The Effect of Nurse Process on Bowel Cleansing

NCT06453655 | Completed

• 1 other identifier: HUNP170977
• Study Type: interventional
• Target: 116
• Locations: 1 country
• Sites: 1

Brief Summary

Colonoscopy is still the gold standard method for the diagnosis and treatment of colon cancers. Preparation for colonoscopy is a complex processa (eg. restricted diet three days before the procedure and to drink large volumes of drog ) involving many steps. It has been shown that the symptoms experienced by patients during colonoscopy preparation have an impact on the quality of the colonoscopy procedure. Adequate bowel preparation is essential for successful colonoscopy imaging and to detect and remove existing polyps. aim of this study was to examine the effect of the nursing process applied by using standard nursing terminologies on colonoscopy preparation of outpatients on bowel cleansing. This study was designed as a prospective, single-blind, randomized controlled trial. This study tested the hypothesis that the nursing process using thestandard nursing terminologies NANDA-I, NIC and NOC for colonoscopy preparation has an effect on adequate bowel cleansing.

Conditions

Colorectal Cancer; Colonoscopy Preparation; Boston Bowel Preparation Scale; Nursing

Keywords

Nursing Process; Standard Nursing Terminologies; NANDA-I Diagnoses; Nursing Intervention; Nursing Outcome

Outcome Measures

Primary Outcomes (1)

• Boston Bowel Preparation Scale (BBPS) score for adequacy of bowel cleansing in all segments (0-2 points for each segment), mean and percentage of total (0-9) scores

  The BBPS scale was used in this study to visually evaluate all parts of the bowel (right, transverse, and left colon). On this scale, 9 points indicate excellent cleaning, and 0 points indicate inadequate bowel cleaning. According to BBPS, bowel cleansing is adequate if the score value for each segment is ≥ 2 points and above and the total score for all segments is ≥ 6 points and above. BBPS score \<6 indicates inadequate bowel preparation. This scale has been used in the center where the study was conducted, and endoscopists indicate the results of the scale in writing in the colonoscopy procedure reports.BBPS scores calculated by the endoscopist during the procedure were recorded in the digital patient file. After the digital reports were approved by the relevant physician within 3 days after the procedure, the BBPS score in the patient file was included in the data collection form

  3 days after the procedure

Secondary Outcomes (9)

• NOC-1 Knowledge: Prescribed Diet (1802)

  7 days before and on the day of the colonoscopy procedure

• NOC-2 Knowledge: Medication (1808)

  7 days before and on the day of the colonoscopy procedure

• NOC-3 Compliance Behavior-Prescribed Diet (1622)

  7 days before and on the day of the colonoscopy procedure

• NOC-4 Compliance Behavior-Prescribed Medication (1623)

  7 days before and on the day of the colonoscopy procedure

• NOC-5 Anxiety Level (1211)

  7 days before and on the day of the colonoscopy procedure

Study Arms (2)

Intervention

EXPERIMENTAL

This group was interviewed face to face one week before the day of the procedure and the nursing process was started to be applied. In the 3-day period before the procedure, the nursing process was continued with daily telephone follow-up. In the first face-to-face interview, nursing diagnoses and nursing outcome scales appropriate to the needs of the individual were determined and NOCs baseline measurements were made. NICs selected according to the nursing process were applied for 7 days. The last measurement of NOCs was made on the day of the procedure. In addition, BBPS scores calculated by the endoscopist during the procedure were taken from the patient file and recorded in the data collection form

Behavioral: Nursing Process

Control Group

NO INTERVENTION

This grup nursing diagnoses and expected nursing outcomes (NOC) appropriate to the needs of the individual were selected in a face-to-face interview 1 week before the procedure. The baseline measurements of NOCs were made. On the trading day, the after measurement of NOCs was made. But nursing process was not applied to this group.

Interventions

Nursing Process BEHAVIORAL

In the first step of the nursing process, nursing diagnoses NANDA-I and nursing outcomes (NOC) appropriate to the needs of the individual were selected. Immediately afterwards, the baseline measurements of NOCs were made. In the second stage, nursing interventions were determined in line with the selected diagnoses and started to be implemented. Instructions for the implementation of the selected NICs were reminded by phone 3 days before the procedure appointment and compliance with colonoscopy preparation instructions was monitored. In the third stage, after measurement of the NOCs were performed on the day of the procedure. In addition, the BBPS scores calculated by the endoscopist during the procedure were taken from the patient file and recorded in the data collection form and the stages of the nursing process were completed.

Intervention

Eligibility Criteria

• Age: 50 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Aged 50 to 70 years,
• Outpatients admitted to the Gastroenterology Department and Endoscopy Unit of Hacettepe University Adult Hospital
• First-time colonoscopy screening patients,
• Patients who agreed to participate in the study by signing informed consent one week before the appointment

You may not qualify if:

• They had suspected or diagnosed colorectal cancer
• Previous colon surgery,
• Emergency colonoscopy
• Pregnancy
• Breastfeeding
• Diagnosed mental illness
• Class 3-4 heart failure,
• Patients with hearing problems
• Chronic renal failure requiring dialysis
• A family member undergoing colonoscopy at the same time
• Muscle weakness due to cerebrovascular disease, or hemiplegia/plegia
• People who wanted to leave the study during the research
• Those who are simultaneously included in the working groups due to family affinity
• Those who cannot complete the colonoscopy procedure for various reasons

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe Uviversity

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Colorectal Neoplasms

Interventions

Nursing Process

Condition Hierarchy (Ancestors)

Intestinal Neoplasms; Gastrointestinal Neoplasms; Digestive System Neoplasms; Neoplasms by Site; Neoplasms; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Intestinal Diseases; Rectal Diseases

Intervention Hierarchy (Ancestors)

Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Officials

• Humeyra Zengin, RN, PhD

  Hacettepe University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Experienced endoscopists, who were unaware of the instructions given to the subjects, performed the colonoscopies. The endoscopist who performed the procedure added the visual assessment score to the patient's colonoscopy report, regardless of their participation in the study.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director of Nursing Services

Study Record Dates

• First Submitted: May 30, 2024
• First Posted: June 11, 2024
• Study Start: December 30, 2018
• Primary Completion: May 31, 2019
• Study Completion: May 31, 2019
• Last Updated: June 11, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)