Öz
Background and Aims: We aimed to investigate the frequency of state anxiety before endoscopy and the effective factors. Material and Method: A total of 205 patients (122 women, 83 men) who were referred to the gastroenterology clinic for endoscopy between August 2008 and February 2009 were included into the study. A questionnaire was completed to assess sociodemographic characteristics and current diseases and Hamilton Anxiety Rating Scale was used to assess state anxiety. Results: State anxiety was determined in 46.8% of the patients. No significant relations were found between anxiety level and age, marital status, educational level, or monthly income, but significant differences were determined in terms of sex, social security and working status of the patients. Anxiety levels were significantly high in women, patients without health insurance and in unemployed patients. No significant relations were found between anxiety and whether complaints were acute or chronic, patient awareness of the diagnosis, number of previous endoscopies, the type of endoscopy to be applied, or presence of gastrointestinal system cancer in the family; however, history of a previous unsatisfactory endoscopy experience and of psychiatric disease were significantly related to higher anxiety levels. Conclusion: Risk factors contributing to state anxiety in patients referred for endoscopy are psychiatric disease history, female gender and unsatisfactory endoscopy history. When evaluating these factors before applying endoscopy, we must inform patients who have risk factors.
Anahtar Kelimeler
Kaynakça
- Öner N, Lecompte A. Durumluk/Sürekli Kaygı Envanteri El Kitabı, 2. Basım. İstanbul: Boğaziçi Üniversitesi Yayınevi, 1998: 1-26.
- Ladas SD. Factors predicting the possibility of conducting colonoscopy without sedation. Endoscopy 2000;32:688-92.
- Eberhardt J, Van Wersch A, Van Schaik P, Cann P. Information, social support and anxiety before gastrointestinal endoscopy. Br J Health Psychol 2006;11:551-9.
- Tsai MS, Su YH, Liang JT, Lai HS, Lee PH. Patient factors predicting the completion of sedation-free colonoscopy. Hepatogastroenterology 2008; 55:1606-8.
- Gebbensleben B, Rohde H. Angst vor der gastrointestinalen Endoscopie ein bedeutsames Problem? Deutsche Medizinische Wochenschrift 1990; 115:1539-44.
- Baudet JS, Borque P, Borja E, et al. Use of sedation in gastrointestinal en- doscopy: a nationwide survey in Spain. Eur J Gastroenterol Hepatol 2009;21: 882-8.
- Madan A, Minocha A. Who is willing to undergo endoscopy without se- dation: patients, nurses, or the physicians? South Med J 2004;97 :800- 5.
- Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32: 50-5.
- Jones MP, Ebert CC, Sloan T, et al. Patient anxiety and elective gastroin- testinal endoscopy. J Clin Gastroenterol 2004;38:35-40.
Öz
Giriş ve Amaç: Endoskopik girişim öncesi hastalarda olabilecek anksiyetenin ve ilişkili faktörlerini tanımlamak. Gereç ve Yöntem: Ağustos 2008-Şubat 2009 tarihleri arasında gastrointestinal endoskopi için başvuran 205 (122 kadın, 83 erkek) hasta çalışmaya dahil edildi. Hastaların sosyodemografik özellikleri, yandaş hastalıkları ve Hamilton anksiyete skalası skorları incelendi. Bulgular: Hastaların %46.8'inde endoskopi işlemine bağlı anksiyete tespit edildi. Yaş, medeni durum, eğitim düzeyi, aylık gelir ile anksiyete derecesi arasında ilişki bulunamadı. Ancak, cinsiyet, sosyal güvenlik ve hastaların çalışma statüsü ile anksiyete decesi arasında ilişki gözlendi ve kadın cinsiyet, sosyal güvence olmaması ve işsizlerde anksiyete skoru yüksekti. Hastaların yakınmalarının kronik/akut olması, tanıdan haberdar olmaları, daha önceki endoskopi sayısı ve şekilleri, ailede gastrointestinal sistem kanseri varlığı, daha önceki yetersiz endoskopi öyküsü ile anksiyete arasında ilişki bulunamadı. Sonuç: Daha önce psikiyatrik sorun olması, kadın cinsiyet ve yetersiz endoskopi öyküsü olan hastalarda hastalara daha fazla bilgilendirme yapılmasının uygun olduğu sonucuna vardık.
Anahtar Kelimeler
Kaynakça
- Öner N, Lecompte A. Durumluk/Sürekli Kaygı Envanteri El Kitabı, 2. Basım. İstanbul: Boğaziçi Üniversitesi Yayınevi, 1998: 1-26.
- Ladas SD. Factors predicting the possibility of conducting colonoscopy without sedation. Endoscopy 2000;32:688-92.
- Eberhardt J, Van Wersch A, Van Schaik P, Cann P. Information, social support and anxiety before gastrointestinal endoscopy. Br J Health Psychol 2006;11:551-9.
- Tsai MS, Su YH, Liang JT, Lai HS, Lee PH. Patient factors predicting the completion of sedation-free colonoscopy. Hepatogastroenterology 2008; 55:1606-8.
- Gebbensleben B, Rohde H. Angst vor der gastrointestinalen Endoscopie ein bedeutsames Problem? Deutsche Medizinische Wochenschrift 1990; 115:1539-44.
- Baudet JS, Borque P, Borja E, et al. Use of sedation in gastrointestinal en- doscopy: a nationwide survey in Spain. Eur J Gastroenterol Hepatol 2009;21: 882-8.
- Madan A, Minocha A. Who is willing to undergo endoscopy without se- dation: patients, nurses, or the physicians? South Med J 2004;97 :800- 5.
- Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32: 50-5.
- Jones MP, Ebert CC, Sloan T, et al. Patient anxiety and elective gastroin- testinal endoscopy. J Clin Gastroenterol 2004;38:35-40.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2010 |
| Yayımlandığı Sayı | Yıl 2010 Cilt: 18 Sayı: 3 |