Napolitano Daniele, Lo Cascio Alessio, Bozzetti Mattia, Povoli Arianna, Grubissa Simonetta, Molino Luca, Marino Marco, Berretti Debora, Puca Pierluigi, Lavigna Diletta Immacolata Rita, Grilli Fabio, Antonelli Giulio, Calvez Valentin, Di Petrillo Amalia, Onali Sara, Gasbarrini Antonio, Fiorino Gionata, Scaldaferri Franco
CEMAD-Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy.
Department of Nursing Research and Management, La Maddalena Cancer Center, 90146 Palermo, Italy.
J Clin Med. 2025 Apr 8;14(8):2562. doi: 10.3390/jcm14082562.
Colonoscopy is crucial for diagnosing and monitoring inflammatory bowel disease (IBD), assessing disease activity, and detecting dysplasia. However, patient adherence to surveillance remains suboptimal due to discomfort, anxiety, and concerns about bowel preparation. This multicenter cross-sectional study assessed patient satisfaction with colonoscopy in IBD patients across three Italian centers. Participants completed pre- and post-examination questionnaires, including the Endoscopy Customer Satisfaction Questionnaire (ECSQ) and Perceived Stress Scale (PSS-10). Clinical factors, bowel preparation methods, and healthcare provider expertise were analyzed. Among 444 enrolled patients, overall satisfaction was high (98.8%) but varied across procedural phases. Higher satisfaction was predicted by expert endoscopists (β = 2.11, = 0.012), disease remission (β = 1.70, = 0.020), and frequent endoscopic procedures in the last 24 months (β = 0.46, = 0.041). Conversely, severe disease activity (β = -3.87, < 0.001) was associated with lower satisfaction. Deep sedation and high-volume bowel preparation negatively impacted satisfaction. Optimizing bowel preparation, enhancing healthcare provider expertise, and implementing stress-reducing strategies could improve patient adherence to surveillance guidelines in IBD care.
结肠镜检查对于诊断和监测炎症性肠病（IBD）、评估疾病活动以及检测发育异常至关重要。然而，由于不适、焦虑以及对肠道准备的担忧，患者对监测的依从性仍不理想。这项多中心横断面研究评估了意大利三个中心的IBD患者对结肠镜检查的满意度。参与者完成了检查前和检查后的问卷，包括内镜检查客户满意度问卷（ECSQ）和感知压力量表（PSS-10）。分析了临床因素、肠道准备方法和医疗服务提供者的专业知识。在444名登记患者中，总体满意度较高（98.8%），但在不同的操作阶段有所不同。专家内镜医师（β = 2.11，P = 0.012）、疾病缓解（β = 1.70，P = 0.020）以及过去24个月内频繁进行内镜检查（β = 0.46，P = 0.041）预示着更高的满意度。相反，严重的疾病活动（β = -3.87，P < 0.001）与较低的满意度相关。深度镇静和大容量肠道准备对满意度有负面影响。优化肠道准备、提高医疗服务提供者专业知识以及实施减压策略可以提高IBD护理中患者对监测指南的依从性。
