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249671

Randomized Controlled Trial Evaluating the Applicability of a Bowel Preparation Care Bundle Protocol for Pediatric Enteroscopic Surgery (RCT)

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Last updated: 03 Jan 2025

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Abstract

Background: Enteroscopy is an important diagnostic and therapeutic procedure. In children,
adequate bowel preparation is mandatory for imaging and surgery, but tolerability as well as
efficacy must be considered. As a result, good bowel preparation before to such procedures is a
critical element in the diagnosis, monitoring, and lowering the risk of probable contamination. Aim:
The purpose of this study was to assess the importance, efficacy, and safety of care bundles (CBs) in
bowel preparation for pediatric enteroscopy. Methods: Between July 2019 and December 2019,
Mansoura University Children Hospital enrolled children who underwent electronic enteroscopic
surgery in a randomized controlled trial (RCT) under conventional nursing (CN), and between
January 2020 and June 2020, children who had the surgery were enrolled under the care bundle trial
(CG). All children in both previously mentioned groups were lavaged with a polyethylene glycol
electrolyte solution to prepare their bowels (PEG-ELS). The CBs included education for nurses, risk
assessment for inadequate bowel preparation, education for children and families, and observation
and assessment during preparation. We compared the two groups' satisfaction with hospitalization,
comfort and safety, family anxiety levels, and quality of bowel preparation. Results: This study
enrolled a total of 83 children, 44 in the CB group and 39 in the CN group. The CB group < /div>
outperformed the CN group in terms of bowel preparation quality [(8.35±6.86) vs. (4.34±02.75) at
P<0.001]. Furthermore, the CB group's anxiety score was substantially lower than the CN group's
(3.28±0.85 vs. 5.45±1.78 respectively at P>0.001. Conclusions: The use of care bundles in the
bowel preparation of children undergoing enteroscopy had a favorable impact on the quality of
preparation and satisfaction with hospitalization, as well as reducing the anxiety of patients and their
families. Recommendation: Intensive training and educational programs about the evidence bowel
preparation protocols should be considered for surgical nurses and all children and their parents
undergoing such procedure as a standard of practice.

DOI

10.21608/ejhc.2020.249671

Keywords

applicability, bowel preparation, care bundle, protocol, pediatric enteroscopy, surgery

Authors

First Name

Fawzia

Last Name

Nabeel Mohammad Abd-Elmageed

MiddleName

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Affiliation

Lecturer of Pediatric Nursing Department, Faculty of Nursing, Zagazig University.

Email

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City

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Orcid

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First Name

Reham

Last Name

El-Saeed Hashad

MiddleName

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Affiliation

Lecturers of Pediatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt

Email

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City

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Orcid

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First Name

Nagwa

Last Name

Ibrahim Eldemery

MiddleName

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Affiliation

Lecturers of Pediatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt

Email

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City

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Orcid

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First Name

Ghada

Last Name

Gamal Badawy

MiddleName

-

Affiliation

Lecturers of Pediatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt

Email

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City

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Orcid

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Volume

11

Article Issue

1

Related Issue

11030

Issue Date

2020-03-01

Receive Date

2022-07-18

Publish Date

2020-03-01

Page Start

1,170

Page End

1,180

Print ISSN

1687-9546

Link

https://ejhc.journals.ekb.eg/article_249671.html

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https://ejhc.journals.ekb.eg/service?article_code=249671

Order

45

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Randomized Controlled Trial Evaluating the Applicability of a Bowel Preparation Care Bundle Protocol for Pediatric Enteroscopic Surgery (RCT)

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Article

Created At

22 Jan 2023