The Impact of Nurse Education on the Quality of Inpatient Bowel Preparation for Colonoscopy

Phase 3

Completed

• Conditions: Ottawa Scale <6
• Interventions: Other: Reinforcement Nurse Education

• Registration Number: NCT01911026
• Lead Sponsor: Keimyung University Dongsan Medical Center

Brief Summary

Effective bowel preparation is important for examination of the entire colon adequately and for identifying colonic lesions during colonoscopy. However, it is well known that bowel preparation of inpatients is much poorer than that of outpatients. Our goal is to improve bowel preparations with reinforcement of nurse education that explains the steps required for bowel preparation for inpatients undergoing colonoscopies. The education will focus on explaining the purpose of a screening colonoscopy, the rationale for bowel preparation, the pre-colonoscopy diet, and the instructions for completing the laxative. Patients in the control group will receive the standard written bowel preparation instructions, while patients in the intervention group will receive standard written instructions plus a explanation from reinforcement-educated nurse. The investigators hypothesize that patients received a explanation from reinforcement-educated nurses will lead to improved patient compliance and a better bowel preparation. In addition, the investigators hypothesize that a better quality bowel preparation will improve detection of colonic polyps and patients' satisfaction for colonoscopy.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-07
• Study First Submitted: 2013-07-22
• Study First Submitted QC: 2013-07-26
• Study First Posted: 2013-07-30
• Primary Completion: 2014-01
• Study Completion: 2014-01
• Status Verified: 2014-12
• Last Update Submitted: 2014-12-25
• Last Update Posted: 2014-12-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 205

Inclusion Criteria

• all inpatients
• age >18
• referred and scheduled for an elective screening colonoscopy

Exclusion Criteria

• outpatients
• pregnancy
• breast feeding
• prior history of surgical large bowel resection
• patients allergic to PEG-ELS based laxatives

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Interventional	Reinforcement Nurse Education	The investigational, or experimental arm, will receive standard written instructions on preparing for a colonoscopy plus interventional instructions from reinforcement educated nurse such as 'Reinforcement Nurse Education'

Primary Outcome Measures

Name	Time	Method
Quality of bowel preparation	day 1	The primary outcome will be the endoscopist's assessment of the quality of preparation using Boston and Ottawa bowel preparation scale

Secondary Outcome Measures

Name	Time	Method
Patient compliance	baseline	Patient compliance with preparation instructions self-reported in a pre-procedure questionnaire
Colonoscope insertion and withdrawal times	day 1	Time from insertion to cecum and time from cecum to anus
Patient's willingness to do bowel preparation next time	baseline	Patient's willingness to do bowel preparation next time self-reported on a pre-procedure questionnaire
Preparation associated side effects	baseline	Presence and severity of preparation associated side effects including: bloating, abdominal pain, and nausea/vomiting

Trial Locations

Locations (1)

Eun Soo Kim; 🇰🇷 Daegu, Korea, Republic of