Department of Adult Nursing, Faculty of Nursing, Khon Kaen University, Khon Kaen, 40002, Thailand.
Department of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen University, Khon Kaen, 40002, Thailand.
Sci Rep. 2023 Jul 4;13(1):10783. doi: 10.1038/s41598-023-37044-w.
To evaluate the effectiveness of bowel preparation innovative technology instructions (BPITIs) among patients undergoing colonoscopy. We searched PubMed, MEDLINE, CINAHL, CENTRAL, Scopus, Web of Science, LILACS, ClinicalTrials.gov, and Google Scholar for randomised controlled trials (RCTs) and cluster-RCTs from inception to February 28, 2022. The Cochrane risk of bias (RoB) tool and GRADE were used to assess RoB and certainty of evidence, respectively. Meta-analyses with random-effects model were used for analysis. This review included 47 RCTs (84 records). Seven BPITIs were found among included studies: (1) mobile apps, (2) VDO stream from personal devices, (3) VDO stream from a hospital device, (4) SMS re-education, (5) telephone re-education, (6) computer-based education, and (7) web-based education. The findings demonstrate that BPITIs have a slight impact on adherence to overall instructions (RR 1.20, 95% CI 1.13-1.28; moderate-certainty evidence), adequate bowel preparation (RR 1.10, 95% CI 1.07-1.13; low-certainty evidence), and quality of bowel preparation score (SMD 0.42, 95% CI 0.33-0.52; low-certainty evidence) compared to routine care. BPITIs may enhance the clinical outcomes. Due to the low-certainty evidence and heterogeneity of the included studies, the findings should be interpreted cautiously. Well-designed and reported RCTs are required to confirm the findings.PROSPERO registration number: CRD42021217846.
评估创新的肠道准备技术指导（BPITIs）在结肠镜检查患者中的有效性。我们检索了 PubMed、MEDLINE、CINAHL、CENTRAL、Scopus、Web of Science、LILACS、ClinicalTrials.gov 和 Google Scholar，以获取从开始到 2022 年 2 月 28 日的随机对照试验（RCTs）和整群 RCTs。使用 Cochrane 偏倚风险（RoB）工具和 GRADE 分别评估 RoB 和证据确定性。使用随机效应模型进行荟萃分析。本综述包括 47 项 RCT（84 条记录）。纳入的研究中有 7 种 BPITIs：（1）移动应用程序，（2）个人设备的 VDO 流，（3）医院设备的 VDO 流，（4）短信再教育，（5）电话再教育，（6）基于计算机的教育和（7）基于网络的教育。研究结果表明，与常规护理相比，BPITIs 对总体指导的依从性（RR 1.20，95%CI 1.13-1.28；中等确定性证据）、充分的肠道准备（RR 1.10，95%CI 1.07-1.13；低确定性证据）和肠道准备质量评分（SMD 0.42，95%CI 0.33-0.52；低确定性证据）有轻微影响。BPITIs 可能会改善临床结局。由于纳入研究的低确定性证据和异质性，结果应谨慎解释。需要设计良好和报告良好的 RCT 来证实这些发现。PROSPERO 注册号：CRD42021217846。
