Article(id=1322936906027250488, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322936785516503921, articleNumber=null, orderNo=null, doi=10.12102/j.issn.1009-6493.2026.11.009, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1767110400000, receivedDateStr=2025-12-31, revisedDate=1777824000000, revisedDateStr=2026-05-04, acceptedDate=null, acceptedDateStr=null, onlineDate=1793342337375, onlineDateStr=2026-10-30, pubDate=1781020800000, pubDateStr=2026-06-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793342337375, onlineIssueDateStr=2026-10-30, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793342337375, creator=13701087609, updateTime=1793342337375, updator=13701087609, issue=Issue{id=1322936785516503921, tenantId=1146029695717560320, journalId=1220038315760373764, year='2026', volume='40', issue='11', pageStart='1809', pageEnd='2000', issueExtLink='null', onlineDate='null', pubDate='1781020800000', pubDateStr='2026-06-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793342308644, creator='13701087609', updateTime=1793343121351, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322940194344796237, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322936785516503921, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322940194344796238, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322936785516503921, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=1875, endPage=1882, ext={EN=ArticleExt(id=1322936906828362553, articleId=1322936906027250488, tenantId=1146029695717560320, journalId=1220038315760373764, language=EN, title=Application effect of mobile health technology in outpatient colonoscopy examination population: a Meta-analysis, columnId=1220689487877821128, journalTitle=Chinese Nursing Research, columnName=Interdisciplinary Nursing Study, runingTitle=null, highlight=null, articleAbstract=
Objective

To systematically evaluate the effectiveness of mobile health technology in the outpatient colonoscopy examination population.

Methods

Randomized controlled trials on the application of mobile health technology in the outpatient colonoscopy examination population were retrieved from databases such as CNKI,VIP,CBM,WanFang Database,Web of Science,PubMed,Cochrane Library,EMbase,and ScienceDirect.The search period was from the establishment of the databases to December 30,2025.Two researchers independently screened the literature,extracted the data,and evaluated the quality of the included studies by using the Cochrane 5.1.0 manual.Meta-analysis was conducted by using RevMan 5.3 software.

Results

A total of 9 studies were included,involving 2 954 outpatient colonoscopy examination people.Meta-analysis results showed that interventions based on mobile health technology could improve the quality of bowel preparation for outpatient colonoscopy examination population(SMD=0.78,95%CI 0.70-0.85,P<0.000 1),the success rate of cecal intubation(OR=2.66,95%CI 1.31-5.44,P=0.007),polyp detection rate(OR=1.44,95%CI 1.20-1.72,P<0.000 1),adenoma detection rate(OR=1.71,95%CI 1.24-2.35,P=0.001),adherence to laxatives(OR=1.87,95%CI 1.24-2.84,P=0.003) and dietary adherence(OR=2.41,95%CI 1.57-3.72,P<0.000 1).

Conclusions

The intervention based on mobile health technology could improve the quality of bowel preparation,the success rate of cecal intubation,the detection rate of adenomas and polyps,as well as the compliance with laxative administration and diet.

, authors=Na ZHANG, Meili JIA, Jin CAI, Tao QI, Zhifen HAO, authorsList=Na ZHANG, Meili JIA, Jin CAI, Tao QI, Zhifen HAO, authorCompany=null, correspAuthors=Meili JIA, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322936911068803911, articleId=1322936906027250488, tenantId=1146029695717560320, journalId=1220038315760373764, language=CN, title=移动健康技术在门诊结肠镜检查人群中应用效果的Meta分析, columnId=1220689488053981904, journalTitle=护理研究, columnName=交叉护理学研究, runingTitle=null, highlight=null, articleAbstract=
目的

系统评价移动健康技术在门诊结肠镜检查人群中应用的有效性。

方法

检索中国知网、维普数据库、中国生物医学文献数据库、万方数据库、Web of Science、PubMed、Cochrane Library、EMbase、ScienceDirect数据库中关于移动健康技术应用于门诊结肠镜检查人群的随机对照试验,检索时限为建库至2025年12月30日。由2名研究者独立筛选文献、提取资料,并采用Cochrane 5.1.0手册对纳入研究进行质量评价,运用RevMan 5.3软件进行Meta分析。

