Document Detail


The impact of patient education on the quality of inpatient bowel preparation for colonoscopy.
MedLine Citation:
PMID:  21152458     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: For patients requiring colonoscopy while admitted to hospital, achieving adequate cleansing of the colon is often difficult.
OBJECTIVES: To assess the impact of patient education, in the form of both counselling and written instructions, on bowel cleanliness at colonoscopy.
METHODS: A total of 38 inpatients at a tertiary care hospital in Vancouver, British Columbia, who were referred to the gastroenterology service for colonoscopy were enrolled in the present study. Sixteen patients were randomly assigned to the intervention group, while 22 patients comprised the control group. Both groups received a clear liquid diet and 4 L of a commercially available bowel preparation. The intervention group also received a brief counselling session and written instructions outlining the methods and rationale for bowel preparation before colonoscopy. Bowel cleanliness was assessed by the endoscopist using a five-point rating scale.
RESULTS: The two groups were similar with respect to demographics, the indication for colonoscopy and findings at colonoscopy. The median bowel cleanliness scores in the control group and the enhanced-instruction group were 3.0 and 2.0, respectively (P=0.001).
CONCLUSION: Patient counselling and written instructions are inexpensive, safe and simple interventions. Such interventions are an effective means of optimizing colonoscopy preparation in the inpatient setting.
Authors:
Greg Rosenfeld; Darin Krygier; Robert A Enns; Janakie Singham; Holly Wiesinger; Brian Bressler
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Canadian journal of gastroenterology = Journal canadien de gastroenterologie     Volume:  24     ISSN:  0835-7900     ISO Abbreviation:  Can. J. Gastroenterol.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-12-14     Completed Date:  2011-01-04     Revised Date:  2014-01-17    
Medline Journal Info:
Nlm Unique ID:  8807867     Medline TA:  Can J Gastroenterol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  543-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Cathartics / administration & dosage*
Colonoscopy / methods*
Directive Counseling / methods
Female
Humans
Male
Patient Education as Topic / methods*
Chemical
Reg. No./Substance:
0/Cathartics
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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