Türk insanı kolonoskopi işlemine nasıl bakıyor? Kolonoskopi hazırlık rejimine uyumu etkileyen faktörlerin irdelenmesi: Klinik prospektif çalışma

Abstract

Background and Aims: The aim of this study is to investigate the factors that have an affect on colon cleaning when nap was used before colonoscopy for intestinal cleanliness and evaluate how our society perceives the colonoscopy prosedure by way of a public survey. Materials and Method: This study was carried out in Ankara University School of Medicine Cebeci Hospital Endoscopy Center between the dates August 2008 and March 2009. The cleanliness degree of colon was scored in colonoscopy procedure. All patients were questioned by the nurse with a survey before and after the prosedure. Results: The average age of the104 patients that have taken the survey was 52.3 (21-82) SD 14.1. There were no age differences between groups of high and low education levels (p=0.410), and (n=59) 56.2% of the patients surveyed were women, (n=45) 42.9% were men. There were no sex differences between groups of high and low education levels. In 6 patients intestinal cleanliness was bad, in 36 patients intestinal cleanliness was acceptable, in 62 patients intestinal cleanliness was good-perfect.The most commonly seen side effects were stomach ache 30% and nausea 32,8%, for both groups. For all patients stomach ache and nausea were mild. There were no meaningful statistical differences (p=0.203) found in adaptation to preliminary diet (p=0.07) and in quality of intestinal cleanliness between low education level patients (n=68) and high education level patients (n=36). Only 8 of 104 patients had taken the colonoscopy procedure for colorectal cancer scanning. Before the procedure , when patients were asked; 14 of the 36 in high education level patients and 45 of 68 in low education level patients said they were embarrassed because of the procedure (p=0.08). Conclusion: There were no connections found between different education levels and adaptation of preliminary colonoscopy diet and intestinal cleanliness before the colonoscopy. We have also concluded that in asymptomatic individuals over 50 years of age in our society do not pay necessary attention to scanning programs and according to the result of the survey evaluation, it is difficult for a considerable number of people to be psychologically comfortable with the colonoscopy procedure.