智能化大腸鏡衛教提升檢查品質之研究

Intelligent Health Education Enhances Colonoscopy Examination Quality Research

10.29442/HPRP.202312_6(1_2).0004

陳宜宣(Yi-Shiuan Chen)；郭昭宏(Chao-Hung Kuo)；吳登強(Deng-Chyang Wu)；黃建民(Chien-Min Huang)；郭富珍(Fu-Chen Kuo)

大腸鏡檢查 ； 衛教影片 ； 檢查品質 ； 腸道清潔度 ； 腺瘤偵測率 ； Colonoscopy ； Health education video ； Quality of colonoscopy ； Bowel preparation ； Adenoma detection rate(ADR)

健康促進研究與實務

6卷1&2期（2023 / 12 / 01）

28 - 40

繁體中文;英文

目的：大腸鏡檢查品質是執行大腸鏡檢查成功的必要條件，若因腸道清腸不完整會影響檢查完成度、腸／憩室出血穿孔甚至提高大腸／直腸間隔癌（Interval cancer）風險，規劃藉由智能平板電腦影片衛教介入來提升病患認知，探討大腸鏡檢查之影響因子，期望能改善大腸鏡檢查品質。方法：本研究採前瞻性類實驗性研究設計，收案時間2017年7月至12月收案239人。結果：腸道清潔度：實驗組增加0.55倍，性別及年齡具有顯著差異。在盲腸退出至肛門口時間：年齡、檢查次數、專科醫師資歷具有顯著差異。在全部檢查時間：性別、年齡、教育程度、專科醫師資歷具有顯著差異。在瘜肉偵測率（ADR）：性別、年齡、檢查前飲食、專科醫師資歷具有顯著差異。結論：透過智能平板電腦影片介入大腸鏡檢查，瞭解與原有衛教方式的差異，可作為未來醫療院所教育病患的參考模式，讓醫護人員能提供病患更好的衛教知識及方法，同時增進病患關心自身健康認知。

Purpose: Quality of colonoscopy is a necessary condition for the successful execution of the procedure. Incomplete bowel preparation can affect the completion of the examination, lead to colon/rectal bleeding, perforation, or even increase the risk of colorectal cancer (interval cancer). To improve the quality of colonoscopy, a plan has been developed to enhance patients' knowledge through tablet computer health education videos. The plan also aims to investigate the factors influencing colonoscopy and expects to improve the quality of the procedure. Method: his study employed a prospective quasi-experimental research design and recruited a total of 239 participants between July and December 2017. Results: The results revealed that the case group exhibited a 0.55-fold increase in bowel preparation (p=0.044). Furthermore, significant differences were observed in terms of gender and age. Regarding the withdrawal time from the cecum to the anus, age, number of examinations, and physician showed significant differences. In terms of overall examination time, gender, age, education level, and physician demonstrated significant differences. As for the adenoma detection rate (ADR), gender, age, pre-examination diet, and physician exhibited significant differences. Conclusion: Through intelligent health education intervention for patients undergoing colonoscopy, understanding the differences compared to the original health education approach can serve as a reference model for future healthcare institutions in educating patients. This enables healthcare providers to deliver better health education knowledge and methods to patients while enhancing patients' awareness and concern for their own health.