DOI QR코드

DOI QR Code

The Effect of Bowel Preparation Convergence Program for Colonoscopy

대장내시경 전처치 융합관리프로그램의 효과

  • Received : 2017.11.13
  • Accepted : 2018.01.20
  • Published : 2018.01.28

Abstract

The purpose of this study was to identify the effects of bowel preparation convergence program for colonoscopy. This study used a nonequivalent control group pretest-posttest design. A sample of 75 clients, who were scheduled for colonoscopy, was included. The experimental group was given bowel preparation convergence program including audiovisual education, walking-exercise and telephone counseling. The data were collected using a structured questionnaire and colonoscopy monitoring and were analyzed using SPSS 21.0 program. The experimental group reported significantly higher compliance of taking bowel preparation agents and test satisfaction(p=.002; p=.001), lower test difficulty and test discomfort than those of the control group(p=.002; p=.001). There were significant differences in level of bowel cleansing and test time required except compliance of diet restriction between groups(p<.001; p=.001; p=.108). This findings indicate that bowel preparation convergence program can be an effective nursing intervention for colonoscopy. The convergence intervention for diagnostic test is needed to be developed in clinical practice.

Keywords

Convergence;colonoscopy;bowel preparation;bowel cleansing;compliance

References

  1. http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040102000000
  2. Y. Y. Cho, H. O. Kim, "Effects of a Patient Educational Video Program on Bowel Preparation Prior to Colonoscopy," Journal of Korean Academy of Nursing, Vol. 45, No. 5, pp. 704-712, 2015. https://doi.org/10.4040/jkan.2015.45.5.704
  3. E. J. Shin, Y. S. Lee, "The Effect of Nursing Information on Anxiety and Uncertainty in Patients for Endoscopic Submucosal Dissection before the procedure of the patients," Journal of the Korea Academia-Industrial cooperation Society, Vol. 17, No. 2, pp. 66-74, 2016. https://doi.org/10.5762/KAIS.2016.17.2.66
  4. K. M. Park, M. H. Kim, S. K. Hwang, D. H. Kim, J. S. Kim, "Comparison of Whole versus Split-Dose PEG Solution for Colonoscopy Preparation on Patient Compliance, Quality of Bowel Cleansing, and Endoscopist's Satisfaction," Korean Journal of Adult Nursing, Vol. 19, No. 2, pp. 237-247, 2007.
  5. K. A. Choi, " Development of Video Education Program for Effective Endoscopy," The Korean Journal of Gastrointestinal Endoscopy, Vol. 39 (Suppl 1), pp. 81-83, 2009.
  6. Y. J. Lee, E. J. Hong, S. O. Kim, H. S. Kim, I. S. Yang, K. H. Cha, C. S. Kim, "Effects of Walking on Discomfort and Colon Cleansing during Colon Lavage before Colonoscopy," Journal of Korean Clinical Nursing Research, Vol. 16, No. 1, pp. 39-49, 2010.
  7. M. H. Choi, J. A. Song, "Effects of Video Assisted Education Using Smartphone on Bowel Preparation for Colonoscopy," Journal of Korean Academy of Fundamentals of Nursing, Vol. 24, No. 1, pp. 60-71, 2017. https://doi.org/10.7739/jkafn.2017.24.1.60
  8. Y. S. Jung, H. S. Seok, D. I. Park, C. S. Song, S. E. Kim, S. H. Lee, C. S. Eun, D. S. Han, Y. S. Kim, C. K. Lee, "A Clear Liquid Diet Is Not Mandatory for Polyethylene Glycol-Based Bowel Preparation for Afternoon Colonoscopy in Healthy Outpatients," Gut and Liver, Vol. 7, No. 6, pp. 681-687, 2013. https://doi.org/10.5009/gnl.2013.7.6.681
