关键词: 微信平台；结肠镜；全程管理；护理门诊；护理质量

Abstract: Objective: To develop and analyze the effectiveness of a whole-course management model for colonoscopy patients based on the WeChat platform, aiming to improve the nursing quality for colonoscopy patients. Methods: Integrate the WeChat platform into the standardized workflow of the digestive endoscopy nursing clinic to realize the whole-process management of colonoscopy patients, including the pre-diagnosis risk screening and assessment of colonoscopy patients, the whole process of standard-compliant publicity and education guidance, the management of the colonoscopy process during diagnosis, and post-diagnosis follow-up. The average daily surgical volume of colonoscopy operations, the rate of adequate bowel preparation, the detection rate of polyps, and patient satisfaction before the implementation (data in 2021) and after the implementation (data in 2022) of the whole-process management model were compared. Results: After the application of the whole process management mode based on the WeChat platform, the average daily surgical volume of colonoscopy operations increased from 102 to 136, an increase of 33.33%. The rate of adequate bowel preparation increased from 79.20% to 88.90% (P<0.001). The detection rate of polyps increased from 17.48% to 21.56% (P<0.001). Patient satisfaction increased from 94.24% to 95.62%. Conclusion: The application of a whole-course management model based on the WeChat platform for patients undergoing colonoscopy improves the quality of preoperative preparation for colonoscopy, increases the rate of adequate bowel preparation, and ensures the quality of colonoscopic diagnosis and treatment.

Key words: WeChat platform; colonoscopy; whole-process management; outpatient nursing clinic; nursing quality