Department of Gastroenterology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, China.
Laboratory Medicine Center, Department of Laboratory Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, China.
Int J Colorectal Dis. 2022 Apr;37(4):815-822. doi: 10.1007/s00384-022-04114-w. Epub 2022 Feb 22.
This study aimed to evaluate the effect of reinforced education (RE) by short message service (SMS) on the bowel preparation quality of patients undergoing colonoscopy.
Randomized controlled trials (RCTs), conducted on the effect of RE by SMS on bowel preparation for colonoscopy from inception to November 1, 2021, were queried from databases, including PubMed, Web of Science, the Cochrane Library, and EMBASE. After extracting the data, meta-analysis was conducted using Review Manager Software version 5.3.
A total of seven RCTs with 5889 patients were subjected to meta-analysis. The rate of adequate bowel preparation in the SMS group (81.7%) was significantly higher than that in the control group (75.7%) (RR: 1.10, 95% CI: 1.03-1.17, p < 0.01). Four studies suggested that RE by SMS significantly reduced the non-attendance rate of patients for scheduled colonoscopy (RR: 0.74, 95% CI: 0.56-0.99, p < 0.05).
RE by SMS for patients undergoing colonoscopy can significantly improve the quality of bowel preparation and decrease the non-attendance rate of patients for scheduled colonoscopy.
本研究旨在评估通过短消息服务（SMS）进行强化教育（RE）对接受结肠镜检查患者的肠道准备质量的影响。
从数据库中检索了从创建到 2021 年 11 月 1 日为止关于 SMS 对结肠镜肠道准备的 RE 效果的随机对照试验（RCT），包括 PubMed、Web of Science、Cochrane 图书馆和 EMBASE。提取数据后，使用 Review Manager 软件版本 5.3 进行荟萃分析。
共有 7 项 RCT 纳入了 5889 名患者进行荟萃分析。SMS 组的充分肠道准备率（81.7%）明显高于对照组（75.7%）（RR：1.10，95%CI：1.03-1.17，p<0.01）。四项研究表明，SMS 进行 RE 显著降低了患者因计划进行结肠镜检查而未到场的比例（RR：0.74，95%CI：0.56-0.99，p<0.05）。
对于接受结肠镜检查的患者，SMS 进行 RE 可显著提高肠道准备质量，并降低患者因计划进行结肠镜检查而未到场的比例。
