• Title/Summary/Keyword: 대장정결

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Comparison of sugar addition, gum chewing, and standard methods for the colonoscopy bowel preparation ; an endoscopist-blinded, randomized controlled trial (대장내시경 전처치로 설탕 첨가법, 껌 씹기법 및 표준복용법의 비교연구)

  • Hwang, Yu Ri;Hur, Myung Haeng
    • Journal of the Korea Convergence Society
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    • v.12 no.8
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    • pp.335-343
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    • 2021
  • The purpose of this study was determine the effect of sugar addition or gum chewing on the nausea, disgust, bowel preparation scale of through the subject taking the Coolprep as bowel preparation for colonoscopy. A randomized controledl trial design was used. There were 120 participants in the study, aged 20-65. The data were analyzed using one-way ANOVA and X2 test using SPSS/WIN 25.0. There was no significant difference in nausea, disgust and bowel preparation scale among sugar additions, chewing gum and standard method groups. This study result therefore, convergent efforts are needed to reduce the difficulty of taking. The subjects who participated in the experiment did not have any special side effects such as hyperglycemia, so it is considered to be partially applicable to individual preferences.

Comparison of Whole versus Split-Dose PEG Solution for Colonoscopy Preparation on Patient Compliance, Quality of Bowel Cleansing, and Endoscopist's Satisfaction (대장내시경 정결제 복용방법에 따른 대상자 순응도, 대장정결 효과, 및 시술자 만족도)

  • Park, Keum-Mi;Kim, Myung Hee;Hwang, Sun Kyung;Kim, Dong Hee;Kim, Ju Sung
    • Korean Journal of Adult Nursing
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    • v.19 no.2
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    • pp.237-247
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    • 2007
  • Purpose: This study was a randomized single-blind trial of whole versus split-dose PEG solutions for colonoscopy preparation to compare the patient compliance, quality of bowel cleansing, and endoscopist's satisfaction. Methods: The participants were recruited from outpatients who planned to receive colonoscopy of C hospital in Busan. Sixty participants were randomly assigned to receive either a spit-dose group(n=30) consuming $2{\ell}$ of PEG solution twice, or a whole-dose group(n=30), consuming $4{\ell}$ of PEG solution once. These participants completed the questionnaire to assess their compliance before colonoscopy. The quality of bowel cleansing was assessed using the Ottawa Scale with the endoscopist who was blinded to the type of preparation, and their satisfaction by using VAS. Results: The participants who did not completely consume $4{\ell}$ of PEG solution were less in split-dose than in whole-dose group (0% vs 13.3%). The split-dose group complained less about abdominal pain(t=2.644, p=0.009) and abdominal bloating(t=2.802, p=0.013) with a statistical significance. For the quality of bowel preparation, there were no significant differences in the bowel cleansing scores and the endoscopist's satisfaction between two groups. Conclusion: Colonic preparation with split-dose of PEG solution could be a more useful method for better patient compliance, with no significant impact on bowel cleansing quality.

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Effects of Walking on Discomfort and Colon Cleansing during Colon Lavage before Colonoscopy (대장내시경 검사 전 걷기 운동이 장세척액 복용 시 불편감과 대장 정결도에 미치는 효과)

  • Lee, You Joung;Hong, Eun Jung;Kim, Soon Ok;Kim, Hye Soon;Yang, In Soon;Cha, Kyung Hee;Kim, Choon Suk
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.39-49
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of walking on discomfort and colon cleansing for patients having a colon lavage solution before colonoscopy. Methods: This study was a nonequivalent control group post test design. The participants were 89 patients (experimental group: 47, control group: 42) who underwent colonoscopy at G hospital in Incheon. The two groups put on step counter for an hour while taking the colon lavage solution. The experimental group was made up of patients who walked over 3,000 steps and the control group of those who walked less than 3,000 steps. Discomfort was measured using VAS and colon cleansing was measured by a specialist. Collected data were analyzed using $x^2-test$, t-test with SPSS/PC+ window version 15.0. Results: Walking while taking the colon lavage solution decreases abdominal pain before colonoscopy. Also one hour after taking the colon lavage solution, decreased nausea, abdominal pain and discomfort were found in the group which walked over 3,000 steps. Concluson: Based on the above findings, adequate walking can be used as a nursing intervention to increase comfort in patients undergoing colonoscopy.

