Outcomes of a Structured Program for Bowel Preparation in Patients Scheduled to Undergo Colonoscopy: A Randomized Controlled Trial

Authors

  • Nisa Ruangkitudom Gastroenterology Unit, Nursing Work, Siriraj Hospital, Mahidol University
  • Vathinee Thiensukon Gastroenterology Unit, Nursing Work, Siriraj Hospital, Mahidol University
  • Pathomporn Bunnag Gastroenterology Unit, Nursing Work, Siriraj Hospital, Mahidol University
  • Rojsirin Chaiwong Gastroenterology Unit, Nursing Work, Siriraj Hospital, Mahidol University
  • Varayu Prachayakul Division of Gastroenterology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Somchai Amornyotin Department of Anastasia Physiology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Thawatchai Akaraviputh Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University

Keywords:

Enhancement program, bowel preparation, colonoscopy

Abstract

Objectives: An important element that affects the diagnosis and procedure ofcolonoscopy is the cleanliness of the bowel preparation.

Methods: This study was to investigate the incidence of repeated endoscopy. The intestinal preparation is not clean, and to assess knowledge and practice in patients receiving colonoscopy compares between the two groups. Randomized controlled trial of 63 control subjects. Get regular care. The experimental group received 67 structured bowel preparation programs. The instrument used to collect data was a questionnaire using standard deviation, chi-square, independent T-test, relative risk.

Results: The results showed that repeated endoscopy was not found in the two groups. However, in the experimental group, colorectal intestinal disease was fair level 0.81 times that of the control group (p = 0.1540), which is approximately a 13% difference. With regard to subjects’ understanding before and after giving knowledge, both groups had a similar percentage of correct responses at 80%. Regarding the suitable diets for the first and second day, the correct response rate differed with 5% correct in the pre-test and 1.9% correct in the post-test. On the topic of drinking water following defecation, there was a statistically significant difference where the results of the group that drank water (p < 0.05) was 13.5 times that of the group that did not (p = 0.02).

Conclusions: Although the results were not statistically significant, the experimental group that received a structured bowel preparation program had a tendency to have a very good level of cleanliness, higher than that of the control group. Patients should also self-assess their intestinal cleanliness. It is recommended that this be studied further in these subgroups.

References

1. Agerskov U. Statistical Yearbook 2011 of Vijay Virabudin.115th ed. Denmark: Published by Statistics Denmark; 2011.

2. Chiwisalpong P, Rattanakosan Sukishi T. Colorectal Cancer Screening and Diagnosis. Bangkok: Bangkok University Press; 2003.

3. Pongchai S, Akaraviput T . Colonoscopy 1. Bangkok: Bangkok Medical Journal; 2011.

4. Chaiyapongchai S, Akaraviput T, Chinchitorn U. Gastrointestinal bleeding, 1st ed. Bangkok: Bangkok Medical Journal; 2010.

5. Gurudu SR1, Ratuapli S, Heigh R, Di Baise J, Leighton J, Crowell M. Quality of bowel cleansing for afternoon colonoscopy is influenced by time of administration. Am J Gastroenterol 2010;105:2318-22.

6. American Society for Gastrointestinal Endoscopy(ASGE). Bowel preparation before colonoscopy. Gastrointest Endosc 2015;81:781-94.

7. Gurudu SR1, Ratuapli S, Heigh R, Di Baise J, Leighton J, Crowell M. Quality of bowel cleansing for afternoon colonoscopy is influenced by time of administration. Am J Gastroenterol 2010;105:2318-22.

8. Kastenberg D, Bertiger G, Brogadir S.Bowel preparation quality scales for colonoscopy. World J Gastroenterol 2018; 24:2833-43.

9. Wen CC, Jao SH, Hsiao CW. A modified bowel preparation regimen for colonoscopy providing the patients’ satisfaction and convenience. Med Sci Monit 2017;23:3123-9.
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Published

2018-03-29

How to Cite

1.
Ruangkitudom N, Thiensukon V, Bunnag P, Chaiwong R, Prachayakul V, Amornyotin S, Akaraviputh T. Outcomes of a Structured Program for Bowel Preparation in Patients Scheduled to Undergo Colonoscopy: A Randomized Controlled Trial. Thai J Surg [Internet]. 2018 Mar. 29 [cited 2024 Nov. 6];39(1):21-9. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/219933

Issue

Vol. 39 No. 1 (2018): January - March

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.