J Korean Acad Nurs.  2015 Oct;45(5):704-712. 10.4040/jkan.2015.45.5.704.

Effects of a Patient Educational Video Program on Bowel Preparation Prior to Colonoscopy

• Cho YY
• Kim HO

• KMID: 2363095
• DOI: http://doi.org/10.4040/jkan.2015.45.5.704

Abstract

PURPOSE
The purpose of this study was to evaluate the effects of an educational video program on bowel preparation for a colonoscopy.
METHODS
The study used a non-equivalent control group and non-synchronized design as a quasi-experimental research involving 101 participants undergoing bowel preparation for a colonoscopy (experimental group 51, control group 50 subjects) at W. university hospital, from Aug. 7 to Oct. 31, 2013. The control group received verbal education with an explanatory note while the experimental group received education using a video program. To measure knowledge of diet restrictions and compliance with ingesting bowel preparation solutions, a questionnaire, based on The Korean Society of Gastrointestinal Endoscopy's Guide (2003), developed by Sam-Sook You, was used after revisions and supplementation was done. To measure bowel cleanness, the 'Aronchick Bowel Preparation Scale' was adopted. Data were analyzed using the SPSS WIN 12.0 program.
RESULTS
A higher proportion of the experimental group showed a positive change in knowledge level on diet restrictions (U=1011.50, p=.035) and ingestion of bowel preparation solutions (U=980.50, p=.019), a higher level of compliance with diet restrictions (U=638.50, p<.001), ingesting bowel preparation solutions (U=668.00, p<.001) and the level of bowel cleanness (chi2=17.00, p<.001) than the control group.
CONCLUSION
The results of this study indicate that a video educational program for patients having a colonoscopy can improve knowledge, level of compliance with diet restrictions, ingestion of bowel preparation solutions, and bowel cleanness. Therefore video educational program should be used with this patient group.

Keyword

Colonoscopy; Education; Knowledge; Compliance; Bowel preparation solutions

MeSH Terms

Adult
Cathartics/chemistry/metabolism
Colon/physiology
Colonoscopy
Diet
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Middle Aged
Patient Compliance/psychology
*Patient Education as Topic
*Program Evaluation
Prospective Studies
Surveys and Questionnaires
Cathartics

Reference

1. Jung KW, Won YJ, Kong HJ, Oh CM, Cho H, Lee DH, et al. Cancer statistics in Korea: Incidence, mortality, survival, and prevalence in 2012. Cancer Res Treat. 2015; 47(2):127–141. DOI: 10.4143/crt.2015.060.

2. Eun CS. Chemoprevention of colorectal cancer: Can it be possible by food? Korean J Gastroenterol. 2005; 45(1):68–72.

3. Huh KC. Strategy for early detection of colon cancer. Korean J Med. 2010; 79(2):104–112.

4. Yang SK, Byeon JS. Colonoscopy: Diagnosis & treatment. 2nd ed. Seoul: Koonja;2009.

5. Korean Society of Gastrointestinal Endoscopy. Practice guidelines for gastrointestinal endoscopy. Seoul: Medrang Inforang;2003.

6. Kim HS. Video session 2: Ideal colonic preparation. Paper presented at: 26th Seminar of Korean Society of Gastrointestinal Endoscopy. 2002 March 31; Hyatt Hotel: Seoul.

7. Jung Y, Lee SH. How do I overcome difficulties in insertion? Clin Endosc. 2012; 45(3):278–281. DOI: 10.5946/ce.2012.45.3.278.

8. Maeng JH, Ko BM, Lee MS, Na HS, Yoon HJ, Han SH, et al. Effectiveness and tolerance of duodenoscopic bowel preparation for colonoscopy. Korean J Gastroenterol. 2007; 50(2):78–83.

9. Park CG. The patient education in preparing patients for colonoscopy. Korean J Gastrointest Endosc. 2004; 28:Suppl 1. 176–180.

10. Harewood GC, Sharma VK, de Garmo P. Impact of colonoscopy preparation quality on detection of suspected colonic neoplasia. Gastrointest Endosc. 2003; 58(1):76–79. DOI: 10.1067/mge.2003.294.

11. Park DH, Kim HS, Kim MY, Choi YJ, Seo JI, Jung PH, et al. Effectiveness of walking-exercise on bowel preparation for colonoscopy. Korean J Gastrointest Endosc. 2002; 25(2):76–81.

