Caregivers and quality of bowel preparation of older people before receiving inpatient colonoscopy
Poor bowel preparation poses a risk of complications in older people requiring an inpatient colonoscopy. The development of a motivation program to provide caregivers with participation in bowel preparation before colonoscopy is considerable. The objective of this study is to (1) study the effects of the motivation program on the bowel preparation behaviors of the caregivers; (2) to compare the quality of bowel preparation among older patients between the caregivers who participated in the motivation program and the caregivers who did not. This quasi-experimental study had a Two-Group Posttest design. The samples were 36 caregivers who took care of older people undergoing an inpatient colonoscopy at Srinagarind Hospital, divided equally into a control group and an experimental group. The data were collected from January to May 2020. The experimental group participated in the motivation program for two weeks, while the control group was given routine suggestions. The data were collected using the following: (1) a demographic questionnaire; (2) the bowel preparation behavior of caregiver questionnaires with a content validity of 0.91, with a Kuder-Richardson reliability of 0.81 and an interrater reliability of 0.99; and 3) the Ottawa Bowel Preparation Scale. The data were analyzed using descriptive statistics, median, Inter Quartile Range, Chi-square, Fisher’s exact test, Mann-Whitney U test, and Independent sample T-test. The findings indicated that the experimental group had median scores on the bowel preparation behaviors of caregivers that were higher than the control group at .05 level of statistical significance (Mann-Whitney U= 6.000, p<0.001). Also, the quality bowel preparation and bowel cleansing of older patients in the experimental group was different from those in the control group (p=0.012, p<0.001, respectively). In conclusion, the caregivers who participated in the motivation program had better bowel preparation behavior than those who did not. The older patients under their care had a different quality of bowel preparation and bowel cleansing between the two groups. Therefore, this motivation program should be applied in bowel preparation for the older people to undergo an inpatient colonoscopy. There should be further development applications from the program integrated with nurse counseling for caregivers and older patients undergoing an inpatient colonoscopy and an outpatient colonoscopy.
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