多部门联合精细化健康教育在住院患者结肠镜检查前肠道准备中的应用效果

注册号:

Registration number:

ChiCTR2600126095 

最近更新日期:

Date of Last Refreshed on:

2026-06-03 16:28:23 

注册时间:

Date of Registration:

2026-06-03 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

多部门联合精细化健康教育在住院患者结肠镜检查前肠道准备中的应用效果

Public title:

Application Effect of Multi-Department Joint Refined Health Education on Bowel Preparation Before Colonoscopy in Hospitalized Patients

注册题目简写:

English Acronym:

研究课题的正式科学名称:

多部门联合精细化健康教育在住院患者结肠镜检查前肠道准备中的应用效果

Scientific title:

Application Effect of Multi-Department Joint Refined Health Education on Bowel Preparation Before Colonoscopy in Hospitalized Patients

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

方晓燕 

研究负责人:

方晓燕 

Applicant:

Fang Xiaoyan 

Study leader:

Fang Xiaoyan 

申请注册联系人电话:

Applicant telephone:

+86 15868304469

研究负责人电话:

Study leader's
telephone:

+86 573 82519812

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

15868304469@163.com

研究负责人电子邮件:

Study leader's E-mail:

15868304469@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

中国浙江省嘉兴市南湖区中环南路1882号

研究负责人通讯地址:

中国浙江省嘉兴市南湖区中环南路1882号

Applicant address:

1882 Zhonghuan South Road, Nanhu District, Jiaxing, Zhejiang, China

Study leader's address:

1882 Zhonghuan South Road, Nanhu District, Jiaxing, Zhejiang, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

嘉兴大学附属医院(嘉兴市第一医院)

Applicant's institution:

Affiliated Hospital of Jiaxing University (The First Hospital of Jiaxing)

研究负责人所在单位:

嘉兴市第一医院

Affiliation of the Leader:

The First Hospital Of Jiaxing

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2026-LY-031

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

嘉兴市第一医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of the First Hospital of Jiaxing

伦理委员会批准日期:

Date of approved by ethic committee:

2021-05-17 00:00:00

伦理委员会联系人:

许文

Contact Name of the ethic committee:

Xu Wen

伦理委员会联系地址:

中国浙江省嘉兴市南湖区中环南路1882号

Contact Address of the ethic committee:

1882 Zhonghuan South Road, Nanhu District, Jiaxing, Zhejiang, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 573 89976378

伦理委员会联系人邮箱:

Contact email of the ethic committee:

xwkikimi@163.com

研究实施负责(组长)单位:

嘉兴市第一医院

Primary sponsor:

The First Hospital Of Jiaxing

研究实施负责(组长)单位地址:

中国浙江省嘉兴市南湖区中环南路1882号

Primary sponsor's address:

1882 Zhonghuan South Road, Nanhu District, Jiaxing, Zhejiang, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

浙江

市(区县):

Country:

China

Province:

Zhejiang

City:

单位(医院):

嘉兴市第一医院

具体地址:

中国浙江省嘉兴市南湖区中环南路1882号

Institution
hospital:

The First Hospital Of Jiaxing

Address:

1882 Zhonghuan South Road, Nanhu District, Jiaxing, Zhejiang, China

经费或物资来源:

多部门联合精细化健康教育在住院患者结肠镜检查前肠道准备中的应用效果

Source(s) of funding:

Application Effect of Multi-Department Joint Refined Health Education on Bowel Preparation Before Co

研究疾病:

肠道疾病,如便血、腹泻、便秘、腹痛、腹部肿块等需要明确诊断及治疗。  

Target disease:

Intestinal diseases, such as hematochezia, diarrhea, constipation, abdominal pain, and abdominal masses, require definite diagnosis and treatment.

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究目的是通过住院准备中心、病房、内镜中心等多部门联合精细化的健康教育方式,提高结肠镜检查住院患者对肠道准备重要性的认知,从而积极配合予提高其依从性,并准确实施肠道准备方案,提高患者肠道准备的合格率、肠道息肉的检出率及患者的满意度,降低不良反应及二次肠镜的发生率。  

Objectives of Study:

The purpose of this study is to improve the awareness of the importance of bowel preparation among inpatients undergoing colonoscopy through a refined joint health education approach involving the Admission Preparation Center, the ward, and the endoscopy center. This approach aims to enhance patients' compliance, ensure accurate implementation of the bowel preparation protocol, improve the qualification rate of bowel preparation, the detection rate of intestinal polyps, and patient satisfaction, thereby reducing adverse reactions and the incidence of secondary colonoscopy.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1. 合并其他恶性肿瘤病史,癌症转移者; 2. 有肠道梗阻性疾病者; 3. 急性腹泻、排便障碍者; 4. 有严重的身体活动障碍且生活不能自理者。

Exclusion criteria:

1. Patients with a history of other malignant tumors or cancer metastasis; 2. Patients with intestinal obstructive diseases; 3. Patients with acute diarrhea or defecation disorders; 4. Patients with severe physical activity disorders and inability to perform activities of daily living independently.

