Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of an Educational Program Based on Mobile SMS and Counseling for Colonoscopy in the Elderly

Mobile SMS와 상담을 기반으로 한 노인용 대장내시경 교육프로그램의 효과

  • Lee, Yeong Sun (Gyeongsang National University Hospital) ;
  • Lee, Bong Jo (Gyeongsang National University Hospital) ;
  • Ha, Chang Yoon (Department of Internal Medicine, Gyeongsang National University) ;
  • Jeon, Mi Yang (College of Nursing.Institute of Health Science, Gyeongsang National University)
  • Received : 2021.01.14
  • Accepted : 2021.02.19
  • Published : 2021.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to examine the effects of an educational program based on mobile SMS and counseling for colonoscopy in elderly people. Methods: The study utilized a non-equivalent control group with a non-synchronized design as a quasi-experimental research. The study subjects consisted of 72 elderly people (36 elderly people in the experimental group and 36 in the control group). Among the subjects, 49 were male (68.1%) and 23 were female (31.9%), and the age was 69.04±6.14 years. Forty-five subjects (62.5%) answered that they had underlying diseases, eight subjects (11.1%) had a family history of colon disease, and 61 subjects (84.7%) had undergone a colonoscopy. The experimental group was provided with an educational program based on mobile SMS and counseling when three days and one day before the test. The control group received verbal explanations using information sheet. The data were analyzed using descriptive statistics, the Chi-squares test, and the independent t-test with SPSS/WIN 21.0. Results: Significant differences were found in bowel cleanliness scores (t= 3.60, p= .003) between the groups. No significant differences were seen between the groups in the sedation drug dosage (propofol (t= 1.02, p= .730), midazolam (t= 0.66, p= .380)) and time for colonoscopy (t= 1.08, p= .235). Conclusion: Based on the results of this study, an educational program based on mobile SMS and counseling for colonoscopy was proposed as an educational program before colonoscopy.