结果

共纳入9篇文献,涉及2 954例门诊结肠镜检查者。Meta分析结果显示,基于移动健康技术的干预可提高门诊结肠镜检查人群的肠道准备质量[SMD=0.78,95%CI(0.70,0.85),P<0.000 01]、盲肠插管成功率[OR=2.66,95%CI(1.31,5.44),P=0.007]、息肉检出率[OR=1.44,95%CI(1.20,1.72),P<0.000 1]、腺瘤检出率[OR=1.71,95%CI(1.24,2.35),P=0.001]、服用泻药依从性[OR=1.87,95%CI(1.24,2.84),P=0.003]和饮食依从性[OR=2.41,95%CI(1.57,3.72),P<0.000 1]。

结论

基于移动健康技术的干预能够提高门诊结肠镜检查人群的肠道准备质量、盲肠插管成功率、腺瘤及息肉检出率以及服用泻药和饮食的依从性。

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张娜,副主任护师,本科

, correspAuthorsNote=
贾美丽,E-mail:
Jia Meili, E-mail:
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Basic characteristics of the included literature

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纳入文献发表时间国家样本来源干预组对照组结局指标
人数年龄(岁)干预方法人数年龄(岁)干预方法
Demirci等[14]2025年土耳其单中心5237.94±6.67APP5240.85±10.43传统方法BBPS、盲肠插管成功率、息肉检出率、腺瘤检出率、饮食依从性、泻药依从性
Pattarapuntakul等[15]2024年泰国单中心5755.7±9.5APP6257.7±9.8传统方法BBPS、盲肠插管成功率、息肉检出率、腺瘤检出率
Zhao等[16]2022年中国单中心18943.4±11.2APP18949.6±12.3传统方法BBPS、盲肠插管成功率、息肉检出率、饮食依从性、泻药依从性
Back等[17]2018年韩国单中心13955.4±12.8APP14457.6±13.1传统方法BBPS、盲肠插管成功率
Walter等[18]2021年德国单中心24655.0±7.6APP24356.8±9.3传统方法BBPS、盲肠插管成功率、息肉检出率、腺瘤检出率、饮食依从性、泻药依从性
Zhong等[19]2024年中国单中心116未提及APP116未提及传统方法BBPS
张华娟等[20]2021年中国单中心105未提及APP105未提及传统方法BBPS
林燕凤等[21]2023年中国单中心10053.4±13.0APP9049.8±14.5传统方法BBPS、腺瘤检出率
温静等[22]2022年中国单中心47946.7±13.5APP47047.5±13.3传统方法BBPS、息肉检出率
), ArticleFig(id=1322936919616795520, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322936906027250488, language=CN, label=表1, caption=

纳入文献研究的基本特征

, figureFileSmall=null, figureFileBig=null, tableContent=
纳入文献发表时间国家样本来源干预组对照组结局指标
人数年龄(岁)干预方法人数年龄(岁)干预方法
Demirci等[14]2025年土耳其单中心5237.94±6.67APP5240.85±10.43传统方法BBPS、盲肠插管成功率、息肉检出率、腺瘤检出率、饮食依从性、泻药依从性
Pattarapuntakul等[15]2024年泰国单中心5755.7±9.5APP6257.7±9.8传统方法BBPS、盲肠插管成功率、息肉检出率、腺瘤检出率
Zhao等[16]2022年中国单中心18943.4±11.2APP18949.6±12.3传统方法BBPS、盲肠插管成功率、息肉检出率、饮食依从性、泻药依从性
Back等[17]2018年韩国单中心13955.4±12.8APP14457.6±13.1传统方法BBPS、盲肠插管成功率
Walter等[18]2021年德国单中心24655.0±7.6APP24356.8±9.3传统方法BBPS、盲肠插管成功率、息肉检出率、腺瘤检出率、饮食依从性、泻药依从性
Zhong等[19]2024年中国单中心116未提及APP116未提及传统方法BBPS
张华娟等[20]2021年中国单中心105未提及APP105未提及传统方法BBPS
林燕凤等[21]2023年中国单中心10053.4±13.0APP9049.8±14.5传统方法BBPS、腺瘤检出率
温静等[22]2022年中国单中心47946.7±13.5APP47047.5±13.3传统方法BBPS、息肉检出率
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Methodological quality evaluation results of the included literature