  9. W. S. Jeong, D. I. Park, H. S. Seok, S. E. Kim, S. H. Lee, C. K. Lee, C. S. Eun, D. S. Han, "Comparison of Bowel Preparation Quality between Clear-liquid Diet and No Diet Restriction," Intestinal Research, Vol. 10, No. 3, pp. 272-279, 2012. https://doi.org/10.5217/ir.2012.10.3.272
  10. K. H. Hong, Y. J. Lim, "Prerequisites of Colonoscopy," Clinical Endoscopy, Vol. 47, pp. 324-329, 2014. https://doi.org/10.5946/ce.2014.47.4.324
  11. J. H. Maeng, B. M. Ko, M. S. Lee, H. S. Na, H. J. Yoon, S. H. Han, S. G. Kim, S. J. Hong, C. B. Ryu, Y. S. Kim, J. H, Moon, J. O. Kim, J. Y. Cho, J. S. Lee, C. S. Shim, B. S. Kim, "Effectiveness and Tolerance of Duodenoscopic Bowel Preparation for Colonoscopy," The Korean Journal of Gastroenterology, Vol. 50, pp. 78-83, 2007.
  12. S. J. Seo, E. J. Lee, Y. M. Kim, J. S. Lee, "The Effect of Aroma Inhalation Therapy on Nausea, Vomiting, Abdominal Discomfort, Compliance and Colon Cleansing in the Preparation of Patients Undergoing Colonoscopy," Journal of Korean Clinical Nursing Research, Vol. 18 No. 3, pp. 391-401, 2012. https://doi.org/10.22650/JKCNR.2012.18.3.391
  13. J. H. Maeng, B. M. Ko, M. S. Lee, H. S. Na, H. J. Yoon, S. H. Han, S. G. Kim, S. J. Hong, C. B. Ryu, Y. S. Kim, J. H. Moon, "Effectiveness and Tolerance of Duodenoscopic Bowel Preparation for Colonoscopy," The Korean journal of gastroenterology. Vol. 50 No2, pp. 78-83, 2007.
  14. H. S. Song, "Effect of colonoscopy education program on colonoscopy efficiency and patient satisfaction," The Korean Journal of Gastrointestinal Endoscopy, Vol. 31 (Suppl 1), pp. 116-121, 2005.
  15. Y. E. Kwon, B. H. Kim, "The Effects of Video-audio Information Provision on Physical Discomfort, Anxiety, and Nursing Satisfaction of the Clients for Gastroscopy," Korean Journal of Adult Nursing, Vol. 25, No. 1, pp. 231-239, 2013. https://doi.org/10.7475/kjan.2013.25.2.231
  16. J. T. Son, "Awareness of Information, Anxiety, Distress, and Perceived Value of Information in Patients undergoing Endoscopic Examination," Journal of Korean Academy of Fundamentals of Nursing, Vol. 10, No. 2, pp. 198-205, 2003.
  17. S. H. Yeo, J. H. Kwak, Y. U. Kim, T. H. Kwon, J. B. Park, J. H. Park, Y. K. Lee, Y. J. Lim, C. H. Yang, "Comparative Study on Bowel Preparation Efficacy of Ascorbic Acid Containing Polyethylene Glycol by Adding Either Simethicone or 1L of Water in Health Medical Examination Patients: A Prospective Randomized Controlled Study," The Korean Journal of Gastroenterology, Vol. 67, No. 4, pp. 189-197, 2016. https://doi.org/10.4166/kjg.2016.67.4.189
  18. S. E. Bae, K. J. Kim, J. B. Eum, D. H. Yang, B. D. Ye, J. S. Byeon, S. J. Myung, S. K. Yang, J. H. Kim, "A Comparison of 2L of Polyethylene Glycol and 45mL of Sodium Phosphate versus 4 L of Polyethylene Glycol for Bowel Cleansing: A Prospective Randomized Trial," Gut and Liver, Vol. 7, No. 4, pp. 423-429, 2013. https://doi.org/10.5009/gnl.2013.7.4.423
  19. M. J. Kang, S. A. Jung, J. M. Jung, H. J. Song, S. E. Kim, H. K. Jung, K. N. Shim, K. Yoo, I. H. Moon, "A Prospective Trial Comparing 4 L-Polyethylene Glycol with 2 L-Polyethylene Glycol Plus Bisacodyl Tablets for Colon Preparation," The Korean Journal of Gastrointestinal Endoscopy, Vol. 37, pp. 167-173, 2008.
