Wang H, Wang Y, Yuan JH, Wang XY, Ren WX. Pre-colonoscopy special guidance and education on intestinal cleaning and examination in older adult patients with constipation. World J Gastrointest Surg 2022; 14(8): 778-787 [PMID: 36157373 DOI: 10.4240/wjgs.v14.i8.778]
Corresponding Author of This Article
Wei-Xia Ren, MNurs, Nurse, Department of Geriatric Gastroenterology, Provincial Hospital Affiliated to Shandong First Medical University, No. 324 Jingwu Weiqi Road, Jinan 250021, Shandong Province, China. 15168863717@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Aug 27, 2022; 14(8): 778-787 Published online Aug 27, 2022. doi: 10.4240/wjgs.v14.i8.778
Table 1 Comparison of general information between the study group and the control group, n (%)
Normal information
Research group (n = 80)
Control group (n = 80)
t/χ2
P value
Age (yr)
68.2 ± 5.4
68.4 ± 5.4
-0.218
0.827
BMI (kg/m2)
24.5 ± 2.7
24.1 ± 2.7
1.009
0.158
Duration of constipation (yr)
6.3 ± 1.6
6.4 ± 2.3
040
0.158
Sex
0.905
0.341
Male
46 (57.50)
40 (50.00)
Female
34 (42.50)
40 (50.00)
Hypertension
0.227
0.634
Yes
38 (47.5)
35 (43.75)
No
42 (52.5)
45 (56.25)
Diabetes
0.038
0.845
Yes
17 (21.25)
16 (20.00)
No
63 (78.75)
64 (80.00)
Smoking
0.000
1.000
Yes
14 (17.50)
14 (17.50)
No
66 (82.50)
66 (82.50)
Drinking
0.316
0.574
Yes
20 (25.00)
17 (21.25)
No
60 (75.00)
63 (78.75)
Table 2 Comparison of colonoscopy time and intestinal bubble score (mean ± SD)
Groups
Colonoscopy time (min)
Intestinal bubble score (points)
Research group (n = 80)
15.21 ± 1.81
0.59 ± 0.22
Control group (n = 80)
16.28 ± 2.04
1.00 ± 0.26
t value
-3.509
-10.767
P value
0.001
0.000
Table 3 Comparison of Boston bowel preparation scores between the study group and the control group (mean ± SD, scores)
Groups
Right colon
Left colon
Mid colon
Research group (n = 80)
2.25 ± 0.52
2.34 ± 0.50
2.31 ± 0.47
Control group (n = 80)
2.04 ± 0.37
2.13 ± 0.46
2.13 ± 0.49
t value
2.943
2.765
2.371
P value
0.004
0.006
0.019
Table 4 Comparison of bowel cleansing compliance between the study group and the control group, n (%)
Compliance index
Research group (n = 80)
Control group (n = 80)
χ2
P value
Check the diet of the day before
5.010
0.025
Liquid or semi-liquid
77 (96.25)
69 (86.25)
Solid
3 (3.75)
11 (13.75)
Check if fasting on the day
1.858
0.173
Yes
79 (98.75)
76 (95.00)
No
1 (1.25)
4 (5.00)
The correct method of diluting bowel cleansers
4.113
0.043
Yes
73 (91.25)
64 (80.00)
No
7 (8.75)
16 (20.00)
Is the time of taking the bowel cleansing correct
4.440
0.035
Yes
74 (92.50)
65 (81.25)
No
6 (7.50)
15 (18.75)
Drink the bowel cleanser within the specified time
4.113
0.043
Yes
73 (91.25)
64 (80.00)
No
7 (8.75)
16 (20.00)
Table 5 Comparison of the incidence of adverse bowel cleansing reactions between the study group and the control group, n (%)
Adverse reactions
Research group (n = 80)
Control group (n = 80)
χ2
P value
Nausea
5.301
0.022
Yes
22 (27.50)
36 (45.00)
No
58 (72.50)
44 (55.00)
Vomiting
6.144
0.013
Yes
6 (7.50)
17 (21.25)
No
74 (92.50)
63 (78.75)
Stomach ache
1.002
0.317
Yes
7 (8.75)
11 (13.75)
No
73 (91.25)
69 (86.25)
Bloating
1.406
0.236
Yes
13 (16.25)
19 (23.75)
No
67 (83.75)
61 (76.25)
Dizziness
1.441
0.230
Yes
4 (5.00)
8 (10.00)
No
76 (95.00)
72 (90.00)
Fatigue
1.707
0.191
Yes
7 (8.75)
3 (3.75)
No
73 (91.25)
77 (96.25)
Table 6 Evaluation of nursing satisfaction of study group and control group (mean ± SD, scores)
Nursing satisfaction
Research group (n = 80)
Control group (n = 80)
t value
P value
Appointment and consultation environment
2.09 ± 0.46
1.98 ± 0.42
1.580
0.116
Service attitude
2.20 ± 0.40
2.08 ± 0.35
2.019
0.045
Medication guidance
2.15 ± 0.39
2.09 ± 0.43
0.924
0.357
Inform in detail about dietary precautions
2.14 ± 0.33
1.91 ± 0.41
3.909
0.000
Health education content is clear and easy to understand
2.04 ± 0.37
1.84 ± 0.48
2.952
0.004
Give care and comfort
2.14 ± 0.47
1.91 ± 0.36
3.475
0.001
Pay attention to privacy protection
1.98 ± 0.55
1.95 ± 0.35
0.412
0.681
Citation: Wang H, Wang Y, Yuan JH, Wang XY, Ren WX. Pre-colonoscopy special guidance and education on intestinal cleaning and examination in older adult patients with constipation. World J Gastrointest Surg 2022; 14(8): 778-787