Effects of a Self-management with Structured Information Program on Bowel Cleanliness and Nursing Services Satisfaction among Patients Preparing for First-Time Colonoscopy
DOI:
https://doi.org/10.58837/CHULA.JNRIH.38.1.7Keywords:
Self-management, Structured education, Bowel preparation quality, Patient satisfactionAbstract
Objective: To compare bowel cleanliness and nursing services satisfaction among patients preparing for first-time colonoscopy before-after participating in a structured information program
Research Design: A quasi-experimental research design with two groups
Methods: Data were collected from February 1 to April 30, 2024, among patients preparing for first-time colonoscopy at the outpatient department of the Gastroenterology and Hepatology Unit in a private hospital. The participants were 50 including males and females who aged 20 years and above. They were divided into an experimental group and a control group, with 25 participants in each group. Participants were matched by age and disease characteristics. The experimental group received a Self-management with Structured Information Program, while the control group received routine nursing care. Three instruments were used for data collection: (1) a demographic data form, (2) a bowel cleanliness assessment form, and (3) an outpatient nursing service satisfaction questionnaire. The Cronbach's alpha coefficient was 0.80. Data were analyzed using descriptive statistics and the Mann–Whitney U test, with the level of statistical significance set at 0.05.
Results: After completion of the program, the experimental group had significantly better than the control group at the .05 level. The mean nursing services satisfaction scores were also significantly higher in the experimental group than in the control group at the .05 level.
Conclusion: The structured information program improved knowledge and self-management ability among patients preparing for first-time colonoscopy, leading to better bowel cleanliness and higher satisfaction with nursing services.
References
World Health Organization. International Agency for Research on Cancer. Global Cancer Observatory: Cancer Today [Internet]. 2022. Available from: https://gco.iarc.fr/today
Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229-63. doi:10.3322/caac.21834.
National Cancer Institute. Annual report of the National Cancer Institute. Bangkok: National Cancer Institute; 2021 [in Thai].
Jiang H, Li C, Hu B, Mou Y. Compliance with bowel preparation and its influencing factors in patients undergoing colonoscopy: cross-sectional study. Interact J Med Res. 2025;14(1):e77189. doi:10.2196/77189.
Khiadnoi K. Knowledge, bowel preparation and bowel cleansing of persons undergoing colonoscopy. Pathum Thani: Rangsit University; 2020 [in Thai].
Jacobson BC, Anderson JC, Burke CA, Dominitz JA, Gross SA, May FP, et al. Optimizing bowel preparation quality for colonoscopy: consensus recommendations by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2025;168(4):798-829. doi:10.1053/j.gastro.2025.02.002.
Klai-pikul K. The effect of self-management program for individuals and families on bowel preparation behavior for colonoscopy in elderly patients. Bangkok: Chulalongkorn University; 2017 [in Thai].
Kantawong T, Wongkhongkhum K, Chanruangwanich W, Khaosombatwattana A. The effect of telemedicine service program on quality of colon preparation in patients undergoing colonoscopy: a randomized controlled trial. J Nurs Counc. 2022;37(4):52-72 [in Thai].
Thammachad S, Wanitkun N, Pattaramongkolrit S, Iramaneerat C. Predictors of bowel preparation quality in patients undergoing colonoscopy. J Police Nurs Health Sci. 2023;15(2):266-78 [in Thai].
Kurlander JE, Sondhi AR, Waljee AK, Menees SB, Connell CM, Schoenfeld PS, et al. How efficacious are patient education interventions to improve bowel preparation for colonoscopy? A systematic review. PLoS One. 2016;11(10):e0164442. doi:10.1371/journal.pone.0164442.
Farid N, Sharifian S, Ghafouri R. Evaluation of the effect of reinforced education on the satisfaction of patients undergoing colonoscopy: a randomized controlled trial. PLoS One. 2024;19(1):e0296126. doi:10.1371/journal.pone.0296126.
Creer TL. Self-management of chronic illness. In: Boekaerts M, Pintrich PR, Zeidner M, editors. Handbook of self-regulation. San Diego (CA): Academic Press; 2000. p. 601-29. doi:10.1016/B978-012109890-2/50047-0.
Chinkornsakul C, Khueanchana S. A comparative study of colon cleanliness levels before colonoscopy between patients receiving follow-up calls and those not receiving follow-up calls in outpatient clinics. J Thai Oper Room Nurses Assoc. 2019;8(1):47-55 [in Thai].
Klai-pikul K. The effect of self-management program for individuals and families on bowel preparation behavior for colonoscopy in elderly patients [master's thesis]. Bangkok: Chulalongkorn University; 2017. Available from: http://cuir.car.chula.ac.th/handle/123456789/58390 [in Thai].
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Faculty of Nursing, Chulalongkorn University
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles in this journal are copyrighted by Faculty of Nursing, Chulalongkorn University published under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.
may be read and used for academic purposes, such as teaching, research, or citation, with proper credit given to the author and the journal.
use or modification of the articles is prohibited without permission.
statements expressed in the articles are solely the opinions of the authors.
authors are fully responsible for the content and accuracy of their articles.
other reuse or republication requires permission from the journal."