12. Whang SJ, Choi CW, Seol HR, Jung SJ, Jung SM, Lee HW, et al. Factors influencing bowel preparation by bowel? Cleansing solutions before colonoscopy. Paper presented at: 58th Congress of the Korean Society of Gastrointestinal Endoscopy. 2008 November 21; Sheraton Grande Walkerhill: Seoul.

13. Jung YH. Poor bowel preparation: What's your plan? Paper presented at: 51th Seminar of Korean Society of Gastrointestinal Endoscopy. 2014 August 24; Kintex: Goyang.

14. Jeong I, Park S, Jeong JS. Understanding of technical terms and contents of informed consent forms for sedative gastrointestinal endoscopy procedures. Asian Nurs Res. 2013; 7(1):33–37. DOI: 10.1016/j.anr.2013.01.005.

15. Kim JH, Kim OS. Influencing factors that affect the psychological well-being in family caregivers of stroke patients. J Korean Acad Nurs. 2005; 35(2):399–406.

16. Kang GS, Jun E. The effects of the video education program on the residual urine, gas passing and state anxiety of hysterectomy patients. Korean J Women Health Nurs. 2010; 16(4):409–418. DOI: 10.4069/kjwhn.2010.16.4.409.

17. Chon YO, Nam MH. The effects of a video education on anxiety, pain, adherence to self care of knee arthroscopy surgery. J Korean Clin Health Sci. 2013; 1(1):19–27.

18. Yu SS. The effect of educational booklet on the compliance of bowel preparation for colonoscopy [master's thesis]. Yongin: Dankook University;2009.

19. Choi KH, Lee TH, Lee SH, Lee HJ, Kim EO, Jang JE, et al. The effectiveness of audiovisual aids education in preparing patients for colonoscopy. Intest Res. 2007; 5(1):52–59.

20. World Health Organization. Adherence to long-term therapies: Evidence for action. Geneva, CH: Author;2003.

21. Park KM, Kim MH, Hwang SK, Kim DH, Kim JS. Comparison of whole versus split-dose PEG solution for colonoscopy preparation on patient compliance, quality of bowel cleansing, and endoscopist's satisfaction. Korean J Adult Nurs. 2007; 19(2):237–247.

22. Aronchick CA, Lipshutz WH, Wright SH, Dufrayne F, Bergman G. A novel tableted purgative for colonoscopic preparation: Efficacy and safety comparisons with Colyte and Fleet Phospho-Soda. Gastrointest Endosc. 2000; 52(3):346–352. DOI: 10.1067/mge.2000.108480.

23. The Editors of Encyclopædia Britannica. Audiovisual education [Internet]. Chicago, IL: Encyclopædia Britannica, Inc.;1981. cited 2015 May 17. Available from: http://global.britannica.com/topic/audiovisual-education.

24. Bae HO, Suh SR. Effect of structured information provided on knowledge and self care behavior of liver cirrhosis patients. Korean J Adult Nurs. 2001; 13(3):476–485.

25. Kim H, Park YH, Oh YJ, Park KA, Kim IS, Woo KM, et al. What are patients with thyroid cancer surgery concerned about? J Korean Thyroid Assoc. 2013; 6(2):115–120. DOI: 10.11106/jkta.2013.6.2.115.

26. Hwang YJ, Park YH, Park IS, Kim NY, Kim JM, Kim JY. The effects of nursing education using CD ROM on the anxiety and knowledge of patients having minor surgery. Korean J Adult Nurs. 2004; 16(1):82–89.

27. Linné AB, Liedholm H. Effects of an interactive CD-program on 6 months readmission rate in patients with heart failure: A randomised, controlled trial [NCT00311194]. BMC Cardiovasc Disord. 2006; 6:30. DOI: 10.1186/1471-2261-6-30.

28. Jeon KH. A case study of teaching Korean history appling movingimage media in middle schools [master's thesis]. Seoul: Sung Kyun Kwan University;2004.

29. Lee JY, An YM, Lee ME, Park YU, Chun EH, Lee JH, et al. The effects of bowel preparation performance, grade and education satisfaction of patients by using an informative audio-visual medium. J KSGNA. 2013; 21(2):158–171.

30. Crow S, Ondrusek A. Video as a format in health information. Med Ref Serv Q. 2002; 21(3):21–34. DOI: 10.1300/J115v21n03_02.