• Asian Pacific Journal of Cancer Prevention
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• 제15권24호
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• pp.10763-10768
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• 2015

Background: The incidence of inadequate bowel preparation before elective colonoscopy in this region has never been studied. Materials and Methods: The authors prospectively described the incidence and factors related to inadequate bowel preparation in Thammasat university hospital. Bowel preparation quality was accessed by using Aronchick scale. Factors associated with inadequate bowel preparation were also recorded. Results: Two hundred patients undergoing elective outpatient colonoscopy were enrolled. Inadequate and fair bowel preparation was documented in 9 and 43%, respectively. Factors associated with inadequate bowel preparation were incomplete cleansing agent ingestion (odds ratio 7.7; 95%CI 1.62-36.64) and patient's unrecognization of vegetable avoidance (odds ratio 3.26; 95%CI 1.14-9.28). Conclusions: Compared with previous reported, inadequate bowel preparation was seen less in our study, however, more patients with fair bowel preparation was documented. Further study aiming at investigating the type and amount of fiber contained in diet before elective colonoscopy should be commenced.

• 대한간호학회지
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• 제45권5호
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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.

• 기본간호학회지
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• 제24권1호
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• pp.60-71
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• 2017

Purpose: The purpose of this study was to develop video assisted education on bowel preparation for colonoscopy (VEBPC) and use a snartphone to evaluate effects of the VEBPC. Methods: Adult patients who were scheduled for colonoscopy were recruited from a university general hospital and randomly assigned to three groups. Group 1 (n=30) watched the video using a computer set in the endoscope consulting room. Group 2 (n=29) watched it using a smartphone, and group 3, the control group (n=29) received education with existing instructions at the reservation-reception desk. Participants were evaluated on knowledge on taking bowel preparation agents and diet, compliance on taking bowel preparation agents and diet, satisfaction with education, and actual level of bowel preparation. Results: Group 1 and 2 showed significantly (p<.001) higher scores for knowledge, compliance, and satisfaction compared to the control group. However, in post-hoc test analyses there were no significant differences in these variables between group 1 and 2. No significant difference was found in the actual level of bowel preparation among the three groups. Conclusion: Findings from this study show that VEBPC using smartphone is a better option than existing educational methods. However, replication studies are necessary to confirm these findings.

• 대한방사선협회지
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• 제30권1호
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• pp.143-147
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• 2004

Colon study(Teleflator) is the simplest and most effective method for diagnosing colon disease. However, if bowel preparation is insufficiently done, diseases such as polyps, cancer and inflammatory bowel disease could be mistaken for lesions. As a result

• 한국융합학회논문지
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• 제9권1호
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• pp.473-483
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• 2018

본 연구목적은 대장내시경 전처치 융합관리프로그램의 효과를 확인하기 위함이다. 비동등성 대조군 시차설계에 따라 대장내시경 검진예정자 75명을 연구대상으로 하였다. 실험군에게는 동영상교육, 걷기운동 및 전화상담모니터링으로 구성한 대장내시경 전처치 융합관리프로그램을 적용하였다. 자료는 구조화된 질문지와 대장내시경 관찰을 통해 수집하였으며 SPSS 21.0 program을 이용하여 분석하였다. 연구결과 실험군의 대장정결제 복용이행도와 검사만족도는 대조군보다 높았고(p=.002; p=.001), 검사난이도와 검사불편감은 유의하게 낮았다(p=.002; p=.001). 대장정결도와 검진소요시간에는 두 집단 간 유의한 차이가 있었으나 식이요법이행도는 차이가 없었다((p<.001; p=.001; p=.108). 따라서 대장내시경 전처치 융합관리프로그램은 대장내시경검사를 위한 효과적인 간호중재방안으로 활용될 수 있으며 향후 임상실무에서 다양한 진단적 검사를 위한 융합중재개발이 요구된다.