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纳入研究随机序列产生盲法分配隐藏结果数据完整性选择性报告研究结果其他偏倚来源质量等级
Demirci等[14]2025区组随机化法,以2人/块分组单盲未提及完整无低风险偏倚A级
Pattarapuntakul等[15]2024区组随机化法,以4人/块分组单盲密封、连续编号信封完整无低风险偏倚A级
Zhao等[16]2022计算机生成随机数字表单盲计算机中心隐藏完整无低风险偏倚A级
Back等[17]2018计算机生成随机数字表单盲未提及有失访及符合方案分析(PP)分析,未报告ITT无低风险偏倚B级
Walter等[18]2021使用RandList软件生成单盲未提及有失访,分析集未说明无低风险偏倚B级
Zhong等[19]2024未提及单盲未提及完整无低风险偏倚B级
张华娟等[20]2021随机数字表法单盲未提及完整无低风险偏倚B级
林燕凤等[21]2023未提及单盲未提及完整无低风险偏倚B级
温静等[22]2022计算机生成随机数字表单盲未提及有失访,报告了ITT和PP分析无低风险偏倚A级
), ArticleFig(id=1322936919885230978, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322936906027250488, language=CN, label=表2, caption=

纳入文献的方法学质量评价结果

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纳入研究随机序列产生盲法分配隐藏结果数据完整性选择性报告研究结果其他偏倚来源质量等级
Demirci等[14]2025区组随机化法,以2人/块分组单盲未提及完整无低风险偏倚A级
Pattarapuntakul等[15]2024区组随机化法,以4人/块分组单盲密封、连续编号信封完整无低风险偏倚A级
Zhao等[16]2022计算机生成随机数字表单盲计算机中心隐藏完整无低风险偏倚A级
Back等[17]2018计算机生成随机数字表单盲未提及有失访及符合方案分析(PP)分析,未报告ITT无低风险偏倚B级
Walter等[18]2021使用RandList软件生成单盲未提及有失访,分析集未说明无低风险偏倚B级
Zhong等[19]2024未提及单盲未提及完整无低风险偏倚B级
张华娟等[20]2021随机数字表法单盲未提及完整无低风险偏倚B级
林燕凤等[21]2023未提及单盲未提及完整无低风险偏倚B级
温静等[22]2022计算机生成随机数字表单盲未提及有失访,报告了ITT和PP分析无低风险偏倚A级
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移动健康技术在门诊结肠镜检查人群中应用效果的Meta分析
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张娜 , 贾美丽 *, * , 蔡瑾 , 祁桃 , 郝志芬
护理研究 | 交叉护理学研究 2026,40(11): 1875-1882
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护理研究 |交叉护理学研究 2026 , 40 (11) : 1875 -1882
移动健康技术在门诊结肠镜检查人群中应用效果的Meta分析
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张娜, 贾美丽*, * , 蔡瑾, 祁桃, 郝志芬
作者信息
  • 1山西医科大学第一医院,山西 030001
通讯作者:
贾美丽,E-mail:
Jia Meili, E-mail:
作者简介:

张娜,副主任护师,本科

Application effect of mobile health technology in outpatient colonoscopy examination population: a Meta-analysis
Na ZHANG, Meili JIA , Jin CAI, Tao QI, Zhifen HAO
Affiliations
  • 1First Hospital of Shanxi Medical University, Shanxi 030001 China
出版时间: 2026-06-10 doi: 10.12102/j.issn.1009-6493.2026.11.009
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目的

