Impact of a Telephone Intervention on Bowel Preparation Quality for Colonoscopy in the Elderly
| Autor: | Zhou Feng, Lei Xu, Sun Linyin, Weihong Wang, Shi Kemei, Chun-Jiu Hu, Lin-Yan Jiang, Hu Chunyan, Bao Zhenfei |
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| Rok vydání: | 2020 |
| Předmět: |
Waiting time
Male medicine.medical_specialty Colonoscopy 03 medical and health sciences 0302 clinical medicine Internal medicine Intervention (counseling) medicine Humans Start time Single-Blind Method 030212 general & internal medicine Prospective Studies Aged Advanced and Specialized Nursing Aged 80 and over Univariate analysis medicine.diagnostic_test business.industry Cathartics Gastroenterology Telephone Bowel preparation 030211 gastroenterology & hepatology Female business Body mass index |
| Zdroj: | Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates. 44(2) |
| ISSN: | 1538-9766 |
| Popis: | Bowel preparation is the basis of colonoscopy, and adequate bowel preparation is essential to the success of colonoscopy. Studies have been reported that telephone intervention can improve the quality of bowel preparation, while it remains unclear regarding effectiveness with the elderly. The purpose of this study was to evaluate the effect of telephone intervention on the quality of bowel preparation for colonoscopy in elderly outpatients. In total, 162 outpatients older than 65 years were enrolled and randomly divided into a control group and a study group. Patients in the study group were re-educated through telephone by a specific nurse 2 days before colonoscopy, whereas participants in the control group received education only on the day of appointment. The Ottawa score was used to evaluate the quality of bowel preparation between the two groups. In this study, no significant differences were observed in age, gender, body mass index, educational level, smoking and/or alcohol drinking, waiting time to colonoscopy, reasons for colonoscopy, and colonoscopic findings between the control group and the study group. Participants in the study group had higher adequate bowel preparation and compliance than the control group (83.1% vs. 59.5%, p = .03; 96.4% vs. 74.7%, p < .001). Univariate analysis showed that only noncompliance with start time was significantly associated with satisfactory bowel preparation in elderly patients. In conclusion, telephone intervention 2 days before colonoscopy can improve the quality of bowel preparation in the elderly. |
| Databáze: | OpenAIRE |
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