Background To investigate the effect of cloud-based follow-up platform nursing interventions on the quality of bowel preparation in adult patients undergoing colonoscopy.

Methods 346 outpatient patients underwent colonoscopy in our center between November 2022 and November 2023 were selected in our study with convenience sampling. Patients from November 2022 to April 2023 were designated as the control group, and those from May 2023 to November 2023 were the observed group, with 173 cases in each. The control group received traditional education (verbal instruction and printed materials) for bowel preparation; the observed group was subjected to an intelligent, personalized nursing intervention scheme based on a cloud follow-up platform, including tailored dietary guidance, medication reminders, and real-time health education videos delivered through a mobile application. Both groups were assessed using the Bowel Preparation Scale (Boston Bowel Preparation Scale, BBPS), polyp and adenoma detection rates, a compliance assessment scale for bowel preparation, and a satisfaction evaluation scale for bowel preparation education.

Results After the intervention, the BBPS score of the observed group was significantly higher than that of the control group [(7.61±1.65) vs. (7.04±1.70), P=0.002]. Compared to the control group, the observed group demonstrated higher rates of polyp detection [41.9% (72/172) vs. 26.7% (46/172), P=0.003] and adenoma detection [32.6% (56/172) vs. 22.1% (38/172), P=0.03], better compliance (68.8% vs. 50.3%, P<0.001), and a higher overall satisfaction score [(8.68±1.70) vs. (8.16±2.15), P=0.01], with statistically significant differences (P<0.05).

Conclusions Cloud-based follow-up platform nursing interventions enhance the quality of bowel preparation in patients, improve their compliance and satisfaction, and lead to a notable increase in the detection rates of colorectal lesions such as polyps and adenomas. Moreover, the platform facilitates more effective monitoring of patient preparation by healthcare providers, enabling timely resolution of patient queries, thereby enhancing overall medical efficiency and patient experience. These findings warrant the broader clinical application of this approach.