| ObjectivesThe purpose of this study was to construct a painless gastroenteroscopy awareness program for outpatients with diabetes and to conduct a study on the application of the program to evaluate its effectiveness.Methods1.Construction of education program for painless gastroenteroscopy in outpatients with diabetes: using the convenience sampling method,240 outpatients with diabetes who underwent painless gastroenteroscopy in a secondary general hospital in Weifang City from July to November 2021 were selected as the study subjects,and the current status of knowledge about painless gastroenteroscopy,discomfort symptoms during home bowel preparation,tolerance,and incidence of hypoglycemia while waiting for consultation in outpatients with diabetes was investigated through a cross-sectional survey of patients’ knowledge about painless gastroenteroscopy and bowel preparation,and the influencing factors were analyzed by independent sample t-test,one-way ANOVA,and chi-square test.Based on the collaborative care model and key point control theory,the education program for painless gastrointestinal examination of outpatient diabetic patients was constructed based on the current situation survey,combined with the literature review and group discussion,and further revised after the expert meeting and pre-experimental results.The "O2O" educational program for outpatient painless gastroenteroscopy for diabetic patients was finally formed.2.Application of educational program of painless gastroenteroscopy for outpatients with diabetes: Using a single-center,single-blind,randomized controlled experiment,172 patients with diabetes who underwent painless gastroenteroscopy in the outpatient clinic of a secondary general hospital in Weifang City from November 2021 to February 2022 were randomly divided into a control group and an intervention group,with 86 cases in each group.Both groups used the same bowel preparation method,and the examination was arranged in the morning.The control group was given the conventional mission mode of education,and the intervention group adopted the "O2O" education model of offline mind map and online We Chat on the basis of the control group.IBM SPSS Statistics 25.0statistical software was used to analyze the collected data by independent sample t-test,one-way ANOVA,chi-square test and non-parametric test,and to compare the differences in the knowledge rate,compliance with home bowel preparation,tolerance,blood glucose level,passing rate of bowel preparation and incidence of adverse reactions between the two groups,and to evaluate the differences in the "O2O" education program for outpatient diabetic patients,P＜0.05 was statistically significant.To evaluate the effect of "O2O" education program for painless gastroenteroscopy in outpatients with diabetes.Results1.Status Survey Results: The knowledge rate of outpatients with diabetes mellitus related to painless gastroenteroscopy was 50.64%;The incidence of abdominal pain and distension during home bowel preparation was 27.11%,nausea and vomiting was 26.22%,hypoglycemic reaction was 24.89%,and 38.22% of patients could not tolerate the bowel preparation process;The incidence of hypoglycemia while waiting for consultation was13.33%;Intestinal preparation cleanliness was 77.78%.Single factor analysis showed statistically significant effects of patients’ age,education level,and family accompanying mission on knowledge knowledge score related to the examination(P＜0.05).The effect of family members accompanying bowel preparation and knowledge of examination-related knowledge on tolerance of home bowel preparation was statistically significant(P＜0.05).The effect of blood glucose-related knowledge score on the incidence of hypoglycemia was statistically significant(P＜0.05).Statistically significant effect of age,education level and knowledge of examination-related knowledge on the quality of bowel preparation(P＜0.05).2.Outpatient painless gastroenteroscopy education program for diabetic patients:includes painless gastroenteroscopy bowel preparation mind map,educational video,6times of bowel preparation education(at the time of clinic appointment,17:00 on the day of admission,7:00 one day before the examination,16:00,7:00 on the day of examination,and after the examination),6 key points of bowel preparation education(diet preparation,laxative configuration and administration,exercise method,blood glucose control and monitoring,cleanliness judgment,and precautions),20 instructional contents and 2intra-group feedback(blood glucose value,last stool picture).3.Application of education program in painless gastrointestinal examination of outpatients with diabetes: The difference between the general data of the two groups before the education was not statistically significant(P＞0.05).After that,the knowledge knowledge score of patients in the intervention group(13.46±1.60)pointswas higher than that of the control group(8.57±1.78)points(P＜0.001);the compliance score of home bowel preparation in the intervention group(7.59±1.16)points was higher than that of the control group(5.67±1.18)points(P＜0.001);tolerability of home bowel preparation was higher in the intervention group(96.39%)than in the control group(62.20%)(P＜0.001);the Boston bowel preparation score was higher in the intervention group(7.36±1.14)points than in the control group(6.63 ± 1.25)points(P＜0.05);compliance rate of glycemic control while waiting(79.52%)than in the control group(54.88%)(P＜0.001);incidence of hypoglycemia while waiting in the intervention group(2.41%)than in the control group(12.20%)(P＜0.05);the incidence of adverse reactions in the intervention group(16.86%)was lower than that in the control group(37.80%)(P＜0.05);the incidence of uncomfortable symptoms of home bowel preparation in the intervention group(40.96%)was lower than that in the control group(85.36%)(P＜0.001).Conclusion1.Outpatients with diabetes have low knowledge of painless gastrointestinal examination,high incidence of discomfort during home bowel preparation,poor tolerance of bowel preparation,and high incidence of hypoglycemia.2.The "O2O" outpatient painless gastrointestinal examination education program based on the collaborative care model and the key point control principle can improve the knowledge rate of painless gastroenteroscopy,tolerance of home bowel preparation and quality of bowel preparation,reduce the incidence of hypoglycemia and uncomfortable symptoms of home bowel preparation in outpatients with diabetes.In turn,the comfort and safety of home bowel preparation was improved.3.The preaching program is in line with clinical reality,with good scientific and practicality,and worthy of clinical promotion and use. |
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