THE IMPACT OF SMARTPHONE APPLICATION ON THE QUALITY OF BOWEL PREPARATION FOR COLONOSCOPY

Đào Việt Hằng, Lê Quang Hưng, Đào Viết Quân

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Abstract

This study is aimed to evaluate the impact of smartphone apps on the quality of bowel preparation compared to conventional protocol. Study design: Clinical intervention, endoscopist-blind, with a control group. Results of total 432 patients (235 in control group and 197 in intervention group) showed that the proportion of compliance with instructions for bowel preparation was high, there was no statistically significant difference in both groups: taking prescribed laxatives (97%) and water (94.2%); compliance with walking (92.1%) and massaging abdomen (67.8%) while taking laxatives. 72.1% of patients spent 2-3 hours on taking laxatives and water, in which, the percentage of the intervention group (75.5%) was higher than the control group (69.2%), p=0.033. The proportion of eligible patients undergoing colonoscopy in the intervention group (95.9%) was lower than the control group (98.7%), p>0.05. The level of colonic cleanliness self-assessed by patients at the last defecation that reached the standard in the control group (92.3%) was lower than the intervention group (95.4%), p=0.009. The mean BBPS score in the intervention group (7.41±1.15) was higher than that in the control group (7.12±1.18), (p>0.05). In addition, the BBPS scores in the right and left colon of the intervention group were higher than the control group with significant difference (p<0.05). The smartphone app is a novel educational tool that shows high applicability and efficiency improvement for bowel preparation.

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