol Belg. 2021 Jul-Sep;84(3):407-410. doi: 10.51821/84.3.009.
Inadequate bowel preparation in patients scheduled for colonoscopy is an important problem. In our study, we aimed to investigate the effect of physician-provided bowel preparation education on the quality of bowel preparation and process.
A total of 150 outpatients who were referred to Kocaeli University Medical Faculty Hospital Gastroenterology Unit for colonoscopy between May 2019 and October 2019 were enrolled in our prospective, endoscopist-blinded study. Patients were divided into two groups. Group 1 (education group) included 73 patients who received 10 minutes of verbal information from a physician in addition to a written information form. Group 2 (control group) included 75 patients who received information from a medical secretary in addition to a written information form. During colonoscopy, the quality of bowel preparation was assessed using the Boston bowel preparation scale (BBPS). A BBPS score = 5 was considered adequate bowel preparation. The mean BBPS score, polyp detection rate, cecal intubation rate and time, and procedure time were also evaluated.
The rate of adequate bowel preparation (BBPS score = 5) was 90.4% and 74.7% in groups 1 and 2, respectively (p = 0.021). The odds ratio for having a BBPS score = 5 in the education group was 3.199 compared with the control group (95% confidence interval = 1.254-8.164; p = 0.015). The cecal intubation rates were 91.8% and 88% in groups 1 and 2, respectively (p > 0.05). The cecal intubation time, procedure time, and adenoma detection rates were similar between the groups. The relationships of age, education level, sex, diabetes mellitus, medicine use, procedure time, and intraabdominal surgery with inadequate bowel preparation were analysed using a logistic regression model. Univariate and multivariate analyses revealed no significant factors associated with inadequate bowel preparation.
Patient education on the bowel preparation process via a physician improved the quality of bowel preparation.
结肠镜检查患者的肠道准备不足是一个重要问题。在本研究中，我们旨在调查医生提供的肠道准备教育对肠道准备质量和过程的影响。
本前瞻性、内镜医师设盲研究共纳入 2019 年 5 月至 2019 年 10 月期间因结肠镜检查而被转诊至科贾埃利大学医学院附属医院消化内科的 150 例门诊患者。患者被分为两组。第 1 组（教育组）包括 73 例患者，除了书面信息表外，还接受了医生 10 分钟的口头信息。第 2 组（对照组）包括 75 例患者，除了书面信息表外，还接受了医疗秘书的信息。在结肠镜检查过程中，使用波士顿肠道准备量表（BBPS）评估肠道准备质量。BBPS 评分为 5 分被认为是充分的肠道准备。还评估了平均 BBPS 评分、息肉检出率、盲肠插管率和时间、以及操作时间。
第 1 组和第 2 组充分肠道准备（BBPS 评分为 5）的比例分别为 90.4%和 74.7%（p = 0.021）。教育组的 BBPS 评分为 5 的优势比为 3.199，与对照组相比（95%置信区间=1.254-8.164；p = 0.015）。第 1 组和第 2 组的盲肠插管率分别为 91.8%和 88%（p > 0.05）。盲肠插管时间、操作时间和腺瘤检出率在两组之间相似。使用逻辑回归模型分析年龄、教育程度、性别、糖尿病、药物使用、操作时间和腹腔内手术与肠道准备不足的关系。单因素和多因素分析显示，没有与肠道准备不足相关的显著因素。
通过医生对肠道准备过程进行患者教育可改善肠道准备质量。