Keywords

References

  1. Korean Ministry of Health and Welfare (KMHW). Annual report of the central cancer registry in KOREA [Internet]. Sejong: KMHW; 2018. [cited 2021 January 5]. Available from: http://whttp://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=362695
  2. Jeong HC, Jeon MY, Kim MS, Park CK, Cho SH, Park SS, et al. Human anatomy. Seoul: Hyunmonsa; 2020. p361-372.
  3. Yang SK, Byeon JS. Colonoscopy: diagnosis & treatment. 2nd ed. Seoul: Koonja; 2009. p. 416
  4. Winawer SJ, Zauber AG, Ho MN, et al. Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup. The New England Journal of Medicine. 1993;329:1977-1981. https://doi.org/10.1056/NEJM199312303292701
  5. Lieberman DA, Weiss DG, Bond JH, Ahnen DJ, Garewal H, Chejfec G. Use of colonoscopy to screen asymptomatic adults for colorectal cancer. Veterans Affairs Cooperative Study Group 380. The New England Journal of Medicine. 2000;343:162-168. https://doi.org/10.1056/NEJM200007203430301
  6. Ko CW, Riffle S, Shapiro JA, Saunders MD, Lee SD, Tung BY, et al. Incidence of minor complication and time lost from normal activities after screening or surveillance colonoscopy. Gastrointestinal Endoscopy. 2007;65(4):648-656. https://doi.org/10.1016/j.gie.2006.06.020
  7. Maeng JH, Ko BM, Lee MS, Na HS, Yoon HJ, Han SH, et al. Effectiveness and tolerance of duodenoscopic bowel preparation for colonoscopy. The Korean Journal of Gastroenterology. 2007;50(2):78-83.
  8. Park CG. The patient education in preparing patients for colonoscopy. Korean Journal of Gastrointestinal Endoscopy. 2004;28(Suppl 1):176-180.
  9. Kim HS. Video session 2: ideal colonic preparation. Paper presented at: 26th Seminar of Korean Society of Gastrointestinal Endoscopy; 2002 March 31; Hyatt Hotel: Seoul.
  10. Park DH, Kim HS, Kim MY, Choi YJ, Seo JI, Jung PH et al. Effectiveness of walking-exercise on bowel preparation for colonoscopy. Clinical Endoscopy. 2002;25(2):76-81.
  11. Kim NC, Choi KO. The effects of individualized cardiac rehabilitation education for percutaneous coronary intervention (PCI) patients. Journal of Korean Academy of Fundamentals of Nursing. 2006;13(1):42-49.
  12. Choi KH, Lee TH, Lee SH, Lee HJ, Kim EO, Jang JE et al. The effectiveness of audiovisual aids education in preparing patients for colonoscopy. Intestinal Research. 2007;5(1):52-59.
  13. Choi MH, Song JA. Effects of video assisted education using smartphone on bowel preparation for colonoscopy. Journal of Korean Academy of Fundamentals of Nursing. 2017;24(1):60-71. https://doi.org/10.7739/jkafn.2017.24.1.60
  14. Cho, YY, Kim, HO. Effects of a patient educational video program on bowel preparation prior to colonoscopy. Journal of Korean Academy of Nursing. 2015;45(5):704-712. http://dx.doi.org/10.4040/jkan.2015.45.5.704
  15. Walter B, Schmid R, von Delius S. A smartphone app for improvement of colonos copy preparation (ColoprAPP): development and feasibility study. JMIR MHealth and UHealth, 2017;5(9):1-7. https://doi.org/10.2196/mhealth.7703
  16. Korea Communications Commission. The penetration rate of wireless broadband Internet[Internet]. Seoul: Korea internet & Security Agency; 2013 Feb 8 [cited 2021 Jan 10]. Available from: https://www.kisa.or.kr/notice/press_View. jsp?mode=view&p_No=8&b_No=8&d_No=1093
  17. Representing the worldwide Mobile communications industry. Global Mobile Engagement Index [Internet]. Sejong: Ministry Science and ICT.; 2018 Feb 26 [cited 2021 Jan 10]. https://www.msit.go.kr/bbs/view.do?sCode=user&mId=113&mPid=112&bbsSeqNo=94&nttSeqNo=1375875
  18. Cha KS, Jo M. Current status and problems of communication between teachers and parents using SMS. Journal of The Korean Association of Information Education 2009;13(1):61-69.
  19. Moon MK, Yim JE, Jeon MY. The Effect of a telephone-based self-management program led by nurses on self-care behavior, biological index for cardiac function, and depression in ambulatory heart failure patients. Asian Nursing Research. 2018;12(4):251-257. https://doi.org/10.1016/j.anr.2018.10.001
  20. Whang SJ, Choi CW, Seol HR, Jung SJ, Jung SM, Lee HW, et al.(2008). Factors influencing bowel preparation by bowel? Cleansing solution before colonoscopy, Paper presented at: 58th Congress of the Korean Society of Gastrointestinal Fndoscopy; 2008 November 21; sheraton Grande Walkerhill: Seoul.
  21. Ness RM, Manam R, Hoen H, Chalasani N. Predictors of inadequate bowel preparation for colonoscopy. The American Journal of Gastroenterology 2001; 96(6):1797-1802. https://doi.org/10.1016/S0002-9270(01)02437-6
  22. Park KM, Kim MH, Hwang SK, Kim DH, Kim JS. 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. 2007;19(2):237-247.
  23. Aronchick CA, Lipshutz WH, Wright SH, Dufrayne F, Bergman G. A novel tableted purgative for colonoscopic preparation: efficacy and safety comparisons with colyte and fleet phospho-soda. Gastrointestinal Endoscopy. 2000; 52(3):346-352. https://doi.org/10.1067/mge.2000.108480
  24. Harewood GC, Sharma VK, de Garmo P. Impact of colonoscopy preparation quality on detection of suspected colonic neoplasia. Gastrointestinal Endoscopy. 2003;58(1):76-79. https://doi.org/10.1067/mge.2003.294
  25. Cho JH, Lee SH, Shin JA, Kim JH, Lee HS. The impact of patient education with a smartphone application on the quality of bowel preparation for screening colonoscopy. Clinical Endoscopy. 2017;50(5):479-485. https://doi.org/10.5946/ce.2017.025
  26. Kulling D, Rothenbuhler R, Inauen W. Safety of nonanesthetist sedation with propofol for outpatient colonoscopy and esophagogastroduodenoscopy. Endoscopy 2003;35(8):679-682. https://doi.org/10.1055/s-2003-41518
  27. Rex DK, Deenadayalu VP, Eid E, Imperiale TF, Walker JA, Sandhu K, et al. Endoscopist-directed administration of propofol: a worldwide safety experience. Gastroenterology. 2009;137(4):1229-1237. https://doi.org/10.1053/j.gastro.2009.06.042.
  28. Gan TJ. Pharmacokinetic and pharmacodynamic characteristics of medications used for moderate sedation. Clinical Pharmacokinetics. 2006;45:855-869. https://doi.org/10.2165/00003088-200645090-00001
  29. Robin C, Trieger N. Paradoxical reactions to benzodiazepines in intravenous sedation: a report of 2 cases and review of the literature. Anesthesia Progress 2002;49:128-132.