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A cross-sectional study to assess the feasibility of a short message service to improve adherence of outpatients undergoing sedation gastrointestinal endoscopy in the People’s Republic of China

机译:一项横断面研究,旨在评估在中国开展镇静胃肠内镜检查的门诊患者提高短信服务可行性的可行性

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Background: Adherence to the prescribed preparation regimen for patients scheduled for sedation gastrointestinal endoscopy (SGIE) often fails to meet health care providers’ expectations. Therefore, the feasibility of using mobile phones to improve the adherence of outpatients was assessed among outpatients scheduled for SGIE.Methods: The study was designed as a cross-sectional study using survey questionnaires. Outpatients who would be undergoing SGIE were enrolled. The main outcomes included proportions of outpatients who have access to mobile phones, and the use of text-messaging among outpatients. Willingness to receive text messages and personal opinions about short message service (SMS) were also investigated. Characteristics of outpatients, including socio-demographic factors, with a mobile phone (or those who could receive and read messages) compared with those without a mobile phone (or those who could not receive and read messages) were compared using the chi-square test. Logistic regression was used to analyze significant contributing factors associated with mobile phone ownership and the use of text messages.Results: A large majority of outpatients owned personal mobile phones (94.9%) and could receive and read the messages (78.9%). Most of the outpatients were willing to receive a pre-procedure education via?text?message (81.9%). Outpatients aged 16–39 years old and those with a college education or higher were more likely to use mobile phones and read SMS than outpatients aged 60–80 years old and those with only a primary education level (P<0.0001). Outpatients who lived in an urban setting were more likely to own a mobile phone than outpatients who lived in a rural setting (P=0.002).Conclusion: The accessibility of mobile phones and the frequent use of message functions on mobile phones provide support for the initiation of an SMS reminder system for outpatients who will undergo SGIE in the People’s Republic of China. In addition, the characteristics of the target study population should be considered when carrying out an SMS intervention.
机译:背景:对于计划进行镇静性胃肠内窥镜检查(SGIE)的患者,遵循规定的准备方案通常无法满足医疗保健提供者的期望。因此,在计划进行SGIE的门诊患者中评估了使用手机改善门诊患者依从性的可行性。方法:本研究被设计为使用调查问卷的横断面研究。登记了将要接受SGIE的门诊患者。主要结果包括门诊使用手机的比例,以及门诊使用短信的比例。还调查了接收短信的意愿和有关短消息服务(SMS)的个人意见。使用卡方检验比较了使用手机(或可以接收和阅读消息的人)与没有手机(或不能接收和阅读消息的人)的门诊患者特征,包括社会人口统计学因素。使用Logistic回归分析与手机拥有权和短信使用相关的重要影响因素。结果:绝大多数门诊病人拥有个人手机(94.9%),并且可以接收和阅读短信(78.9%)。大多数门诊患者愿意通过短信进行术前教育(81.9%)。与年龄在60-80岁的门诊和只有初等教育水平的门诊相比,年龄在16-39岁的门诊和大专以上文化程度的门诊患者更可能使用手机和读取SMS。与农村地区的门诊患者相比,城市地区的门诊患者拥有手机的可能性更高(P = 0.002)。结论:手机的可访问性和手机上消息功能的频繁使用为手机提供了支持。为在中国接受SGIE的门诊患者启动SMS提醒系统。此外,在进行SMS干预时应考虑目标研究人群的特征。

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