系统评价移动健康技术在门诊结肠镜检查人群中应用的有效性。

方法

检索中国知网、维普数据库、中国生物医学文献数据库、万方数据库、Web of Science、PubMed、Cochrane Library、EMbase、ScienceDirect数据库中关于移动健康技术应用于门诊结肠镜检查人群的随机对照试验,检索时限为建库至2025年12月30日。由2名研究者独立筛选文献、提取资料,并采用Cochrane 5.1.0手册对纳入研究进行质量评价,运用RevMan 5.3软件进行Meta分析。

结果

共纳入9篇文献,涉及2 954例门诊结肠镜检查者。Meta分析结果显示,基于移动健康技术的干预可提高门诊结肠镜检查人群的肠道准备质量[SMD=0.78,95%CI(0.70,0.85),P<0.000 01]、盲肠插管成功率[OR=2.66,95%CI(1.31,5.44),P=0.007]、息肉检出率[OR=1.44,95%CI(1.20,1.72),P<0.000 1]、腺瘤检出率[OR=1.71,95%CI(1.24,2.35),P=0.001]、服用泻药依从性[OR=1.87,95%CI(1.24,2.84),P=0.003]和饮食依从性[OR=2.41,95%CI(1.57,3.72),P<0.000 1]。

结论

基于移动健康技术的干预能够提高门诊结肠镜检查人群的肠道准备质量、盲肠插管成功率、腺瘤及息肉检出率以及服用泻药和饮食的依从性。

移动健康技术  /  结肠镜  /  肠道准备质量  /  Meta分析  /  循证护理
Objective

To systematically evaluate the effectiveness of mobile health technology in the outpatient colonoscopy examination population.

Methods

Randomized controlled trials on the application of mobile health technology in the outpatient colonoscopy examination population were retrieved from databases such as CNKI,VIP,CBM,WanFang Database,Web of Science,PubMed,Cochrane Library,EMbase,and ScienceDirect.The search period was from the establishment of the databases to December 30,2025.Two researchers independently screened the literature,extracted the data,and evaluated the quality of the included studies by using the Cochrane 5.1.0 manual.Meta-analysis was conducted by using RevMan 5.3 software.

Results

A total of 9 studies were included,involving 2 954 outpatient colonoscopy examination people.Meta-analysis results showed that interventions based on mobile health technology could improve the quality of bowel preparation for outpatient colonoscopy examination population(SMD=0.78,95%CI 0.70-0.85,P<0.000 1),the success rate of cecal intubation(OR=2.66,95%CI 1.31-5.44,P=0.007),polyp detection rate(OR=1.44,95%CI 1.20-1.72,P<0.000 1),adenoma detection rate(OR=1.71,95%CI 1.24-2.35,P=0.001),adherence to laxatives(OR=1.87,95%CI 1.24-2.84,P=0.003) and dietary adherence(OR=2.41,95%CI 1.57-3.72,P<0.000 1).

Conclusions

The intervention based on mobile health technology could improve the quality of bowel preparation,the success rate of cecal intubation,the detection rate of adenomas and polyps,as well as the compliance with laxative administration and diet.

