Published online Dec 15, 2025. doi: 10.4251/wjgo.v17.i12.111101
Revised: August 1, 2025
Accepted: November 12, 2025
Published online: December 15, 2025
Processing time: 167 Days and 0.6 Hours
Colonoscopy quality relies heavily on adequate bowel preparation, yet traditional methods often result in suboptimal compliance. Emerging network-based monitoring systems offer promise for improving both preparation quality and patient cooperation, potentially enhancing clinical outcomes.
To evaluate the effectiveness of an intestinal network monitoring system in enhancing the quality of bowel preparation for colonoscopy and its impact on patient psychological and physiological responses, compliance, and adverse event rates.
Between July 2019 and July 2020, 800 enteroscopy patients who met the inclusion criteria in the outpatient clinic of the gastroenterology department of our hospital were randomly divided into 400 cases each in the experimental group (network monitoring group) and the control group (verbal + written preaching group), and the psychological and physiological stress response situation, colon Boston Bowel Preparation Scale, enteroscopy to blindness, arrival time to blindness, and polyp detection rate of the patients were compared before and after the intervention, compliance and adverse reactions were compared.
There was no difference in anxiety and depression scores, heart rate and systolic blood pressure between the groups before the intervention (P > 0.05), and after the intervention, the patients’ anxiety and depression scores were lower and lower in the study group (P < 0.05); heart rate and systolic blood pressure were elevated, but lower in the test group (P < 0.05). The left hemicolon, right hemicolon, transverse colon and total Boston Bowel Preparation Scale scores were lower in the test group than in the control group (P < 0.05), the colonoscopy arrival rate and polyp detection rate were higher than those in the control group, and the time to arrival and time to exit the scope were shorter than those in the control group (P < 0.05), and the dietary preparations, the preparations for taking medications and the total adherence scores were higher than those in the control group (P < 0.05). The incidence of adverse reactions in the experimental group was 11.00%, which was lower than that in the control group (P < 0.05).
The Bowel Network Monitoring System has potential clinical promotion value in improving the quality of colonoscopic bowel preparation, which can effectively alleviate patient anxiety and depression, improve the quality of colonoscopic bowel preparation and patient compliance, and has a high degree of safety.
Core Tip: This prospective, multicenter study demonstrates that an intestinal network monitoring system based on the WeChat platform significantly improves the quality of bowel preparation for colonoscopy. Compared to conventional oral and written education, the network monitoring system effectively reduces patients’ anxiety and depression, enhances compliance, increases the quality of bowel cleansing (as measured by Boston Bowel Preparation Scale), and improves polyp detection rates, while also reducing adverse events. The findings suggest that integrating digital health tools into routine clinical practice can optimize patient outcomes and procedural efficiency in gastrointestinal endoscopy.