• Journal of Yeungnam Medical Science
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• 제36권2호
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• pp.99-104
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• 2019

Background: Because of its efficacy and safety, polyethylene glycol (PEG) is generally used to prepare for colonoscopy. However, the side effects of PEG, including nausea, vomiting, abdominal discomfort, pain, and general weakness, tend to decrease patient compliance and satisfaction. The aim of this study is to investigate the efficacy and safety of PEG with 0.1 mg ramosetron on colonoscopy patients who had difficulty taking PEG due to side effects or large volume. Methods: From January to August in 2012, 28 patients who visited Yeungnam University hospital for a colonoscopy were prospectively enrolled. All enrolled patients were previous history underwent colonoscopy using PEG only in our hospital. The efficacy and safety of ramosetron were assessed through the use of a questionnaire, and compared previous bowel preparation. Results: Compared to previous examination, the patients using the ramosetron reported less nausea, vomiting, abdominal discomfort, and abdominal pain, as well as a higher degree of compliance and satisfaction of the patient. There were no side effects reported with the use of ramosetron. However, overall bowel preparation quality was not better than the previous examination. Conclusion: In case of the use of ramosetron in combination with PEG for bowel preparation, patients experienced a higher rate of compliance and tolerance. Looking forward, ramosetron may become an option of pretreatment for bowel preparation.

• Clinical Endoscopy
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• 제55권3호
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• pp.332-338
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• 2022

Continuous measurement of quality indicators (QIs) should be a routine part of colonoscopy, as a wide variation still exists in the performance and quality levels of colonoscopy in Korea. Among the many QIs of colonoscopy, the adenoma detection rate, average withdrawal time, bowel preparation adequacy, and cecal intubation rate should be monitored in daily clinical practice to improve the quality of the procedure. The adenoma detection rate is the best indicator of the quality of colonoscopy; however, it has many limitations for universal use in daily practice. With the development of natural language processing, the adenoma detection rate is expected to become more effective and useful. It is important that colonoscopists do not strictly and mechanically maintain an average withdrawal time of 6 minutes but instead perform careful colonoscopy to maximally expose the colonic mucosa with a withdrawal time of at least 6 minutes. To achieve adequate bowel preparation, documentation of bowel preparation with the Boston Bowel Preparation Scale (BBPS) should be a routine part of colonoscopy. When colonoscopists routinely followed the bowel preparation protocols, ≥85% of outpatient screening colonoscopies had a BBPS score of ≥6. In addition, the cecal intubation rate should be ≥95% of all screening colonoscopies. The first step in improving colonoscopy quality in Korea is to apply these key performance measurements in clinical practice.

• 성인간호학회지
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• 제19권2호
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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.

• Journal of Yeungnam Medical Science
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• 제32권1호
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• pp.55-59
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• 2015

The widely used polyethylene glycol (PEG)-based solutions have been proven effective for bowel preparation when 4 L of the solution is administered before colonoscopy. However, large volumes of the solutions are generally poorly tolerated. A new PEG-based solution consisting of 2 L of PEG and a high dose of ascorbic acid has recently become available. Electrolyte abnormalities caused by PEG-based solutions have rarely been reported. We report on a case of acute severe hyponatremia with associated generalized tonic-clonic seizures after bowel preparation with a low-volume PEG plus ascorbic acid solution in a 74-year-old woman with no history of seizures. She took a beta blocker, an angiotensin-converting enzyme inhibitor, and glimepiride for hypertension and diabetes mellitus. She showed general weakness, nausea, agitation, muscle cramping, and seizures after ingestion of the PEG plus ascorbic acid solution. Her serum sodium level was 112 mEq/L. Her symptoms improved after intravenous administration of hypertonic saline. Physicians should pay attention to screening for electrolytes and development of neurological symptoms during bowel preparation.

• 한국융합학회논문지
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• 제12권8호
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• pp.335-343
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• 2021

본 연구는 대장내시경을 위한 대장정결 방법으로 쿨프렙산을 복용하는 대상자에게 설탕 첨가 및 껌 씹기를 적용하여 오심, 혐오, 대장정결도에 미치는 효과를 확인하기 위한 무작위 대조군 연구이다. 연구대상은 20~65세의 성인으로 120명이 실험을 완료하였다. 수집된 자료는 SPSS/WIN 25.0을 사용하여 X² test, ANOVA을 시행하여 오심, 혐오, 대장정결도의 효과를 확인한 결과 설탕 첨가법 및 껌 씹기법을 사용하여 쿨프렙산을 복용하는 것은 표준복용법과 비교하여 오심, 혐오, 대장정결도에 유의한 차이는 없었다. 대장정결제 복용 시 어려움을 줄이기 위한 융합적인 노력이 필요하다. 다만, 연구 대상자에서 고혈당 등의 부작용이 관찰되지 않아 개인의 기호에 따라 일부 적용 가능하다고 생각된다.