Which factors affect anxiety level before upper gastrointestinal endoscopy?

Yıl 2012, , 67 - 71, 01.12.2012

Hakan Ünal () Gamze Özçürümez () Fieniz Saritafi () Murat Korkmaz () Haldun Selçuk ()

https://doi.org/10.17940/endoskopi.74819

Öz

Background and Aims: High levels of anxiety prior to upper gastrointestinal endoscopy can adversely impact the procedure quality and patient safety. We aimed to evaluate the relationship between patient anxiety level before the procedure and patient characteristics among patients scheduled to undergo upper gastrointestinal endoscopy. Materials and Methods:Patients aged 18 and over who underwent a planned upper gastrointestinal system endoscopy due to dyspeptic complaints were included in the study. Data on patient cha-racteristics and anxiety levels were collected using two forms (Patient Infor-mation Form and Beck Anxiety Inventory), which they were asked to comp-lete before the procedure. After the procedure, endoscopy results and Helico-bacter pylori status were recorded on a separate form for each patient. After all patients' data were collected, anxiety level and patient characteristics data were compared.Results: Three hundred and forty-six patients were included in the study. Pre- procedural anxiety levels of the patients were determined to be mild, moderate, and severe in 78.9%, 15.6%, and 5.5% of the patients, respectively. While the anxiety level was higher among female patients and patients with Helicobacter pylori positivity, no association was found betwe-en the anxiety level and age, body mass index, history of endoscopy, applica-tion of sedation, or endoscopic diagnosis. Conclusions: Patient safety and quality of the procedure must be ensured at the highest level during the gas-trointestinal system endoscopy procedures. We found that detection of pati-ent characteristics that can adversely affect these two factors, like high pre-procedural anxiety level, is one of the important components that would help reach this goal

Anahtar Kelimeler

Gastrointestinal endoscopy, anxiety, anxiety scale

Üst gastrointestinal endoskopi işlemi öncesi anksiyete düzeyini etkileyen faktörler

Öz

Amaç: Gastrointestinal sistem endoskopi işlemleri öncesinde hastaların anksiyete düzeyi artmaktadır. İşlem öncesi yüksek anksiyete düzeylerinin varlığı işlem kalitesi ve güvenliğini olumsuz yönde etkilemektedir. Biz bu çalışmada üst gastrointestinal sistem endoskopisi öncesi anksiyete düzeyinin hastaya ait özellikler ile ilişkisini değerlendirmeyi amaçladık.Gereç ve Yöntem: Dispeptik yakınmalar nedeni ile üst gastrointestinal sistem endoskopisi planlanan 18 yaş üstü hastalar çalışmaya alındı. İşlem öncesi doldurmaları istenen iki form (hasta bilgileri formu ve BECK Anksiyete Ölçeği) ile hasta özellikleri ve anksiyete düzeyleri belirlendi. İşlem sonrası endoskopi bulguları ve Helicobakter durumu her hasta için oluşturulan özel formlara kayıt edildi. Tüm hasta verileri toplandıktan sonra anksiyete düzeyleri ile hastaya ait veriler karşılaştırıldı.Bulgular: Toplam 346 hastanın değerlendirildiği çalışmamızda hastaların %78,9'unda hafif, %15,6 sında orta, %5,5'inde yüksek düzeyde işlem öncesi anksiyete varlığı saptandı. Anksiyete düzeyi kadın hastalarda ve Helikobakter pylori pozitif saptanan hastalarda daha yüksek iken; hasta yaşı, vücut kitle indeksi, endoskopi hikayesi, sedasyon uygulanma durumu ve endoskopik tanı ile anksiyete düzeyi arasında ilişki saptanmadı.Sonuç: Günümüzde kullanımı çok yaygınlaşmış olan gastrointestinal sistem endoskopi işlemlerinde hasta güvenliği ve işlem kalitesi en üst düzeyde tutulmalıdır. İşlem öncesi yüksek anksiyete düzeyi gibi bu iki faktörü olumsuz yönde etkileyebilecek hastaya ait özelliklerin belirlenmesi bu amaca hizmet edecek önemli bileşenlerden biri olarak karşımıza çıkmaktadır

Anahtar Kelimeler

Gastrointestinal endoskopi, anksiyete, anksiyete skalası

Kaynakça

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