Nursing care promoting outpatient colonoscopy preparation among older adults: A systematic review
Keywords:
colonoscopy, nursing program, outpatients, older adultsAbstract
Currently, it is still found that bowel preparation for colonoscopy in older adults patients is often inadequate, leading to adverse effects on the detection rate of lesions and other indicators of colonoscopy quality, such as prolonged insertion time and increased overall procedural time. Many studies have examined nursing programs or activities related to bowel preparation for older patients undergoing outpatient colonoscopy, but there has been no systematic review specifically focusing on programs or activities that enhance the effectiveness of outpatient colonoscopy among older adults. Older patients are a group with many limitations and require preparation that aligns with these constraints to improve efficiency and prevent complications during bowel preparation. Therefore, this study aims to systematically review the literature on nursing programs or activities for older patients undergoing outpatient colonoscopy. It conducted a comprehensive search over the past five years, from 2017 to 2022 (B.E. 2560-2565), using six databases. A total of 10,788 research articles were found. After screening based on the inclusion criteria, 12 relevant studies were included: five randomized controlled trials, six quasi-experimental studies, and one research and development study.
The systematic review revealed that effective nursing programs or activities for bowel preparation among older patients included providing knowledge, personalized recommendations, telephone follow-up, using the LINE application, social media, manuals, and educational materials such as videos and flip charts. The results from these programs or activities showed that older patients had increased knowledge, were able to correctly follow bowel preparation guidelines, achieved better bowel cleanliness, managed adverse symptoms during bowel preparation more effectively, and experienced shorter colonoscopy durations. Thus, nurses and healthcare professionals involved in caring for older patients can apply these nursing programs or activities derived from the systematic review to design effective care for older adults patients undergoing outpatient colonoscopy.
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