mobile health technology  /  colonoscopy  /  quality of bowel preparation  /  Meta-analysis  /  evidence-based nursing
张娜, 贾美丽, 蔡瑾, 祁桃, 郝志芬. 移动健康技术在门诊结肠镜检查人群中应用效果的Meta分析. 护理研究, 2026 , 40 (11) : 1875 -1882 . DOI: 10.12102/j.issn.1009-6493.2026.11.009
Na ZHANG, Meili JIA, Jin CAI, Tao QI, Zhifen HAO. Application effect of mobile health technology in outpatient colonoscopy examination population: a Meta-analysis[J]. Chinese Nursing Research, 2026 , 40 (11) : 1875 -1882 . DOI: 10.12102/j.issn.1009-6493.2026.11.009
结直肠癌(colorectal cancer,CRC)是消化道最常见的恶性肿瘤之一,总死亡率位居全球第4位[1],已成为重要的公共卫生挑战。结肠镜检查作为结直肠癌筛查与早期诊断的关键手段,其操作质量直接影响病变检出效果[2-3]。当前,结肠镜检查的质量控制日益受到重视[4-5],国内外多个权威学术组织已发布相关指南,将肠道准备率、盲肠插管率、息肉检出率和腺瘤检出率等列为关键质量控制指标[6-8]。然而,在临床实践中,由于缺乏有效的病人端监督和指导工具,结肠镜检查前的肠道准备质量参差不齐,尤其在肠道清洁的终末环节,传统依赖病人主观描述的评价方式存在明显局限[9-10]。近年来,移动健康技术(mHealth)的快速发展为解决这一问题提供了新思路[11]。通过整合人工智能图像识别、护士远程监测与系统性健康指导等功能,移动健康技术的应用能够实现对肠道准备质量的实时、客观评估,并为检查人群提供全程规范化指引[12-13]。尽管已有研究初步证实该模式的有效性,但现有证据尚存分歧,且缺乏高质量的系统评价。因此,本研究拟通过Meta分析方法,系统评价基于移动健康技术的干预对结肠镜检查人群肠道准备质量及相关临床指标的影响,以期为提升结肠镜检查质量提供循证依据。
采用主题词结合自由词的方式,系统检索中国知网、维普数据库、中国生物医学文献数据库、万方数据库、Web of Science、PubMed、Cochrane Library、EMbase及ScienceDirect数据库中关于移动健康技术在门诊结肠镜检查人群中的应用,检索时采用滚雪球的方法追溯原文,并对纳入文献参考文献进行追踪检索。检索时限为各数据库建库至2025年12月30日。英文数据库以PubMed为例,检索式为:(colonoscopy[MeSH] OR enteroscopy[Title/Abstract] OR endoscopy[Title/Abstract] OR gastrointestinal[Title/Abstract])AND(bowel preparation[Title/Abstract] OR Intestinal preparation[Title/Abstract] OR bowel cleaning[Title/Abstract] OR intestine cleaning preparation[Title/Abstract] OR) AND (telemedicine[MeSH] OR virtual medicine[Title/Abstract] OR tele care[Title/Abstract] OR mobile health[Title/Abstract] OR mhealth OR ehealth[Title/Abstract] OR mobile applications[MeSH] OR APP[Title/Abstract] OR software[Title/Abstract] OR i Pad[Title/Abstract] OR smartphone application[Title/Abstract] OR intelligent[Title/Abstract] telephone[MeSH] OR message[Title/Abstract] OR computers OR internet-based intervention[MeSH] OR online intervention[Title/Abstract] OR internet platform[Title/Abstract] OR internet technology[Title/Abstract] OR social media[Title/Abstract] OR WeChat[Title/Abstract] OR Weixin for web[Title/Abstract])。