Effects of Patient Preparation Program on Bowel Cleanliness, Anxiety, and Complications in Same-Day Colonoscopy at Lamphun Hospital
Keywords:
Patient Preparation Program, Colonoscopy, Bowel CleanlinessAbstract
This quasi-experimental research aimed to study the effects of a patient preparation program on bowel cleanliness level, anxiety, and complications in patients undergoing same-day colonoscopy at Lamphun Hospital. The sample consisted of 84 patients scheduled for colonoscopy, randomly assigned into experimental and control groups of 42 patients each. The experimental group received an 8-week preparation program. Research instruments included the Boston Bowel Preparation Scale (BBPS), the State-Trait Anxiety Inventory (STAI), and the complications record form. Data were analyzed using descriptive statistics and independent t-tests.
The results showed that after the intervention, the experimental group had significantly higher bowel cleanliness scores than the control group (11.70 ± 0.56 vs 8.05 ± 0.80, p<0.001) and lower anxiety levels in both trait anxiety (10.10 ± 1.15 vs 15.23 ± 0.85, p<0.001) and state anxiety (8.35 ± 0.95 vs 12.52 ± 1.15, p<0.001). Furthermore, no complications were found in the experimental group, while 7.1% of patients in the control group experienced abdominal bloating. In conclusion, the patient preparation program effectively improved bowel cleanliness, reduced anxiety, and prevented complications. Therefore, it should be implemented as a standard practice guideline for preparing patients before colonoscopy.
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