研究实施时间:

Study execute time:

From 2021-09-01 00:00:00 To 2024-08-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-03-07 00:00:00 To 2024-05-24 00:00:00

干预措施:

Interventions:

组别:

实验组

样本量:

50

Group:

Experimental group

Sample size:

干预措施:

多部门联合精细化健康教育

干预措施代码:

Intervention:

Multisectoral joint refined health education

Intervention code:

组别:

对照组

样本量:

50

Group:

Control group

Sample size:

干预措施:

常规的一对一口述健康教育

干预措施代码:

Intervention:

routine one-to-one verbal health education

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

嘉兴市第一医院 

单位级别:

三级甲等 

Institution
hospital:

The First Hospital Of Jiaxing

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

再次肠镜发生率

指标类型:

主要指标

Outcome:

Incidence of repeated colonoscopy

Type:

Primary indicator

测量时间点:

结肠镜检查后

测量方法:

医师诊疗评估

Measure time point of outcome:

Following colonoscopy

Measure method:

Physician diagnosis and treatment assessment

指标中文名:

肠道清洁度

指标类型:

主要指标

Outcome:

Bowel cleanliness

Type:

Primary indicator

测量时间点:

结肠镜检查过程中

测量方法:

波士顿肠道准备评分量表(BBPS)

Measure time point of outcome:

During colonoscopy

Measure method:

Boston Bowel Preparation Scale (BBPS)

指标中文名:

患者满意度

指标类型:

次要指标

Outcome:

Patient satisfaction

Type:

Secondary indicator

测量时间点:

结肠镜检查后

测量方法:

自编满意度问卷表,经3位护理学专家内容效度评价,CVI=0.88。问卷内容包括医护人员态度、健康教育、操作技术、质量安全、就医环境5个维度,每个20分,满分100分,根据总分评为非常满意(>= 90分)、满意(80~89分)、不满意(<80分)三类。

Measure time point of outcome:

Following colonoscopy

Measure method:

A self-designed satisfaction questionnaire was used, and its content validity was evaluated by 3 nursing experts, with a CVI of 0.88.The questionnaire consisted of 5 dimensions: attitude of medical staff, health education, operational skills, quality and safety, and medical environment.Each dimension was scored on a 20-point scale, with a total score of 100 points.According to the total score, satisfaction was classified into three grades:very satisfactory (>= 90 points), satisfactory (80–89

指标中文名:

肠道准备依从性

指标类型:

次要指标

Outcome:

Bowel preparation compliance

Type:

Secondary indicator

测量时间点:

肠道准备过程中

测量方法:

自编的结肠镜检查患者准备评估量表,该问卷包含5个维度的评估项目:饮食依从性(检查前1d 是否于采用低渣饮食、检查当天是否在做到禁食 、禁水) ;服药总量( 2000 ml 药物是否完全服用完毕) ;服药时间(是否按宣教时间在检查前4-6h开始服药) ;服药速度( 是否在规定2h内喝完2000 ml药液,是否每隔10-15 min 口服250ml药液) ;运动(是否在服药后活动30min以上)。每个

Measure time point of outcome:

During bowel preparation

Measure method:

A self-developed assessment scale for patients undergoing colonoscopy preparation was used. The questionnaire consisted of 5 dimensions: Dietary compliance: whether a low-residue diet was adopted 1 day before examination, and whether fasting and fluid restriction were observed on the day of examination. Total medication intake: whether the full 2000 ml of preparation solution was completely consumed. Medication timing: whether administration started 4–6 hours before examination as instructed. Ad

指标中文名:

不良反应发生率

指标类型:

次要指标

Outcome:

Incidence of adverse reactions

Type:

Secondary indicator

测量时间点:

肠道准备过程中

测量方法:

观察患者有无腹胀、腹痛、恶心、呕吐、头晕不良反应

Measure time point of outcome:

During bowel preparation

Measure method:

To observe whether the patients developed adverse reactions including abdominal distension, abdominal pain, nausea, vomiting and dizziness.

指标中文名:

结肠息肉的检出率

指标类型:

次要指标

Outcome:

Colonic polyp detection rate

Type:

Secondary indicator

测量时间点:

结肠镜检查过程中

测量方法:

结肠镜镜下观察

Measure time point of outcome:

During colonoscopy

Measure method:

Under colonoscopic observation

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

NA

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

结束

/Completed

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age NA years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

委托第三方,使用R语言对患者进行随机分组

Randomization Procedure (please state who generates the random number sequence and by what method):

Entrust a third party to randomize patients into groups using R software.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

None

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

研究结束后半年;国家生物信息中心(https://www.cncb.ac.cn/)

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Six months after the completion of the research; China National Center for Bioinformation (https://www.cncb.ac.cn/)

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

病例资料存档于嘉兴市第一医院电子病例系统中,对于纳入分析的病例脱敏后保管于专门的电脑中,专人看管。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Case data were filed in the electronic medical record system of the First Hospital of Jiaxing. Cases included in the analysis were de-identified, stored on a dedicated computer, and kept under the supervision of a dedicated person.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2026-06-03 16:27:51