How Can We Achieve Good Compliance for Bowel Preparation?

Park, Jongha; Kim, Tae Oh

doi:10.5946/ce.2019.023

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…Detection and treatment of polyps through periodic colonoscopy play a major role in reducing the incidence of malignant colorectal cancer [1]. Many studies [2][3][4][5] have reported that poor bowel preparation can lead to an increased number of missed adenomas, incomplete procedures, and prolonged cecal intubation time. However, patients are often reluctant to undergo colonoscopy because of the unpleasant experiences during bowel cleansing.…”

Section: Introductionmentioning

confidence: 99%

A Randomized, Endoscopist-Blinded, Prospective Trial to Compare the Efficacy and Patient Tolerability between Bowel Preparation Protocols Using Sodium Picosulfate Magnesium Citrate and Polyethylene-Glycol (1 L and 2 L) for Colonoscopy

Kim

Keum

et al. 2020

Gastroenterology Research and Practice

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Patient compliance during bowel preparation is important for successful colonoscopy. Bowel preparation with polyethylene glycol (PEG), the most commonly used solution for cleansing, involves the unpleasant ingestion of a large amount of liquid. Sodium picosulfate magnesium citrate (SP-MC) solution is an alternative option with better palatability than PEG. Therefore, in this study, we compared the efficacy and patient tolerability among the following three bowel preparation protocols: 2 L PEGascorbic acid (ASc), 1 L PEG-ASc plus bisacodyl, and SP-MC 340 mL plus bisacodyl. We conducted a randomized prospective endoscopist-blinded study between August 2018 and January 2019. A total of 311 patients were randomly classified into three groups according to the above-described bowel preparation protocols. To evaluate the efficacy of bowel cleansing, we used the Boston Bowel Preparation Scale. The degree of symptoms and the patients' satisfaction with each bowel preparation method were investigated using a questionnaire completed before sedation for colonoscopy. The baseline characteristics were similar among the three groups. There was no significant difference in the bowel preparation quality among the three groups. However, the incidence of symptoms, such as abdominal fullness and pain, was significantly lower (P = 0:006 and 0.027, respectively) while the patients' satisfaction rate was significantly higher (P = 0:012) in the SP-MC plus bisacodyl group than in the two PEG groups. In this study, the efficacy of the SP-MC plus bisacodyl solution was similar to that of the PEG solutions. However, patient tolerability and satisfaction were better in the SP-MC plus bisacodyl group than in the other groups. In conclusion, the use of SP-MC plus bisacodyl bowel preparation solution might be a better method for providing good intestinal cleansing and improving patient compliance.

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Section: Introductionmentioning

confidence: 99%

A Randomized, Endoscopist-Blinded, Prospective Trial to Compare the Efficacy and Patient Tolerability between Bowel Preparation Protocols Using Sodium Picosulfate Magnesium Citrate and Polyethylene-Glycol (1 L and 2 L) for Colonoscopy

Kim

Keum

et al. 2020

Gastroenterology Research and Practice

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“…In another study, nurses provided patients with a colonoscopy information booklet for bowel preparation education, covering dietary arrangements, methods of using bowel preparation medications, and the colonoscopy procedure [44]. In addition to verbal instructions, patients received two video SMS messages on their smartphones.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a Mobile Health Application for Educating Outpatients About Bowel Preparation

Chen,

Tu,

Chen

2024

Preprint

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Colonoscopy, essential for diagnosing and treating colorectal cancer, relies on effective bowel preparation to inspect the colonic mucosa fully. Traditional education methods include printed instructions and verbal explanations, but these may not ensure clear patient understanding. Poor bowel preparation can obscure mucosal visibility, delaying cancer diagnosis and treatment. Using the outpatient’s Android mobile device, the mobile health care model is provided as a nursing guide to assist in bowel preparation for colonoscopy. This single-blinded, randomized trial en-rolled patients for colonoscopy at a Northern Taiwan gastroenterology center. Eligible patients were physically and mentally healthy and could communicate in Chinese. The study tested the ColonClean app during bowel preparation. After the procedure, endoscopists rated the prepara-tion quality using the Aronchick Scale. Data analysis with SPSS software (version 25.0) evaluated if the app significantly improved bowel preparation compared to those who did not use it. Forty patients were recruited for both the control (conventional method) and experimental (conven-tional method plus ColonClean app) groups. In the experimental group, endoscopists assessed bowel preparation quality; all achieved at least "Fair," with 75% receiving "Excellent" or "Good" ratings. The ColonClean App enhanced bowel preparation quality more effectively than tradi-tional nursing guidance.

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“…[ 22 ] Patient compliance is an important factor affecting the quality of colonoscopy. [ 23 , 24 ] Educational interventions significantly improve the patients’ bowel preparation quality. [ 25 ] Previous studies have reported that physician- or nurse-focused education can improve the quality of bowel preparation.…”

Section: Discussionmentioning

confidence: 99%

Ward nurses-focused educational intervention improves the quality of bowel preparation in inpatients undergoing colonoscopy

Liu¹,

Shu-hong²,

Wang³

et al. 2020

Medicine

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Background: Adequate bowel preparation is essential for the detection of pathological lesions during colonoscopy. However, it has been found to be inadequate in approximately 20% to 30% of colonoscopy examinations. Educational interventions focused on health staff, such as physicians and nurses, may improve the patients’ understanding of the bowel preparation instructions, and consequently, increase the quality of bowel preparation. Objectives: To investigate whether enhanced education of ward nurses could improve the bowel preparation quality in inpatients undergoing colonoscopy. Design: This was a single-center randomized controlled study. Methods: A total of 190 consecutive inpatients scheduled to undergo colonoscopy from March 2019 to March 2020 were randomized to the educated (nurses with enhanced education) or control group (nurses without enhanced education). We assessed the bowel preparation quality using the Boston bowel preparation scale. Results: There were 89 patients in the educated group and 101 patients in the control group. The proportion of colonoscopies with adequate bowel preparation was 83.1% in the educated group and 69.3% in the control group. Patients’ compliance with bowel preparation in the educated group was superior to that in the control group. Furthermore, significantly better sleep quality was found in the educated group. The multivariate logistic regression analysis identified the ward nurses-focused enhanced educational intervention as a risk factor for bowel preparation quality. Conclusions: The ward nurses-focused educational intervention improved the bowel preparation quality and reduced the adverse event rates in inpatients undergoing colonoscopy. Trial registration: This study was registered in the Chinese Clinical Trial Registry under number ChiCTR2000030366.

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How Can We Achieve Good Compliance for Bowel Preparation?

Cited by 6 publications

References 11 publications

A Randomized, Endoscopist-Blinded, Prospective Trial to Compare the Efficacy and Patient Tolerability between Bowel Preparation Protocols Using Sodium Picosulfate Magnesium Citrate and Polyethylene-Glycol (1 L and 2 L) for Colonoscopy

A Randomized, Endoscopist-Blinded, Prospective Trial to Compare the Efficacy and Patient Tolerability between Bowel Preparation Protocols Using Sodium Picosulfate Magnesium Citrate and Polyethylene-Glycol (1 L and 2 L) for Colonoscopy

Effectiveness of a Mobile Health Application for Educating Outpatients About Bowel Preparation

Ward nurses-focused educational intervention improves the quality of bowel preparation in inpatients undergoing colonoscopy

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