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首页> 外文期刊>Journal of medical systems >Short Message Service (SMS) can Enhance Compliance and Reduce Cancellations in a Sedation Gastrointestinal Endoscopy Center: A Prospective Randomized Controlled Trial
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Short Message Service (SMS) can Enhance Compliance and Reduce Cancellations in a Sedation Gastrointestinal Endoscopy Center: A Prospective Randomized Controlled Trial

机译:短消息服务(SMS)可以提高镇静胃肠道内窥镜中心的依从性并减少取消:一项前瞻性随机对照试验

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摘要

Many outpatients who inadequately prepared for the procedure were cancelled on the day of the examination for various reasons. The aim of study was to investigate whether short message service (SMS) can improve patients' compliance and reduce cancellation rates. Outpatients scheduled for sedation gastrointestinal endoscopy were randomly assigned to mobile phone SMS group or control group. Patients in the control group received a leaflet on preparation instructions, while patients in the SMS group received SMS reminders after making an appointment. A total of 1786 patients were analyzed. There was a significant reduction in the rate of cancellations for patients in the SMS group (4.8 %) compared with patients in the control group (8.0 %) (P<0.001). Patients in the SMS group were 40 % less likely to be cancelled by medical staff than patients in the control group. The compliance score of the two groups based on demographic and clinic characteristic distribution showed that for both male and female patients, the compliance score was higher in the SMS group than that in the control group (P=0.023, P<0.001, respectively). Additionally, the compliance score was also significantly higher in the SMS group among patients who were under 50 years old, less than an undergraduate education level, experiencing their first time for procedure, or whose procedures were gastroscopy, waiting time was between 4 and 15 days, and schedules were in morning (P=0.032). SMS reminders can be considered a complement to conventional preparation instructions, which could help improve the compliance of outpatients and reduce the rate of cancellations.
机译:在检查当天,由于各种原因,许多未做好充分准备的门诊病人被取消。研究的目的是调查短消息服务(SMS)是否可以提高患者的依从性并降低取消率。计划进行镇静胃肠内镜检查的门诊患者被随机分配到手机短信组或对照组。对照组的患者收到了有关制备说明的传单,而短信组的患者在预约后收到了短信提醒。共分析了1786例患者。与对照组(8.0%)的患者相比,SMS组的患者的取消率(4.8%)显着降低(P <0.001)。 SMS组患者被医务人员取消的可能性比对照组患者低40%。根据人口统计学和临床​​特征分布,两组的依从性得分显示,对于男性和女性患者,SMS组的依从性得分均高于对照组(分别为P = 0.023,P <0.001)。此外,SMS组中的以下患者中,SMS组的依从性得分也显着提高:这些患者初次接受手术,或接受胃镜检查,等待时间在4至15天之间,但未达到本科教育水平, ,而时间表是在早上(P = 0.032)。 SMS提醒可以被视为常规准备说明的补充,可以帮助提高门诊病人的依从性并降低取消率。

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