中文数据库以中国知网为例,检索式为:(结肠镜+结肠镜检查)AND(肠道准备+肠道准备质量+肠道清洁度+肠道清洁效果)AND(移动健康+远程医疗+智能手机+应用程序+APP+软件+平板+iPad+互联网平台+微信)。
1)研究对象:门诊接受结肠镜检查的检查人群,年龄≥18岁;2)干预措施:干预组接受基于智能手机应用程序(APP)的移动健康综合干预,对照组接受常规肠道准备教育与管理;3)结局指标:波士顿肠道准备量表评分(Boston Bowel Preparation Scale,BBPS)、盲肠插管成功率、息肉检出率(polyp detection rate,PDR)、腺瘤检出率(adenoma detection rate,ADR)、服用泻药依从性和饮食准备依从性;4)文献类型:随机对照试验(randomized controlled trial,RCT)。
1)文献研究设计不合理,数据不完整,无法获取全文的文献;2)非中英文文献。
由2名研究者根据纳入与排除标准独立筛选文献、提取数据并交叉核对,如有争议由小组成员协商后决定。文献筛选时首先阅读文题,在排除明显不相关的文献后,进一步阅读摘要和全文以确定是否纳入。资料提取内容包括作者、发表年份、研究样本量、干预方法、结局指标等。
采用Cochrane 5.1.0手册对纳入研究进行质量评价。
将所有数据录入RevMan 5.3软件进行统计分析。当P>0.1且I2<50%时表明各研究间异质性可接受,采用固定效应模型进行Meta分析;当P≤0.1且I2≥50%时表明各研究间异质性较大,采用随机效应模型进行Meta分析。定量资料采用标准化均数差(standard mean difference,SMD)或加权均数差(mean difference,MD)合并统计量,并计算95%置信区间(95%CI)。采用漏斗图进行发表偏倚分析。检验水准α=0.05。
检索数据库获得相关文献3 592篇,经过筛选后,最终纳入9篇文献[14-22],文献筛选流程见图1。
9篇文献涉及2 954名门诊结肠镜检查人群,其中干预组[应用移动健康应用程序(APP)]1 483例,对照组1 471人,均为单中心研究,干预组样本量为52~479人,对照组为52~470人。干预组均使用具有教育、提醒和/或反馈功能的APP,对照组则采用口头或书面指导的传统方法。纳入文献研究的基本特征详见表1。
本研究纳入的9篇文献中,4篇文献[14-16,22]方法学质量等级为A级,5篇文献[17-21]方法学质量等级为B级;7篇文献[14-18,20,22]介绍了随机分组方法;2篇文献[15-16]介绍了分配隐藏方案;所有文献均实施了单盲(内镜医生盲法);3篇文献[17-18,22]介绍了退出及失访情况;2篇文献[17,22]采用了意向治疗分析(ITT);9篇文献均未对研究对象实施盲法,可能存在偏倚。纳入文献的质量评价结果见表2。
纳入的9项研究[14-22]均将肠道准备质量作为结局指标。异质性检验结果显示,I²=48%,P=0.05,表明各研究间异质性可接受,采用固定效应模型进行Meta分析,结果显示,基于移动健康技术的干预能够提高门诊结肠镜检查人群的肠道准备质量[SMD=0.78,95%CI(0.70,0.85),P<0.000 01],详见图2。
纳入的9项[14-22]研究中,5项研究[14-18]将盲肠插管成功率作为结局指标。异质性检验结果显示,I²=0%,P=0.39,表明各研究间异质性可接受,采用固定效应模型进行Meta分析,结果显示,基于移动健康技术的干预可提高门诊结肠镜检查人群的盲肠插管成功率[OR=2.66,95%CI(1.31,5.44),P=0.007],详见图3。
