Gum Chewing and Abdominal Vibration: Impact on Bowel Preparation Quality and Patient Satisfaction

Colonoscopy Clinical Trial

Official title: The Effect of Gum Chewing and Abdominal Vibration on the Quality and Satisfaction of the Patient's Bowel Preparation Before Colonoscopy

Status Not yet recruiting

Clinical Trial Summary

Colorectal cancers are a significant global health issue, underscoring the critical importance of screening programs for early detection and effective treatment. The success of a colonoscopy is largely contingent on the quality of bowel preparation. Inadequate bowel preparation can diminish the effectiveness of a colonoscopy and lead to the oversight of lesions. Previous research has demonstrated the positive effects of diet, education, and polyethylene glycol use on bowel preparation. However, there is limited research on the impact of methods such as gum chewing and abdominal vibration. This study aims to assess the effects of gum chewing and abdominal vibration, in addition to diet and medication, on the quality of bowel preparation and patient satisfaction in the pre-colonoscopy bowel preparation process. The study employs a randomized controlled single-blind experimental design with three distinct groups: a control group, a gum chewing group, and an abdominal vibration group. Each group will be evaluated based on bowel preparation quality and patient satisfaction. Bowel preparation quality will be determined using the Boston Bowel Preparation Scale, and factors such as polyp detection, the processability of the colonoscopy, and cecal intubation time will also be assessed. Patient satisfaction levels will be evaluated by considering how satisfied patients are with the colonoscopy process, taking into account complaints before and after the procedure. The outcomes of this study will contribute to a better understanding of the impact of gum chewing and abdominal vibration on the quality of bowel preparation and patient satisfaction before colonoscopy. Identifying effective methods to enhance bowel preparation quality can elevate the standard of nursing care, contributing to a healthier society. Simultaneously, this research can improve the comfort and efficacy of the colonoscopy process for patients and enhance the effectiveness of colorectal cancer screening programs, thereby benefiting public health.

Clinical Trial Description

An ideal bowel preparation should have the capacity to rapidly empty the fecal load without compromising patient comfort or causing fluid-electrolyte imbalance. Various methods, such as pre-colonoscopy education, low-fiber diet, split-dose polyethylene glycol (PEG) use, and activities such as walking after PEG intake, are implemented to improve the quality of bowel preparation. There is ample scientific evidence indicating that these methods enhance bowel preparation quality. However, there are fewer studies on methods such as gum chewing and abdominal vibration application, and there is no study evaluating these two methods together. It is believed that this study will be beneficial 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. Abdominal massage and vibration applications are reported to help improve symptoms in patients with severe constipation, and especially vibration applications to the abdominal region facilitate bowel emptying by increasing gastrointestinal motility. These methods are also reported to reduce distension, increase the expulsion of feces from the intestines, reduce complaints of constipation in elderly patients, and shorten bowel emptying time. 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 is designed as a randomized controlled experimental study to determine the effects of diet and medication use, as well as gum chewing and abdominal vibration, on the quality of bowel preparation and patient satisfaction in the pre-colonoscopy bowel preparation process. ;

Related Conditions & MeSH terms

• Bowel Preparation
• Colonoscopy

• NCT number: NCT06192394
• Study type: Interventional
• Source: Istanbul University - Cerrahpasa (IUC)
• Contact: ibrahim kiyat
• Phone: +900 288 214 55 47
• Email: ibrahimkiyat@klu.edu.tr
• Status: Not yet recruiting
• Phase: N/A
• Start date: March 2024
• Completion date: December 2025