Effect of Education on Patient Colonoscopy Compliance: Literature Review
Abstract
Bowel preparation is essential to ensure optimal visualization during colonoscopy, thus facilitating a safe procedure and ensuring comprehensive data acquisition. An important aspect of patient preparation is education, which is critical to ensure optimal outcomes and patient compliance.The purpose of this study is to analyze the effect of education on patient compliance in performing colonoscopy examination preparation in the endoscopy unit. The research method employed was a comprehensive literature review on patient compliance with colonoscopy preparation. A comprehensive search strategy was employed, encompassing three prominent web databases: Google Scholar, Proquest, and Gale. The search was conducted from 2016 to 2024, and the full-text articles were obtained in PDF format for further analysis. The search was conducted using the keywords "colonoscopy" "education" "compliance" and "bowel preparation". The literature selection process employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses method, yielding ten relevant publications. The results of the study indicated a significant positive impact of educational interventions on patient compliance with colonoscopy preparation, as well as a concomitant enhancement in the quality of bowel preparation among individuals undergoing colonoscopy procedures. Nurse practitioners must educate patients to promote optimal outcomes from both the examination itself and the subsequent colonoscopy procedure.
References
Arslanca, G., & Aygün, M. (2022). Effect of nurse-performed enhanced patient education on colonoscopbowel preparation quality*. Revista Latino-Americana de Enfermagem, 30. https://doi.org/10.1590/1518-8345.5597.3627
Baker, F. A., Mari, A., Hosadurg, D., Suki, M., Ovadia, B., Gal, O., & Kopelamn, Y. (2019). The impact of colonoscopy indication on polyp detection rate. Annals of Gastroenterology, 32(3), 278–282. https://doi.org/10.20524/aog.2019.0374
Bashkin, O., Boltean, R., Ben-Lulu, R., Aharon, M., Elhayany, R., Yitzhak, A., Guterman, R., & Abu-Freha, N. (2024). A Patient-Centered Approach to Communication during Endoscopic Procedures: The Importance of Providing Information to Patients. European Journal of Investigation in Health, Psychology and Education, 14(6), 1688–1699. https://doi.org/10.3390/ejihpe14060111
Cai, W., Zhang, X., Luo, Y., Ye, M., Guo, Y., & Ruan, W. (2022). Quality indicators of colonoscopy care: a qualitative study from the perspectives of colonoscopy participants and nurses. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-08466-5
Chen, G., Zhao, Y., Xie, F., Shi, W., Yang, Y., Yang, A., & Wu, D. (2021). Educating Outpatients for Bowel Preparation Before Colonoscopy Using Conventional Methods vs Virtual Reality Videos Plus Conventional Methods. JAMA Network Open, 4(11), E2135576. https://doi.org/10.1001/jamanetworkopen.2021.35576
Chen, H. Y., Tu, M. H., & Chen, M. Y. (2024). Effectiveness of a Mobile Health Application for Educating Outpatients about Bowel Preparation. Healthcare (Switzerland), 12(14). https://doi.org/10.3390/healthcare12141374
Gardezi, S. A., & Tibbatts, C. (2017). Improving bowel preparation for colonoscopy in a cost effective manner. BMJ Quality Improvement Reports, 6(1), u204560.w5376. https://doi.org/10.1136/bmjquality.u204560.w5376
Gkolfakis, P., Tziatzios, G., Papanikolaou, I. S., & Triantafyllou, K. (2019). Strategies to improve inpatients’ quality of bowel preparation for colonoscopy: A systematic review and meta-analysis. In Gastroenterology Research and Practice (Vol. 2019). Hindawi Limited. https://doi.org/10.1155/2019/5147208
Gwag, M., & Yoo, J. (2024). Development and Effectiveness Evaluation of 360-Degree Virtual Reality-Based Educational Intervention for Adult Patients Undergoing Colonoscopy. Healthcare (Switzerland), 12(14). https://doi.org/10.3390/healthcare12141448
Hassan, C., East, J., Radaelli, F., Spada, C., Benamouzig, R., Bisschops, R., Bretthauer, M., Dekker, E., Dinis-Ribeiro, M., Ferlitsch, M., Fuccio, L., Awadie, H., Gralnek, I., Jover, R., Kaminski, M. F., Pellisé, M., Triantafyllou, K., Vanella, G., Mangas-Sanjuan, C., … Dumonceau, J. M. (2019). Bowel preparation for colonoscopy: European society of gastrointestinal endoscopy (esge) guideline-update 2019. Endoscopy, 51(8), 775–794. https://doi.org/10.1055/a-0959-0505
Janahiraman, S., Tay, C. Y., Lee, J. M., Lim, W. L., Khiew, C. H., Ishak, I., Onn, Z. Y., Ibrahim, M. R., & Chew, C. K. (2020). Effect of an intensive patient educational programme on the quality of bowel preparation for colonoscopy: A single-blind randomised controlled trial. BMJ Open Gastroenterology, 7(1). https://doi.org/10.1136/bmjgast-2020-000376
