Chen Hui-Yu, Tu Ming-Hsiang, Chen Miao-Yen
School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan.
Endoscopy Center for Diagnosis and Treatment, Taipei Veterans General Hospital, Taipei 112201, Taiwan.
Healthcare (Basel). 2024 Jul 10;12(14):1374. doi: 10.3390/healthcare12141374.
Colonoscopy is an essential method for diagnosing and treating colorectal cancer, relying on effective bowel preparation to thoroughly examine the large intestinal mucosa. Traditional education involves printed instructions and verbal explanations but does not guarantee clear patient understanding. Poor bowel preparation can obscure mucosal visibility, delaying cancer diagnosis and treatment. A mobile medical model using Android devices for bowel preparation education was tested in a single-blind, randomized trial. This trial enrolled outpatients undergoing colonoscopy at the Endoscopy Center for Diagnostic and Treatment between 27 October 2021 and 31 December 2022. This study introduced the ColonClean app alongside traditional methods. After examination, endoscopists rated the preparation quality using the Aronchick scale. A data analysis was conducted using SPSS 25.0 to determine if there was a significant improvement in bowel preparation quality between the control group (traditional method) and the experimental group (traditional method plus the ColonClean app). Forty patients were recruited in each group. In the experimental group, all ratings were "fair", with 75% receiving an "excellent" or "good" rating, showing statistical significance ( = 0.016). The ColonClean app improves bowel preparation quality more effectively than traditional care instructions.
结肠镜检查是诊断和治疗结直肠癌的重要方法，依赖有效的肠道准备来全面检查大肠黏膜。传统的教育方式包括印刷说明和口头解释，但不能保证患者完全理解。肠道准备不佳会模糊黏膜视野，延误癌症的诊断和治疗。在一项单盲随机试验中，对一种使用安卓设备进行肠道准备教育的移动医疗模式进行了测试。该试验纳入了2021年10月27日至2022年12月31日期间在内镜诊断与治疗中心接受结肠镜检查的门诊患者。本研究在传统方法的基础上引入了ColonClean应用程序。检查后，内镜医师使用阿隆奇克量表对准备质量进行评分。使用SPSS 25.0进行数据分析，以确定对照组（传统方法）和实验组（传统方法加ColonClean应用程序）之间肠道准备质量是否有显著改善。每组招募了40名患者。在实验组中，所有评分均为“一般”，75%的患者获得了“优秀”或“良好”的评分，具有统计学意义（=0.016）。ColonClean应用程序比传统护理指导更有效地提高了肠道准备质量。
