For example, a couple of studies have sought digital tools to enhance patients’ compliance with bowel preparation instructions and improve the quality of bowel cleansing 7, 8, 9. Recently, numerous studies have explored technological interventions to improve patients’ education and cooperation in bowel preparation 6. Traditionally, patients are guided on bowel preparation using written or verbal instructions. This reduces the lesion detection rate and delays the diagnosis and treatment of intestinal diseases 4, 5.Īs bowel preparation requires dietary modification, laxative consumption, and adherence to strict timelines and guidelines, patient cooperation is critical in a successful colonoscopy. Currently, various bowel preparation drugs and methods are available to improve the effectiveness of bowel preparation however, approximately 33% of patients still exhibit poor bowel cleansing in clinical practice 3. It makes colonoscopy easier to conduct, decreases intubation time, saves medical expenditures for the patient, and enhances colonoscopy diagnostic accuracy and treatment safety 1, 2.
Thorough intestinal preparation is required before undergoing a colonoscopy. WeChat guidance might improve the quality of bowel preparation and adenoma detection rate, shorten the time of colonoscopy, and reduce adverse reactions in bowel preparation.Ĭolonoscopy is a standard procedure for screening, monitoring, and treating colorectal lesions. ADR was significantly higher in the WeChat guide than that in the non-WeChat guide group (1.47 ± 2.30 vs. 5.5%, P = 0.029) were significantly lower in the WeChat guide group than those in the non-WeChat guide group.
Finally, 588 patients were included and divided into the WeChat guide (n = 295) and the non-WeChat guide (n = 293) groups, they were comparable in baseline characteristics. The primary outcome was bowel preparation quality (Ottawa score), the secondary outcomes were intubation time, withdrawal time, adenoma detection rate (ADR), and adverse reactions. This quasi-experiment study included patients who underwent colonoscopy at Qingdao Endoscopy Center between March 2016 and September 2016. To explore the impact of WeChat guidance on bowel preparation before colonoscopy. Colonoscopy is a standard procedure for screening, monitoring, and treating colorectal lesions.
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