纳入的9项研究中,有5项研究[14-16,18,22]将息肉检出率作为结局指标。异质性检验结果显示,I²=0%,P=0.74,表明各研究间异质性可接受,采用固定效应模型进行Meta分析,结果显示,基于移动健康技术的干预可提高门诊结肠镜检查人群的息肉检出率[OR=1.44,95%CI(1.20,1.72),P<0.000 1],见图4。
纳入的9项研究中,有4项[14-15,18,21]将腺瘤检出率作为结局指标。异质性检验结果显示,I²=0%,P=0.45,表明各研究间异质性可接受,采用固定效应模型进行Meta分析,结果显示,基于移动健康技术的干预可提高门诊结肠镜检查人群的腺瘤检出率[OR=1.71,95%CI(1.24,2.35),P=0.001],见图5。
纳入的9项研究中,有3项研究[14,16,18]将饮食依从性作为结局指标。异质性检验结果显示,I²=0%,P=0.98,表明各研究间异质性可接受,采用固定效应模型进行Meta分析,结果显示,基于移动健康技术的干预可提高门诊结肠镜检查人群的饮食依从性[OR=2.41,95%CI(1.57,3.72),P<0.000 1]。
纳入的9项研究中,有3项研究[14,16,18]将泻药依从性作为结局指标。质性检验结果显示,I²=21%,P=0.28,表明各研究间异质性可接受,采用固定效应模型进行Meta分析,结果显示,基于移动健康技术的干预可提高门诊结肠镜检查人群的泻药依从性[OR=1.87,95%CI(1.24,2.84),P=0.003]。
采用漏斗图进行发表偏倚检验,对BBPS结局指标绘制漏斗图,结果显示,漏斗图两侧不对称,考虑纳入文献存在发表偏倚的可能性较大。详见图6。
根据漏斗图呈现的左右不对称分布,提示本领域研究存在一定的发表性偏倚,其原因可能包括以下方面:1)文献检索范围仅限于中英文数据库,未全面覆盖其他语种的相关研究,可能导致部分研究未被纳入;2)部分纳入研究在方法学报告中未明确说明随机化过程或分配隐藏的具体实施方式,影响研究质量的均衡性;3)当前纳入文献均来源于已发表的、结果呈阳性的研究,缺乏阴性或无效结果的研究支持,可能导致效应量被高估。
结肠镜检查前肠道准备中的健康教育必不可少,肠道准备质量与医护人员在结肠镜检查前的指导有着密切的关系[15]。目前,以口头或书面为主的宣教方式受限于形式单一、信息传递效率低,且缺乏个体化提醒与动态反馈,导致检查人群理解与依从性不足。基于移动健康应用程序的干预通过标准化教育内容、即时用药与饮食提醒,并结合基于图像识别的粪便自动评估功能,实现了肠道准备质量的客观化、个性化管理。检查人群不仅能够通过图文、视频等形式直观理解准备要求,还可上传拍摄的粪便照片,由系统进行实时评分与反馈,使其能够客观监测自身准备进展,及时调整清肠行为。这种直观、动态的教育与提醒,结合图像识别与即时反馈的健康技术,显著增强了检查人群的认知准确性与行为依从性,从而在关键时间节点落实准备措施,改善最终肠道清洁效果。未来建议临床实践可从以下方面进一步推进:一是推动此类技术与院内信息系统对接,实现检查人群准备数据的全程可追溯;二是针对老年人、数字技能较低的人群,开发语音引导、简化界面等适配功能[23-24]。上述基于移动健康技术的干预可作为结肠镜检查前肠道准备的有效辅助工具,具有较好的临床应用前景。
盲肠插管成功率作为结肠镜检查质量的关键技术指标之一,其成功率受多种因素影响,尤其是肠道准备质量[25]。移动健康技术通过可视化指导、定时提醒与个性化教育等方式,可有效提高检查人群对肠道准备方案的依从性与理解程度,进而改善结肠清洁效果,为内镜医师提供更清晰的视野与更佳的操作条件,促进插管过程的顺利进行[26]。未来建议护理管理者加强多学科协作,整合移动健康工具进入标准化术前教育流程,在结肠镜检查前常规推荐检查人群使用经过验证的肠道准备教育类APP,将其作为书面和口头指导的重要补充。内镜中心应与信息技术部门合作,针对不同检查人群特征(如年龄、数字素养、伴随疾病)设计差异化的推送内容和交互方式。1)对老年检查人群可增加语音提示与大字体界面,对年轻检查人群可强化视频与互动提醒;2)建立闭环反馈机制,在应用中嵌入检查人群自评与拍照上传功能,便于远程评估准备情况并及时调整方案,实现肠道准备的动态管理;3)选择或开发适合本院检查人群的APP,并对医护人员进行相关培训,使其能够指导检查人群正确使用,并解释数字工具在提升检查效果中的作用,从而为成功插管创造良好条件。
