ผลของโปรแกรมการจัดการตนเองต่อความวิตกกังวลและคุณภาพการเตรียมลำไส้ใหญ่  สำหรับการส่องกล้องลำไส้ใหญ่แบบวันเดียวกลับ  โรงพยาบาลโพนทอง

Kanniga Srisagate

Authors

Kanniga Srisagate Phonthong Hospital

Keywords:

colonoscopy, self-management, bowel preparation for colonoscopy

Abstract

Introduction: Colorectal cancer is a significant public health concern. Screening colonoscopies in high-risk groups are essential for reducing disease severity.

Research objectives: This study aimed to evaluate the effect of a self-management program on anxiety and the quality of bowel preparation among patients undergoing one-day-case colonoscopy.

Research methodology: This study applied a quasi-experimental, two-group pretest-posttest design. The sample consisted of 50 participants aged 50 years and older with a positive Fecal Immunochemical Test (FIT). Participants were divided into an experimental group (n = 25) and a control group (n = 25). The experimental group received a developed self-management program comprising health education, group discussions, and self-management enhancement activities. Data were collected using self-management behavior questionnaires, anxiety scales, and bowel cleanliness assessment tools. Data were analyzed using descriptive and inferential statistics, including independent t-test and the Mann-Whitney U test.

Results: Post-intervention, the mean self-management behavior score in the experimental group was significantly higher than the control group (p < .05). The experimental group also demonstrated a lower mean anxiety score compared to the control group. Additionally, the median of quality of bowel preparation in the experimental group was significantly higher than in the control group (p < .05).

Conclusions: The self-management program effectively promotes health-related behaviors among patients undergoing one-day-case colonoscopies. It significantly enhances the perception of patients on disease severity, increases self-efficacy in self-management, and reduces anxiety.

Implications: The findings from this research should be utilized to promote self-efficacy among high-risk groups for colorectal cancer. This ensures effective bowel preparation for patients undergoing one-day-case colonoscopies and encourages long-term adherence to continuous screening protocols.

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