EVALUATION OF PATIENT ADHERENCE AND BOWEL PREPARATION BEFORE THE COLONOSCOPY AT THE GASTROENTEROLOGY–HEPATOLOGY CENTER, BACH MAI HOSPITAL
Main Article Content
Abstract
Objective: To assess the level of adherence and the quality of bowel cleansiness before colonoscopy at the Gastroenterology and Hepatology Center, Bach Mai Hospital. Method: A cross-sectional study was conducted on 308 patients at the Gastroenterology and Hepatology Center, Bach Mai Hospital, Hanoi, from July to September 2025. The Chi-square test and Fisher’s Exact test were used to evaluate differences in patient attitudes, adherence, and quality of bowel preparation.
Results: The study demonstrated that both bowel preparation regimens achieved a standard quality, as assessed by the Boston Bowel Preparation Scale. The same-day regimen had a higher Boston score (96.2% vs. 94.2%) but was associated with more symptoms of dizziness and nausea (59.6% vs. 31.8%).
Conclusion: Both bowel preparation regimens provided equivalent cleansing quality and met the requirements for colonoscopy. The same-day regimen showed a higher Boston score but more adverse symptoms, whereas the split-dose regimen from the previous day offered better comfort despite a longer preparation time. Enhancing patient experience to improve bowel preparation plays a crucial role in detecting and diagnosing patients.
Article Details
Keywords
bowel preparation; gastrointestinal endoscopy; Bach Mai Hospital; patient adherence.
References
[2] Fuccio, L., et al., Factors that affect adequacy of colon cleansing for colonoscopy in hospitalized patients. Clinical Gastroenterology and Hepatology, 2021. 19(2): p. 339-348. e7.
[3] Millien, V.O. and N.M. Mansour, Bowel preparation for colonoscopy in 2020: a look at the past, present, and future. Current gastroenterology reports, 2020. 22(6): p. 28.
[4] Nguyễn Thị Thanh Hảo, Đ.V.H., Đánh giá mức độ sạch và tuân thủ phác đồ chuẩn bị nội soi đại tràng có sử dụng phần mềm điện thoại thông minh. Tạp chí Nghiên cứu Y học, 2024. 181: p. 8.
[5] Phạm Thị Hồng Dịu, Đ.V.Q., Danh Thị Phượng, Đánh giá mức độ làm sạch đại tràng trên bệnh nhân nội soi đại tràng toàn bộ được hướng dẫn nhắc lại trong quá trình uống thuốc tại phòng khám Đa khoa Bệnh viện Đại học Y Hà Nội Cơ sở Cầu Giấy. Tạp chí Y học Việt Nam, 2024. 546(3): p. 6.
[6] Mai, B.v.B. Trung tâm Tiêu hóa - Gan mật. 2025; Available from: https://bachmai.gov.vn/don-vi/trung-tam-tieu-hoa-gan-mat/27038bcc-c8c6-3144-4bed-a13782649579.
[7] Lai, E.J., et al., The Boston bowel preparation scale: a valid and reliable instrument for colonoscopy-oriented research. Gastrointestinal endoscopy, 2009. 69(3): p. 620-625.
[8] Martel, M., et al., Split-dose preparations are superior to day-before bowel cleansing regimens: a meta-analysis. Gastroenterology, 2015. 149(1): p. 79-88.