  20. J. H. Seong, J. S. Yoo, K. J. Lee, H. J. Park, H. M. Kim, J. W. Kim, H. S. Kim, "Formulation and Management of Poor Bowel Preparation: A Survey Study," The Korean Journal of Gastroenterology, Vol. 68, No. 2, pp. 70-76, 2016. https://doi.org/10.4166/kjg.2016.68.2.70
  21. D. H. Park, H. S. Kim, M. Y. Kim, Y. J. Choi, J. I. Seo, P. H. Jung, S. K. Baik, D. K. Lee, S. O. Kwon, "Effectiveness of Walking-exercise on Bowel Preparation for Colonoscopy," The Korean Journal of Gastrointestinal Endoscopy, Vol. 25, pp. 76-81, 2002.
  22. W. Moon, "Optimal and Safe Bowel Preparation for Colonoscopy," Clinical Endoscopy, Vol. 46, pp. 219-223, 2013.
  23. Y. S. Jo, J. H, Yeo, "Effect of Information and Behavioural Training on Anxiety and Discomfort in Clients undergoing Upper Gastrointestinal Endoscopy," Journal of the Korean Data Analysis Society, Vol. 17, No. 4(B), pp. 2223-2235, 2015.
  24. H. Y. Kim, H. R, Kim, "Effects of a Colonoscopy based Simulation Education Program on Knowledge and Clinical Performance in Nursing Students," Korean Journal of Adult Nursing, Vol. 27, No. 2. pp. 135-145, 2015. https://doi.org/10.7475/kjan.2015.27.2.135
  25. S. Y. Hong, M. S. Han, Y. K. Kim, M. C. Jeon, C. G. Kim, "Research about Improvement of Pretreatment Methods on Projection of The Barium Enema," Journal of the Korea Convergence Society, Vol. 4, No. 2, pp. 9-13, 2013. https://doi.org/10.15207/JKCS.2013.4.2.009
  26. A. P. Chilton, M. O'Sullivan, M. A. Cox, D. E. Loft, C. U. Nwokolo, "A blinded, randomized comparison of a novel, low-dose, triple regimen with fleet phospho-soda: a study of colon cleanliness, speed and success of colonoscopy," Endoscopy, Vol. 32, pp. 37-41, 2000.
  27. K. H. Choi, T. H. Lee, S.H. Lee, H. J. Lee, E.O. Kim, J. E. Jang, Y. S. Lee, M. S. Jeong, S. J. Park, E. H. Choi, S. H. Ji, S. M. Lee, "The effectiveness of audiovisual aids education in preparing patients for colonoscopy," Intestinal Research, Vol. 5, No. 1, pp. 52-59, 2007.
  28. M. A. Ah, M. J. Kwon, S. Y. Oh, "A Study on the Convergent Influencing Factors of Nursing Service Satisfaction Perceived by Patients and Nurses," Journal of the Korea Convergence Society, Vol. 8, No. 10, pp. 135-145, 2017. https://doi.org/10.15207/JKCS.2017.8.10.135
  29. W. Kim, M. H. Kim, G. B. Shim, M. J. Shin, "A Study on the satisfaction of Health Examination for National Health Insurance Service," Journal of the Korea Convergence Society, Vol. 4, No. 2, pp. 1-8, 2013. https://doi.org/10.15207/JKCS.2013.4.2.001
  30. E. J. Seo, E. J. Lee, Y. M. Kim, J. S. Lee, "The Effect of Aroma Inhalation Therapy on Nausea, Vomiting, Abdominal Discomfort, Compliance and Colon Cleansing in the Preparation of Patients Undergoing Colonoscopy," Journal of Korean Clinical Nursing Research, Vol. 18, No. 3, pp. 391-401, 2012. https://doi.org/10.22650/JKCNR.2012.18.3.391
  31. M. J. Kim, Y. W. Lee, H. S. Kim, O. K. Ham, "Factors Influencing the Decision to Have a Colonoscopy," Korean Journal of Adult Nursing, Vol. 24, No. 3, pp. 266-273, 2012. https://doi.org/10.7475/kjan.2012.24.3.266
  32. B. H. Park, Y. M, Lee, "Risk Factors of Colon Polyps in Colonoscopy Examinee," Journal of Korean Biological Nursing Science, Vol. 16, No. 1, pp. 33-40, 2014. https://doi.org/10.7586/jkbns.2014.16.1.33