Effect Of Patient Follow-up Management System On The Quality Of Bowel Preparation In Patients Undergoing Colonoscopy

Objectives:With the continuous improvement of people’s living conditions,the current incidence and mortality of colorectal cancer is constantly rising in China.Early diagnosis and treatment of colon cancer diseases is essential.With the continuous development of endoscopic techniques,colonoscopy has become an important means of screening and treatment of colorectal cancer,playing a pivotal role in reducing the incidence and mortality of colon cancer diseases.The quality of bowel preparation is closely related to the results of colonoscopy.There are many factors affecting the quality of bowel preparation.Relevant studies have shown that poor patient compliance is an important cause of poor bowel preparation.However,the link between patient compliance and bowel preparation has not yet been established.Therefore,this study aims to improve the patient’s intestinal preparation guidance and improve patient compliance through patient follow-up management system(management methods include video animation,telephone,text message,new media(WeChat、WeChat public number)).And evaluate its guiding effect,so as to construct a new program for patient intestinal preparation guidance management.Methods:A randomized and prospective study was performed in patients who underwent colonoscopy at our outpatient clinic from May 2018 to February 2019.Patients who underwent colonoscopy were randomly divided into groups A and B.Group A:Experimental group:Patient follow-up management system group(management methods include video animation,telephone,text message,new media(WeChat、WeChat public number));Group B:Control group:General bowel preparation education group.The quality of bowel preparation between the experimental group and the control group was evaluated using the Ottawa Score(Ottawa bowel preparation scale,OBPS),and the patient’s subjective feelings,satisfaction during bowel preparation and colonoscopy were assessed by questionnaire.In addition,factors related to poor bowel preparation have also been studied.Results;:Compared with the control group,the total score of Ottawa(2.87±2.39 vs 4.36±3.84;P<0.05)and the Ottawa score of each intestinal segment were lower in the experimental group than in the control group(right colony 0.79±0.95 vs 1.20±1.06,transverse colon 0.78±0.92 vs 1.22±1.17,left colon and rectum 0.69±0.87 vs 1.22±1.27;P<0.05),but there was no significant difference in the amount of liquid.Compared with the control group,the patients in the experimental group showed lower anxiety levels and higher satisfaction(P<0.05);the quality of sleep during the bowel preparation(P=0.97)and adverse symptoms(P=0.21),no significant differences were found between the two groups;significantly more patients in the exper:imental group responded to the requirement for repeated bowel preparation if necessary,and answered"yes"(P<0.05).Conclusions:By enhancing patient missions prior to colonoscopy,patient compliance was improved and the quality of bowel preparation was improved.At the same time,the patient’s subjective feelings,satisfaction during bowel preparation,and tolerance to colonoscopy were improved.