The Effect of Bowel Preparation Convergence Program for Colonoscopy (대장내시경 전처치 융합관리프로그램의 효과)

  • Kang, Won-Suk;Kim, Ju-Sung
    • Journal of the Korea Convergence Society
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    • v.9 no.1
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    • pp.473-483
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    • 2018
  • The purpose of this study was to identify the effects of bowel preparation convergence program for colonoscopy. This study used a nonequivalent control group pretest-posttest design. A sample of 75 clients, who were scheduled for colonoscopy, was included. The experimental group was given bowel preparation convergence program including audiovisual education, walking-exercise and telephone counseling. The data were collected using a structured questionnaire and colonoscopy monitoring and were analyzed using SPSS 21.0 program. The experimental group reported significantly higher compliance of taking bowel preparation agents and test satisfaction(p=.002; p=.001), lower test difficulty and test discomfort than those of the control group(p=.002; p=.001). There were significant differences in level of bowel cleansing and test time required except compliance of diet restriction between groups(p<.001; p=.001; p=.108). This findings indicate that bowel preparation convergence program can be an effective nursing intervention for colonoscopy. The convergence intervention for diagnostic test is needed to be developed in clinical practice.

Effects of a Patient Educational Video Program on Bowel Preparation Prior to Colonoscopy (동영상 교육이 대장내시경 대상자의 장 정결 이행에 미치는 영향)

  • Cho, You Young;Kim, Hyeon Ok
    • Journal of Korean Academy of Nursing
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    • v.45 no.5
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    • pp.704-712
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    • 2015
  • 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 (${\chi}^2$=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.

The Effect of Aroma Inhalation Therapy on Nausea, Vomiting, Abdominal Discomfort, Compliance and Colon Cleansing in the Preparation of Patients Undergoing Colonoscopy (아로마 흡입요법이 대장내시경 검사 대상자의 오심, 구토, 복부 불편감, 순응도 및 대장 정결도에 미치는 효과)

  • Seo, Eun Ji;Lee, Eun Jin;Kim, Yu Mi;Lee, Ji Sun
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.3
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    • pp.391-401
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    • 2012
  • Purpose: The purpose of this study was to identify the effects of aroma inhalation therapy on nausea, vomiting, abdominal discomfort, compliance, and colon cleansing for patients having a colon lavage solution before colonoscopy. Methods: This study was performed using a nonequivalent control group post-test design. The study was conducted from 20 Jun to 29 Aug, 2011. The participants were 152 patients (experimental group: 77, control group: 75) who underwent colonoscopy at A hospital, Seoul. Results: The experimental group with the aroma inhalation therapy reported significantly lower nausea and vomiting than did the control group. There were no significant differences in abdominal discomfort, compliance, and colon cleansing between experimental and control group. Conclusion: Use of an aroma inhalation therapy was efficient in nausea and vomiting among patients having a colon lavage solution before colonoscopy. Therefore, aroma inhalation therapy is recommended as an effective nursing intervention for relieving nausea and vomiting among patients having a lavage solution before colonoscopy.

HACCP Model for Quality Control of Sushi Production in the Eine Japanese Restaurants in Korea (일본전문식당의 급식품질 개선을 위한 HACCP 시스템 적용 연구)

  • 김혜경;이복희;김인호;조경동
    • Journal of the East Asian Society of Dietary Life
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    • v.13 no.1
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    • pp.25-38
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    • 2003
  • This study was conducted to establish the microbiological quality standards applying the HACCP system on sushi items of Japanese restaurant in Korea. The study evaluated hygienic conditions of kitchen and workers, pH time-temperature relationship, and microbial assessments during whole process of sushi making in 2001. Overall hygienic conditions were normal for both kitchen and for workers by 3 point scale, but hygienic controls against the cross-contamination were still needed. Each process of sushi making was performed under the risk of microbial contamination, since pH value of most of ingredients was over pH 4.6 and also production time(3.5~6 hrs) were long enough to cause problems. Microorganisms were high enough to cause foodborne illness ranged 8.0$\times$10$^2$~3.3$\times$10$^{6}$ CFU/g of TPC and 1.0$\times$10$^1$~1.6$\times$10$^3$CFU/g of coliforms, although TPC, coliforms and Staphylcoccus aureus were within the standard limits (TPC 10$^2$~10$^{6}$ CFU/g, coliforms 10$^3$CFU/g). However, Salmonella and Vibrio parahaemolyticus were not detected. High populations TPC and coliforms were also found in the cooks' hands and cooking utensils(TPC 10$^2$~10$^{6}$ CFU/100cm$^2$and Coliforms 10$^1$~10$^3$CFU/100cm$^2$). Based on the CCP decision tree analysis, the CCPs were the holding steps far six sushi production line except the tuna and the thawing step for tuna sushi. In conclusion, overall state of sushi production was fairly good but much improvement was still needed.

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