The Effect of Anxiety Level on Sedation Demand in Patients Scheduled to Undergo Endoscopy

Yıl 2019, Cilt: 2 Sayı: 1, 15 - 19, 31.01.2019

Mehmet Selçuk Uluer , Mehmet Sargın

Öz

In this study, it is aimed to evaluate whether anxiety levels affect the demand for sedo-analgesia in patients who will undergo endoscopy. A total of 200 patients who applied to the endoscopy unit for elective upper gastrointestinal endoscopy / colonoscopy and who requested (Group I; n = 100) or not requested sedo-analgesia (Group II; n = 100) were included in the study. Anxiety levels were assessed by applying Beck Anxiety Inventory to each patient before being brought to the endoscopy room.The data for all of the 200 patients included in the study were collected. There was no statistically significant difference between groups in terms of demographic data except gender (p> 0.05). Gender distribution was 61 women and 39 men in Group I and 37 women and 63 men in Group II (p=0.001). The Beck Anxiety Inventory score [median (minimum-maximum)] was 7 (0-30) in Group I and 5.5 (018) in Group II and there was no statistically difference between the groups (p=0.268). There was also no statistically significant difference when anxiety levels were compared (p=0.101).In conclusions, we think that pre-procedural anxiety in patients with elective upper gastrointestinal endoscopy and colonoscopy has no effect on the demand for sedo-analgesia. 

Anahtar Kelimeler

Anxiety, Sedation, Upper gastrointestinal endoscopy, Colonoscopy

Endoskopi Uygulanacak Hastalardaki Anksiyete Düzeyinin Sedasyon İsteği Üzerine Etkisi

Öz

Bu çalışmada endoskopi uygulanacak hastalarda anksiyete düzeylerinin sedo-analjezi isteği üzerine etki edip etmediğinin değerlendirilmesi amaçlanmaktadır. Elektif üst gastrointestinal endoskopi ve kolonoskopi için endoskopi ünitesine gelen ve bu işlemler için sedo-analjezi talep eden (Grup I; n=100) ve sedo-analjezi talep etmeyen (Grup II; n=100) toplam 200 hasta çalışmaya dahil edildi. Her hastaya endoskopi odasına getirilmeden önce Beck Anksiyete Envanteri uygulanarak anksiyete düzeyleri değerlendirildi.  Çalışmaya dahil edilen 200 hastanın verileri toplandı. Cinsiyet dışında demografik veriler açısından gruplar arasında istatistiksel olarak fark tespit edilmedi (p>0.05). Cinsiyet dağılımı Grup I’ de 61 kadın ve 39 erkek iken Grup II’ de 37 kadın ve 63 erkek olarak tespit edildi (p=0.001). Grup I’ de Beck Anksiyete Envanteri skoru [median (minimum-maksimum)] 7 (0-30) iken Grup II’ de 5.5 (0-18) olarak tespit edildi ve gruplar arasında istatistiksel olarak fark yoktu (p=0.268). Ayrıca anksiyete seviyeleri karşılaştırıldığında da istatistiksel olarak fark tespit edilemedi (p=0.101). Sonuç olarak elektif üst gastrointestinal endoskopi ve kolonoskopi gerçekleştirilecek hastalarda işlem öncesi anksiyetenin sedo-analjezi isteğine etkisinin olmadığı kanaatindeyiz. 

Anahtar Kelimeler

Anksiyete, sedasyon, üst gastrointestinal endoskopi, kolonoskopi

Kaynakça

• 1. Smith P, (2002)Traditions, trends, tomorrow. Gastroenterol Nurs 25: 81-2.
• 2. Yamada T, (2002).Endoscopy. Handbook of Gastroenterology. USA: Lippincott Williams &Wilkins, 667-80.
• 3. Weinman J, Johnston M. In: Maes S, Spielberger CD, Defares P, Sarason I, eds, (1988).Topics in health psychology. Chichester: John Wiley & Sons,.
• 4. Rex DK, Khalfan HK, (2005).Sedation and the technical performance of colonoscopy. Gastrointestinal Endoscopy Clinics of North America 15: 661–72.
• 5. Sargin M, Uluer MS, Aydogan E, Hanedan B, Tepe Mİ, Eryılmaz MA, et al, (2016).Anxiety Levels in Patients Undergoing Sedation for Elective Upper Gastrointestinal Endoscopy and Colonoscopy. Med Arch. Apr;70(2):112-5.
• 6. Chartier L, Arthurs E, Sewitch MJ, (2009).Patient satisfaction with colonoscopy: a literature review and pilot study. Can J Gastroenterol. 23:203-9.
• 7. Lee SY, Son HJ, Lee JM, Bae MH, Kim JJ, Paik SW, et al, (2004). Identification of factors that influence conscious sedation in gastrointestinal endoscopy. J Korean Med Sci. Aug;19(4):536-40.
• 8. Chung KC, Juang SE, Lee KC, Hu WH, Lu CC, Lu HF, et al, (2013).The effect of pre-procedure anxiety on sedative requirements for sedation during colonoscopy. Anaesthesia. Mar;68(3):253-9.
• 9. Ersöz F, Toros AB, Aydoğan G, Bektaş H, Ozcan O, Arikan S, (2010).Assessment of anxiety levels in patients during elective upper gastrointestinal endoscopy and colonoscopy. Turk J Gastroenterol. Mar;21(1):29-33.
• 10. Trevisani L, Sartori S, Putinati S, Gaudenzi P, Chiamenti CM, Gilli G, et al, (2002).Assessment of anxiety levels in patients during diagnostic endoscopy. Recenti Prog Med 93: 240-4.
• 11. Muzzarelli L, Force M, Sebold M, (2006). Aromatherapy and reducing preprocedural anxiety: a controlled prospective study. Gastroenterol Nurs 29: 466-71.
• 12. Pontone S, Tonda M, Brighi M, Florio M, Pironi D, Pontone P, (2015).Does anxiety or waiting time influence patients' tolerance of upper endoscopy? Saudi J Gastroenterol 21:111-5
• 13. Ussui VM, Silva AL, Borges LV, Silva JG, Zeitune JM, Hashimoto CL, (2013).What are the most important factors regarding acceptance to the colonoscopy?: study of related tolerance parameters. Arq Gastroenterol. Jan-Mar;50(1):23-30.
• 14. Ünal HÜ, Korkmaz M, Özüçürümez G, Sarıtafi S, Selçuk H, Gönen H, et al. The effect of pre-endoscopy anxiety level on tolerance of the procedure and the amount of sedative drug dose. Endoskopi Gastrointestinal, 19 (2), 47-51.
• 15. Kurtuluş R, Koçer Z, Barkan G, Dobrucalı İ, Yılmaz M, Sungurtekin H, et al, (2004).Ambulatuvar kolonoskopi: Sedasyon ile mi? Sedasyonsuz mu? Akademik Gastroenteroloji Dergisi, 3 (2): 93-97.
• 16. Abraham NS, Wieczorek P, Huang J, Mayrand S, Fallone CA, Barkun AN, (2004).Assessing clinical generalizability in sedation studies of upper GI endoscopy. Gastrointest Endosc 60:28–33.
• 17. Igea F, Casellas JA, González-Huix F, Gómez-Oliva C, Baudet J.S, Cacho G, et al, (2014). Sedation for gastrointestinal endoscopy. Endoscopy 46:720–31.
• 18. Warner ME, Warner MA, (2014). The value of sedation by anesthesia teams for complex endoscopy: perhaps not what you’d think. Anesth Analg 119:222–3.