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

Keimyung University

Status and phase: Completed; Phase 3

Conditions: Ottawa Scale <6

Treatments: Other: Reinforcement Nurse Education

Study type: Interventional

Funder types: Other

Identifiers

NCT01911026

2013-05-049-001

Details and patient eligibility

About

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.

Enrollment: 205 patients

Sex: All

Ages: 19 to 80 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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205 participants in 2 patient groups

Interventional

Experimental group

Description:

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'

Treatment:

Other: Reinforcement Nurse Education

Standard preparation instructions

No Intervention group

Description:

The control arm will receive written instructions on preparing for a colonoscopy per standard of care at Keimyung University Dongsan Medical Center