KMID : 0367020210330060545
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Journal of Korean Academic of Adult Nursing 2021 Volume.33 No. 6 p.545 ~ p.555
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Factors related to Bowel Cleanliness of Colonoscopy Examinees
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Lee Yo-Han
Lee Hae-Jung
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Abstract
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Purpose: This study identified factors related to bowel cleanliness of colonoscopy examinees.
Methods: From December 2, 2020 to January 21, 2021, we surveyed 152 participants who underwent colonoscopy at a university hospital at B City. The questionnaires included participants characteristics, social cognitive determinants (knowledge on bowel preparation, severity and susceptibility for colon cancer as perceived threat, self-efficacy, and social support), and compliance with bowel preparation. For data analysis, SPSS/WIN 21.0 and AMOS 22.0 statistical programs were used. Descriptive statistics, an independent t-test, one way ANOVA, Pearson correlation coefficient, and path analysis were utilized.
Results: Participants¡¯ knowledge level on bowel preparation was 8.49¡¾1.57; severity, 18.49¡¾4.43; sus ceptibility, 12.55¡¾4.10; self-efficacy, 41.92¡¾9.28; social support, 24.90¡¾4.84; compliance with bowel preparation, 9.26¡¾1.81; and degree of bowel cleanliness, 6.05¡¾1.71. Factors influencing the compliance with bowel preparation included self-efficacy (¥â=.27, p=.007), knowledge on bowel preparation (¥â=.23, p=.005), marital status (¥â=.19, p=.048), social support (¥â=.17, p=.030), and age (¥â=-.16, p=.007). The factor directly affecting bowel cleanliness was compliance with bowel preparation (¥â=.17, p=.043). Indirectly affecting factors were self-efficacy (¥â=.05 p=.021), knowledge on bowel preparation (¥â=.04, p=.022), social support (¥â=.03, p=.026), marital status (¥â=.03, p=.034), and age (¥â=-.03, p=.018).
Conclusion: Bowel cleanliness of colonoscopy examinees can be improved by enhancing compliance with bowel preparation. Future studies should examine the effects of strategies that concern self-efficacy, knowledge on bowel preparation, social support, marital status and age on compliance with bowel preparation.
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KEYWORD
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Colonoscopy, Patient compliance, Self-efficacy, Patient medication knowledge, Social support
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