Effect of “Internet plus Healthcare” platform on the bowel preparation quality for colonoscopy / 中华全科医师杂志

ABSTRACT

Objective:To investigate the effect of “Internet+Healthcare” combined with traditional education on the quality of bowel preparation for colonoscopy.Methods:A double-blind randomized parallel controlled trial was conducted. A total of 660 patients who underwent colonoscopy from August 2020 to August 2021 were enrolled. The patients were randomly assigned to receive “Internet+Healthcare” education combined with traditional education (study group, n=330 cases) or the traditional education alone (control group, n=330).The Boston bowel preparation scale, the qualified rate of bowel preparation and the adenoma detection rate of the two groups were compared. The factors affecting bowel preparation were determined by multivariate logistic regression analysis. Results:The Boston bowel preparation scale (6.1±1.1 vs. 5.3±1.2, t=-9.18, P<0.001), the qualified rate of bowel preparation [93.5% (300/321) vs. 75.8% (244/322), χ2=38.58, P<0.001], and the adenoma detection rate [39.3%(126/321) vs. 30.4%(98/322), χ2=5.51, P=0.019] in the study group were significantly higher than those in the control group. The factors related to qualified bowel preparation were female gender ( OR=2.19, 95 %CI1.33-3.59, P=0.002), no hypertension ( OR=1.91, 95 %CI1.17-3.12, P=0.010), diarrhea ( OR=4.84, 95 %CI1.22-19.24, P=0.025), and “Internet+Healthcare” combined with traditional education ( OR=4.79, 95 %CI2.81-8.16, P<0.001).The factors related to unqualified bowel preparation were no colonoscopy history ( OR=0.34, 95 %CI0.20-0.56, P<0.001) and no diabetes ( OR=0.44, 95 %CI0.24-0.80, P=0.008). Conclusions:Compared with traditional education, patients who received “Internet+Healthcare” education combined with traditional education have high quality of bowel preparation and high adenoma detection rate in colonoscopy. To obtain qualified bowel preparation for colonoscopy attention should be paid to factors affecting bowel preparation quality.