Effect of nurse-performed enhanced patient education on colonoscopy bowel preparation quality

Abstract

Objective: to evaluate the effect of nurse-performed enhanced patient education sessions on adequate bowel preparation and cecal intubation rates. Method: a prospective, quasi-experimental, comparative study with a quantitative approach. The intervention group (n=150) received education enhanced by a visual presentation and reminder calls. The control group (n=156) received the clinic’s standard written instructions. Adequate bowel preparation rates and other colonoscopy quality indicators were compared between the groups. Results: Boston Bowel Preparation scale scores and adequate bowel preparation rates were higher in the intervention group than in the control group (respectively, 6.76±2.1 vs. 5.56±2.4, p=0.000, and 80% vs. 69.2%, p=0.031). The cecal intubation rates were higher in the intervention group (80% vs. 67.3%, p=0.012). Due to inadequate bowel preparation, unsuccessful cecal intubation rates were 0% in the intervention group and 17.6% in the control group. Biopsy rates were higher in the intervention group (28% vs. 13.3%, p=0.002). Conclusion: the nurse-performed enhanced patient education sessions increase adequate bowel preparation rates and, in parallel, cecal intubation rates. To reach the colonoscopy quality standards recommended in the guidelines, it is suggested that patient education be supported by different training tools and given by health professionals.

The Effects of Virtual Reality Glasses on Vital Signs and Anxiety in Patients Undergoing Colonoscopy

“…Nurses are responsible for planning colonoscopy, informing and preparing the patient, and monitoring the patient during and after the procedure. They also play a key role in reducing patient fear and anxiety and managing pain and other vital signs (Arslanca, 2019; Nursing Regulation, 2011; Özkan, 2018). Lower anxiety and more stable vital signs during colonoscopy result in fewer complications, higher tolerance, and more satisfaction (Björkman et al, 2013; De Silva et al, 2016; Umezawa et al, 2015).…”

“…Nurses are active members of the endoscopy team, who have responsibilities at every stage of the procedure, starting from planning. Nurses manage pain and other vital signs and help patients overcome their fears and concerns about the procedure (Arslanca, 2019; Özkan, 2018; Regulation Amending the Nursing Regulation, 2011).…”

Preoperative automatic reminder systems and impact on quality and compliance with colonoscopy preparation: A multicenter randomized controlled trial

“…Preoperative education for bowel preparation by text, phone call, and mobile application has been previously reported 8–11 . Phone call from physicians or nurses is effective but consumes time and human resource 12,13 . Information overload may have impaired the effectiveness of text reminders, as it is positively correlated with unverified information sharing and anxiety 14 .…”

“…[8][9][10][11] Phone call from physicians or nurses is effective but consumes time and human resource. 12,13 Information overload may have impaired the effectiveness of text reminders, as it is positively correlated with unverified information sharing and anxiety. 14 Scheduled, personalized, and efficient information should be delivered for preoperative patient education for bowel preparation.…”