Smartphone education improves embarrassment, bowel preparation, and satisfaction with care in patients receiving colonoscopy: A randomized controlled trail.

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Abstrakt

Tytuł:: Smartphone education improves embarrassment, bowel preparation, and satisfaction with care in patients receiving colonoscopy: A randomized controlled trail.
Autorzy:: Wen MC; Diagnostic and therapeutic center of endoscopy and ultrasonography, China Medical University Hospital, Taichung.
Kau K; Academic Writing Education Center, National Taiwan University, Taipei.
Huang SS; College of Nursing and Health Sciences, Da-Yeh University, Changhua.
Huang WH; Department of gastroenterology, China Medical University Hospital, Taichung, Taiwan.
Tsai LY; College of Nursing and Health Sciences, Da-Yeh University, Changhua.
Tsai TY; Department of gastroenterology, China Medical University Hospital, Taichung, Taiwan.
Tsay SL; College of Nursing and Health Sciences, Da-Yeh University, Changhua.
Źródło:: Medicine [Medicine (Baltimore)] 2020 Nov 13; Vol. 99 (46), pp. e23102.
Typ publikacji:: Journal Article; Randomized Controlled Trial
Język:: English
Imprint Name(s):: Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
MeSH Terms:: Computer-Assisted Instruction*/instrumentation
Computer-Assisted Instruction*/methods
Preoperative Care*/methods
Preoperative Care*/psychology
Smartphone*
Colonoscopy/*psychology
Colorectal Neoplasms/*diagnosis
Patient Compliance/*psychology
Colonoscopy/methods ; Double-Blind Method ; Embarrassment ; Female ; Humans ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Patient Education as Topic/methods ; Personal Satisfaction
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Entry Date(s):: Date Created: 20201112 Date Completed: 20201124 Latest Revision: 20221005
Update Code:: 20240105
PubMed Central ID:: PMC7668526
DOI:: 10.1097/MD.0000000000023102
PMID:: 33181675
: Czasopismo naukowe

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Background: Colonoscopy is considered a safe and effective tool for detecting colorectal cancer. Nevertheless, the proportion of patients are hesitating to receive colonoscopy. Smartphone education may decrease the barrier of colonoscopy. The aim of this study is to examine the effectiveness of smartphone education in colonoscopy.
Methods: We conducted a prospective, double-blinded, randomized, controlled study to examine the effectiveness of smartphone education on embarrassment, bowel preparation, and satisfaction in colonoscopy. The patients' embarrassment was measured by the colonoscopy embarrassment scale. The quality of the bowel preparation was evaluated by gastroenterologists according to the Aronchik Scale. The satisfaction of colonoscopy care was assessed by a satisfaction scale developed by the authors.
Results: A total of 150 patients were analyzed in the smartphone education and control groups (n = 75 in each group). The smartphone education group reported fewer embarrassment (B = -2.78, P = .02) than those of the control group, the patients who were older (B = .15, P = .001) and who were male (B = 2.91, P = .003) showed higher embarrassment. Additionally, smartphone education group were likely to have better colon preparation (odds ratio = 2.46, 95% confidence interval: 1.20-5.02) than that of the control group. Smartphone education also improved the satisfaction with care (β = 4.60, P < .001), and above normal body mass index decreased the satisfaction with care (β = -0.19, P < .05).
Conclusion: Smartphone education improves embarrassment, bowel preparation, and satisfaction with care in patients receiving colonoscopy.

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