The Effect of Bowel Preparation Training Given to Patients Undergoing Colonoscopy

Study Overview
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Brief Summary
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This study was planned to examine the effect of bowel preparation training and monitoring given to patients planned to undergo colonoscopy on the level of anxiety, compliance with bowel preparation and bowel cleansing. The research sample was collected at the Sultan II. University of Health Sciences affiliated to the Istanbul Provincial Health Directorate between December 2022 and August 2023. 34 intervention and 34 control groups will be randomly selected from outpatients who apply to the Colonoscopy Unit of Abdülhamid Han Training and Research Hospital and meet the inclusion criteria. In this study, it is aimed to increase the effect of bowel preparation training, supported by nurses in the clinic and via instant messaging/calling or communication application, on patients' anxiety level, level of compliance with bowel preparation, and bowel cleansing in patients scheduled for colonoscopy.

Official Title
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The Effect of Bowel Preparation Training Given to Patients Planned to Undergo Colonoscopy and the Monitoring Carried Out by the Nurse on Anxiety, Compliance With Bowel Preparation and Bowel Cleansing

Conditions
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Colonoscopy

Intervention / Treatment
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* Other: Intervention group: nurse-led education for bowel preparation of colonoscopy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Colonoscopy is planned Understands Turkish, can read and write, Patients who volunteer to participate in the research. Exclusion Criteria: Patients who do not attend planned training and do not receive telephone counseling

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Control Group: Data Collection<br>PRE-TEST a) Who is decided to have a colonoscopy, using the Patient Information Survey, Procedure Compliance Survey and Beck Anxiety Scale. ROUTINE APPLICATION Patients who are planned to undergo colonoscopy and are included in the control group will be trained according to the bowel preparation protocol routinely applied by the clinical nurse. The Procedure Compliance Survey, which is routinely used as a clinical procedure, is given to the patient/patient's relative after the training of the clinical nurse. FINAL TEST Immediately after the procedure, data will be collected again with the Patient Information Survey, Procedure Compliance Survey and Beck Anxiety Scale. After the procedure, the cleanliness of the intestines will be evaluated by the physician with the Ottawa Bowel Preparation Scale. The control group will be given training and a booklet after all data collection is completed. | Other: Intervention group: nurse-led education for bowel preparation of colonoscopy<br>* PRE-TEST a) Patients will be evaluated using the Patient Information Survey, Procedure Compliance Survey and Beck Anxiety Scale. INTERVENTION Patients will be given face-to-face training in the clinic training room of the unit. After face-to-face training is given, an educational brochure will be given to the patient. If the patient is constipated, the bowel preparation diet is requested to be started 5 days in advance. If the patient is not constipated, the bowel preparation diet is started 3 days in advance. After the intervention group is given bowel preparation training, reminders about colonoscopy will be made via instant messaging 3 to 5 days before the day of the colonoscopy. LAST TEST Data will be collected again using the Patient Information Survey, Procedure Compliance Survey and Beck Anxiety Scale. The cleanliness of the intestines will be evaluated by the physician using the Ottawa Bowel Preparation Scale.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Information Survey | It includes data about the personal characteristics | baseline, pre-intervention (pre-colonoscopy procedure) | 
| Beck Anxiety Inventory | It measures the level of anxiety before colonoscopy prosedure | pre-intervention (pre colonoscopy procedure) | 
| Procedure Compliance Survey | It measures the level of compliance to interventions after colonoscopy prosedure | immediately post-intervention (post colonoscopy procedure) | 
| Ottawa Bowel Preparation Scale | It is used to assess a patient's bowel preparation for colonoscopy | immediately post-intervention (post colonoscopy procedure) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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colonoscopy, bowel preparation, anxiety