Ignite Creation Date:
2024-05-06 @ 7:57 PM
Last Modification Date:
2024-10-26 @ 3:17 PM
Study NCT ID:
NCT06192394
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-07-05
First Post:
2023-12-21
Brief Title:
Effect of Gum Chewing or Walking on Bowel Prep Quality and Patient Satisfaction Before Colonoscopy
Sponsor:
Istanbul University - Cerrahpasa IUC
Organization:
Istanbul University - Cerrahpasa IUC
Study Overview
Official Title:
Effect of Gum Chewing or Walking Exercise on the Quality of Bowel Preparation and Patient Satisfaction Compared to Standard Preparation Before Colonoscopy
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Colorectal cancers are a major global health problem highlighting the critical importance of screening programs for early diagnosis and effective treatment The success of colonoscopy largely depends on the quality of bowel preparation Inadequate bowel preparation may reduce the effectiveness of colonoscopy and cause lesions to be missed
Previous research has shown the positive effects of diet training and polyethylene glycol use on bowel readiness However there is limited research on the effects of methods such as gum chewing and walking exercise
This study aims to evaluate the effects of gum chewing and walking exercise as well as diet and medication on the quality of bowel preparation and patient satisfaction during the bowel preparation process before colonoscopy The study uses a randomized controlled single-blind experimental design with three different groups a control group a gum chewing group and a walking exercise group Each group will be evaluated based on bowel preparation quality and patient satisfaction The quality of bowel preparation will be determined using the Boston Bowel Preparation Scale and factors such as polyp detection workability of colonoscopy and cecal intubation time will also be evaluated Patient satisfaction levels will be evaluated by taking into account how satisfied the patients are with the colonoscopy procedure and their complaints before and after the procedure
The results of this study will contribute to a better understanding of the impact of chewing gum and walking exercise before colonoscopy on the quality of bowel preparation and patient satisfaction Identifying effective methods to improve the quality of bowel preparation can contribute to a healthier society by raising the standard of nursing care At the same time this research may improve the comfort and effectiveness of the colonoscopy process for patients and benefit public health by increasing the effectiveness of colorectal cancer screening programs
Previous research has shown the positive effects of diet training and polyethylene glycol use on bowel readiness However there is limited research on the effects of methods such as gum chewing and walking exercise
This study aims to evaluate the effects of gum chewing and walking exercise as well as diet and medication on the quality of bowel preparation and patient satisfaction during the bowel preparation process before colonoscopy The study uses a randomized controlled single-blind experimental design with three different groups a control group a gum chewing group and a walking exercise group Each group will be evaluated based on bowel preparation quality and patient satisfaction The quality of bowel preparation will be determined using the Boston Bowel Preparation Scale and factors such as polyp detection workability of colonoscopy and cecal intubation time will also be evaluated Patient satisfaction levels will be evaluated by taking into account how satisfied the patients are with the colonoscopy procedure and their complaints before and after the procedure
The results of this study will contribute to a better understanding of the impact of chewing gum and walking exercise before colonoscopy on the quality of bowel preparation and patient satisfaction Identifying effective methods to improve the quality of bowel preparation can contribute to a healthier society by raising the standard of nursing care At the same time this research may improve the comfort and effectiveness of the colonoscopy process for patients and benefit public health by increasing the effectiveness of colorectal cancer screening programs
Detailed Description:
An ideal bowel preparation should have the capacity to evacuate the fecal load quickly without compromising the comfort of patients or causing fluid-electrolyte imbalance Various methods are used to improve the quality of bowel preparation such as pre-colonoscopy education low-fiber diet and use of split-dose polyethylene glycol PEG There are many scientific studies showing that these methods increase the quality of bowel preparation However there have been fewer studies showing that methods such as chewing gum and walking exercises before colonoscopy increase the quality of bowel preparation No study has been found in which these two methods were evaluated together In order to eliminate the deficiency in this field it is thought that this study will be useful in improving the quality of bowel preparation before colonoscopy
Chewing gum is a virtual feeding method that stimulates the cephalic-vagal reflex promoting the secretion of gastric and intestinal hormones and increasing intestinal motility Chewing gum has advantages such as ease of application low cost and no reported side effects Therefore the use of this method as a safe intervention is recommended Its effectiveness in reducing postoperative ileus and hospital stay has been demonstrated in many studies
It is stated that walking exercise improves bowel cleanliness and reduces discomfort associated with nausea and abdominal pain during bowel preparation for colonoscopy A systematic review found that low and moderate-intensity exercise lasting less than 60 minutes supports gastrointestinal motility
Inadequate bowel preparation can lead to the repetition of the colonoscopy procedure negatively affecting patients experiences and satisfaction In addition to this factors such as the difficulty of the bowel preparation process in patients undergoing colonoscopy unsedated colonoscopy long appointment dates and insufficient pre-procedure information can also negatively impact patient satisfaction Assessing the satisfaction of patients is recommended for a successful and high-quality colonoscopy procedure
This study was designed as a randomized controlled experimental study to determine the effects of gum chewing and walking exercise as well as the use of diet and medication during the bowel preparation process before colonoscopy on the quality of bowel preparation and patient satisfaction
Chewing gum is a virtual feeding method that stimulates the cephalic-vagal reflex promoting the secretion of gastric and intestinal hormones and increasing intestinal motility Chewing gum has advantages such as ease of application low cost and no reported side effects Therefore the use of this method as a safe intervention is recommended Its effectiveness in reducing postoperative ileus and hospital stay has been demonstrated in many studies
It is stated that walking exercise improves bowel cleanliness and reduces discomfort associated with nausea and abdominal pain during bowel preparation for colonoscopy A systematic review found that low and moderate-intensity exercise lasting less than 60 minutes supports gastrointestinal motility
Inadequate bowel preparation can lead to the repetition of the colonoscopy procedure negatively affecting patients experiences and satisfaction In addition to this factors such as the difficulty of the bowel preparation process in patients undergoing colonoscopy unsedated colonoscopy long appointment dates and insufficient pre-procedure information can also negatively impact patient satisfaction Assessing the satisfaction of patients is recommended for a successful and high-quality colonoscopy procedure
This study was designed as a randomized controlled experimental study to determine the effects of gum chewing and walking exercise as well as the use of diet and medication during the bowel preparation process before colonoscopy on the quality of bowel preparation and patient satisfaction
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None