息肉与腺瘤检出率是评价结肠镜筛查质量的核心指标,其提升与肠道准备质量密切相关[27]。移动健康技术通过结构化教育、定时提醒与可视化反馈,有效提高了检查人群对清肠方案的依从性与执行准确性,从而显著改善结肠黏膜的显露条件。良好的肠道清洁度为内镜医生提供了更清晰、完整的视野,不仅有助于发现微小、平坦型病变,也降低了因粪便残渣遮盖而导致的漏检风险[28]。腺瘤和息肉检出率2项结果均呈现较低异质性,提示在不同研究设置与人群特征下,移动健康干预对检出率的促进效果较为稳定。未来建议在临床实践中将移动健康技术作为结肠镜前准备的标准化辅助工具进行整合,尤其适用于门诊筛查人群,以系统性提升肠道准备质量,进而优化病变检出效果,助力结直肠癌早诊断、早治疗。同时,应推动多中心协作研究,探索在不同医疗资源条件下该技术的适用模式与长效维持机制。
饮食与泻药依从性是影响肠道准备质量的直接行为因素。目前,结肠镜检查门诊检查人群的常规健康指导多在预约时告知,检查人群常因记忆偏差、理解不足或执行疏漏而导致依从性下降,从而增加肠道准备不良的风险[29]。移动健康技术通过结构化信息推送、分阶段提醒与直观的视觉指导,将复杂的饮食限制与服药方案转化为清晰、可操作的行为指令。例如,APP可根据检查日程自动发送低渣饮食提醒、分时段服药提示,并结合图像或视频说明各类食物的可食用性,从而降低检查人群的认知负担与执行难度[21]。值得注意的是,饮食依从性的提升效应(OR=2.41)较泻药依从性(OR=1.87)更为显著,这可能与饮食管理持续时间更长、行为改变更复杂有关,也提示移动健康干预在持续行为指导方面具有优势。因此,在肠道准备管理中,应重视饮食控制的全过程监督,而不仅局限于服药节点的提醒。基于此,建议在临床工作中将移动健康工具作为提升检查人群依从性的常态化辅助手段,尤其适用于门诊、居家准备的场景。未来可进一步优化干预策略,例如整合个性化饮食推荐、建立家庭支持互动模块,并探索基于人工智能的实时答疑与风险预警功能,从而构建更为精细化、人性化的肠道准备全程管理模式,最终为提高结肠镜诊疗质量提供行为基础。
1)部分纳入研究在分配隐藏和盲法实施方面报告不充分,可能引入实施偏倚与测量偏倚,建议审慎选择并整合证据支持的mHealth工具进入临床路径;2)各研究采用的APP功能模块、干预强度与持续时间存在异质性,可能影响结果的精确解读,需持续优化APP设计,提升其智能性与整合度;3)当前证据主要集中短期效果,缺乏对检查人群长期筛查行为、卫生经济学效益及技术可持续性的评估,应致力于开展高质量的长周期、多中心研究,以全面评估其临床价值、经济效益与推广可行性。
现有证据表明,基于移动健康技术的干预能有效提升门诊结肠镜检查人群检查前的肠道准备质量,进而提高腺瘤与息肉检出率,优化检查人群依从性与诊疗体验,并提升检查效率,这与El Bizri等[25]Meta分析研究结果一致。尽管存在一些方法学局限,但其作为一项可扩展、低成本的辅助工具,在优化结直肠癌筛查流程、提升医疗质量方面展现出明确的应用潜力。未来需通过更高质量的研究进一步夯实证据基础,并推动其在临床场景中的规范化整合与应用。

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2026年第40卷第11期
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doi: 10.12102/j.issn.1009-6493.2026.11.009
  • 接收时间:2025-12-31
  • 首发时间:2026-10-30
  • 出版时间:2026-06-10
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  • 收稿日期:2025-12-31
  • 修回日期:2026-05-04
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    1山西医科大学第一医院,山西 030001

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贾美丽,E-mail:
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2种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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