18 Years and Over, Colonoscopy Preparation Acceptance, Colonoscopy (Procedure), Internet Access, Literacy, Mobile Phone Use, No Communication Difficulties, Orientation, Voluntarily Accepting to Participate in the Study, WhatsApp Messenger
Conditions
Keywords
colonoscopy, nursing, pain, anxiety, comfort
Brief summary
This randomized controlled experimental study was conducted in the endoscopy unit of a private hospital between March and June 2023 to evaluate the effect of nurse-delivered counseling on pain, anxiety, and comfort levels in patients undergoing colonoscopy. Sixty patients were assigned to intervention (n=30) and control (n=30) groups. The intervention group received counseling beginning 24 hours before the procedure, including face-to-face education, telephone support, and reminder messages, while the control group received routine care. Anxiety was assessed using the State Anxiety Scale, and pain and comfort were evaluated using the Visual Analog Scale.
Detailed description
This randomized controlled experimental study was conducted in the endoscopy unit of a private hospital between March 2023 and June 2023. The study was designed to evaluate the effect of nurse-delivered online counseling on pain, anxiety, and comfort levels in patients undergoing colonoscopy. Sixty eligible patients were assigned to either an intervention group (n=30) or a control group (n=30) using the minimization method. Patients in the intervention group received online counseling based on standard colonoscopy preparation materials beginning approximately 24 hours before the procedure, including face-to-face education, telephone support, and reminder messages. Patients in the control group received routine care only. Anxiety was assessed using the State-Trait Anxiety Inventory, while pain and comfort were evaluated using the Visual Analog Scale. Outcome measures were collected before and after the colonoscopy procedure.
Interventions
OTHEROnline Nursing Counseling
Participants received nurse-delivered online counseling based on standard colonoscopy preparation materials. The intervention started approximately 24 hours before the procedure and included an initial face-to-face education session, followed by 24-hour telephone support and reminder messages. Participants were also able to contact the nurse for questions during this period.
Sponsors
Sanko University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥18 years * Literate * No communication or hearing impairment * Conscious and able to respond to questions * Scheduled for colonoscopy * Not using regular analgesic or antidepressant medications * Voluntary participation * No prior colonoscopy * No diagnosis of colorectal cancer * No diagnosis of inflammatory bowel disease * No diagnosis of Crohn's disease * Access to the internet and a smartphone, tablet, or computer * Able to use WhatsApp
Exclusion criteria
* Age \<18 years * Illiterate * Presence of communication or hearing impairment * Cognitive impairment or inability to provide informed consent * Not scheduled for colonoscopy * Regular use of analgesic or antidepressant medications * Refusal to participate * History of prior colonoscopy * Diagnosis of colorectal cancer * Diagnosis of inflammatory bowel disease * Diagnosis of Crohn's disease * No access to the internet or lack of a smartphone, tablet, or computer * Inability to use WhatsApp
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| State Anxiety Level | Before and after colonoscopy procedure (same day) | Measured using the State-Trait Anxiety Inventory (State Anxiety Scale; score range 20-80, higher scores indicate higher anxiety). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Level | Before and after colonoscopy procedure (same day) | Measured using the Visual Analog Scale (VAS), a self-reported scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain intensity. |
| Comfort Level | Before and after colonoscopy procedure (same day) | Measured using the Visual Analog Scale (VAS), a self-reported scale ranging from 0 to 10, where 0 indicates no comfort and 10 indicates maximum comfort. Higher scores indicate greater comfort. |
Countries
Turkey (Türkiye)
Outcome results
None listed