Kothari, S. T., Huang, R. J., Shaukat, A., Agrawal, D., Buxbaum, J. L., Abbas Fehmi, S. M., Fishman, D. S., Gurudu, S. R., Khashab, M. A., Jamil, L. H., Jue, T. L., Law, J. K., Lee, J. K., Naveed, M., Qumseya, B. J., Sawhney, M. S., Thosani, N., Yang, J., DeWitt, J. M., & Wani, S. (2019). ASGE review of adverse events in colonoscopy. Gastrointestinal Endoscopy, 90(6), 863-876.e33. https://doi.org/10.1016/j.gie.2019.07.033
Latos, W., Aebisher, D., Latos, M., Krupka-Olek, M., Dynarowicz, K., Chodurek, E., Cieślar, G., & Kawczyk-Krupka, A. (2022). Colonoscopy: Preparation and Potential Complications. Diagnostics, 12(3). https://doi.org/10.3390/diagnostics12030747
Liu, A., Yan, S., Wang, H., Lin, Y., Wu, J., Fu, L., Wu, Q., Lu, Y., Liu, Y., & Chen, H. (2020). Ward nurses-focused educational intervention improves the quality of bowel preparation in inpatients undergoing colonoscopy: A CONSORT-compliant randomized controlled trial. Medicine (United States), 99(36), E20976. https://doi.org/10.1097/MD.0000000000020976
Malidia, Z., Susilowati, Y., & Nurhasanah, S. (2019). Pengaruh Edukasi Persiapan Endoskopi Terhadap Kepatuhan Pasien Melaksanakan Persiapan Endoskopi. Jurnal Kesehatan, 8(1), 87–99. https://doi.org/10.37048/kesehatan.v8i1.155
Massinha, P., Almeida, N., Cunha, I., & Tomé, L. (2018). Clinical Practice Impact of the Boston Bowel Preparation Scale in a European Country. GE Portuguese Journal of Gastroenterology, 25(5), 230–235. https://doi.org/10.1159/000485567
Mustofa, S., Sriyono, S., & Veterini, A. S. (2023). Kontrol Edukasi Video Visual Smartphone Berbasis Selfcare terhadap Kecemasan dan Tekanan Darah Pasien Endoskopi dengan Pelayanan Anestesiologi. Journal of Telenursing (JOTING), 5(1), 190–200. https://doi.org/10.31539/joting.v5i1.4887
Park, J. S., Kim, M. S., Kim, H. K., Kim, S. Il, Shin, C. H., Lee, H. J., Lee, W. S., & Moon, S. (2016). A randomized controlled trial of an educational video to improve quality of bowel preparation for colonoscopy. BMC Gastroenterology, 16(1). https://doi.org/10.1186/s12876-016-0476-6
Rusiana, D. (2024). Hubungan Pelaksanaan Edukasi Persiapan Endoskopi Terhadap Kepatuhan Pasien Melaksanakan Persiapan Endoskopi Di Rs Mandaya Royal Puri. Jurnal Kesehatan STIKes Banten RI, 9(1), 50–70.
Saltzman, J. R., Cash, B. D., Pasha, S. F., Early, D. S., Raman Muthusamy, V., Khashab, M. A., Chathadi, K. V., Fanelli, R. D., Chandrasekhara, V., Lightdale, J. R., Fonkalsrud, L., Shergill, A. K., Hwang, J. H., Decker, G. A., Jue, T. L., Sharaf, R., Fisher, D. A., Evans, J. A., Foley, K., … Acosta, R. D. (2015). Bowel preparation before colonoscopy. Gastrointestinal Endoscopy, 81(4), 781–794. https://doi.org/10.1016/j.gie.2014.09.048
Shahini, E., Sinagra, E., Vitello, A., Ranaldo, R., Contaldo, A., Facciorusso, A., & Maida, M. (2023). Factors affecting the quality of bowel preparation for colonoscopy in hard-to-prepare patients: Evidence from the literature. In World Journal of Gastroenterology (Vol. 29, Issue 11, pp. 1685–1707). Baishideng Publishing Group Inc. https://doi.org/10.3748/wjg.v29.i11.1685
Shin, S. Y., Ga, K. S., Kim, I. Y., Park, Y. M., Jung, D. H., Kim, J. H., Youn, Y. H., Park, H., & Park, J. J. (2019). Predictive factors for inadequate bowel preparation using low-volume polyethylene glycol (PEG) plus ascorbic acid for an outpatient colonoscopy. Scientific Reports, 9(1). https://doi.org/10.1038/s41598-019-56107-5
Wonggom, P., Rattanakanokchai, S., & Suebkinorn, O. (2023). Effectiveness of bowel preparation innovative technology instructions (BPITIs) on clinical outcomes among patients undergoing colonoscopy: a systematic review and meta-analysis. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-023-37044-w
Yuan-Lung Cheng, Kuang-Wei Huang, Wei-Chih Liao, Jiing-Chyuan Luo, Keng-Hsin Lan, Chien-Wei Su, Yuan-Jen Wang, M.-C. H. (2018). Same-day Versus Split-dose Bowel Preparation Before Colonoscopy: A Meta-analysis. Journal of Clinical Gastroenterology, 52(5), 392–400.
Zad, M., Do, C. N., Heffernan, A., Johnston, L., & Al-Ansari, M. (2020). Factors affecting bowel preparation adequacy and procedural time. JGH Open, 4(2), 206–214. https://doi.org/10.1002/jgh3.12241
Zhang, Q. X., Li, J., Li, Y., Lei, C. H., Shang, B. X., Guan, X. S., & Zhang, Q. (2018). Effect of education by messaging software on the quality of bowel preparation for colonoscopy. In Chinese Medical Journal (Vol. 131, Issue 14, pp. 1750–1752). Wolters Kluwer Medknow Publications. https://doi.org/10.4103/0366-6999.235881
Zhao, Y., Xie, F., Bai, X., Yang, A., & Wu, D. (2019). Educational virtual reality videos in improving bowel preparation quality and satisfaction of outpatients undergoing colonoscopy: Protocol of a randomised controlled trial. BMJ Open, 9(8). https://doi.org/10.1136/bmjopen-2019-029483
Copyright (c) 2025 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
