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      Anxiety Levels in Patients Undergoing Sedation for Elective Upper Gastrointestinal Endoscopy and Colonoscopy

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          Abstract

          Background:

          Anxiety is a common preprocedural problem and during processing especially in interventional medical processes.

          Aim:

          Aim of this study was to assess the level of anxiety in patients who will undergo upper gastrointestinal endoscopy and coloscopy.

          Methods:

          Five hundred patients scheduled to undergo sedation for elective upper gastrointestinal endoscopy and colonoscopy were studied. Beck Anxiety Inventory (BAI) was administered to each patient before brought to the endoscopy room. Demographic data of patients were collected.

          Results:

          BAI scores and anxiety levels were significantly lower in; males compared to females, patients with no comorbidity compared to patients with comorbidity (both P values < 0.001). BAI scores were significantly lower in patients educational status university and upper compared to patients educational status primary-high school (p=0.026). There were no significant difference between BAI and anxiety levels compared to procedures (Respectively, P=0.144 P=0.054). There were no significant difference between BAI scores and anxiety levels compared to age groups (Respectively, P=0.301 P=0.214).

          Conclusions:

          We think that level of anxiety in patients who will undergo upper gastrointestinal endoscopy and colonoscopy was effected by presence of comorbidities and gender but was not effected by features such as age, procedure type and educational status.

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          Most cited references18

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          Identification of factors that influence tolerance of upper gastrointestinal endoscopy.

          Unsedated gastroscopy is unpleasant for some patients. The identification of factors related to tolerance would permit the selection of patients for sedation. The aim of the present study was to identify these factors. Five hundred and nine patients underwent diagnostic gastroscopy after the administration of topical pharyngeal anaesthesia, without sedation. Patients were grouped as to whether they had undergone prior examinations or not. Tolerance was assessed with a visual analogue scale and a questionnaire. Two hundred and seventy-three (54%) patients underwent gastroscopy for the first time, and 236 (46%) patients had prior experience. Patient tolerance was poor in 84 of 273 (31%) patients undergoing gastroscopy for the first time, and in 61 of 236 (26%) patients with prior experience. Logistic regression analysis identified the following variables related to poor tolerance: (a) in patients undergoing gastroscopy for the first time: presence of gag reflex (odds ratio (OR) = 3.42, 95% confidence interval (CI) 1.90-6.17), apprehension (OR = 2.57, CI 1.33-4.95), young age (OR = 0.95, CI 0.93-0.98) and high level of anxiety (OR = 1.91, CI 0.96-3.89); (b) in patients with prior experience: apprehension (OR = 4.21, CI 1.93-9.20), poor tolerance of prior examinations (OR = 4.92, CI 1.93-12.5) and female (OR = 2.23, CI 1.09-4.57). The above-mentioned factors are predictive of poor tolerance, and may enable the identification of those patients who might benefit more from sedation for gastroscopy.
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            Clinical trial: music reduces anxiety levels in patients attending for endoscopy.

            Patients attending for endoscopy are generally anxious and worried. To examine whether music reduced anxiety levels in patients attending for endoscopic procedures. Prospective randomized controlled trial of 180 patients (M:F 81:99). The effect of age ( 51 years) and procedure (gastroscopy or flexible sigmoidoscopy/colonoscopy) on anxiety levels (state-trait anxiety inventory) on arrival in the unit and immediately before the endoscopy procedure, after listening to music or no music (control group) for the same period. At baseline, anxiety levels were not influenced by age ( 51 years, n = 124:39.99 +/- 10.13 (P = 0.15) or procedure: gastroscopy, n = 87:39.43 +/- 9.9, flexible sigmoidoscopy/colonoscopy: n = 93:41.86 +/- 9.75 (P = 0.98). No difference was found in anxiety scores in the control group (n = 88) at baseline and immediately pre-endoscopy (P = 0.243), but music led to a significant reduction in anxiety scores (n = 92), which was maintained for all age groups irrespective of procedure (all P < 0.0001). Anxiety levels in patients attending for endoscopy were not influenced by age or procedure, but were significantly reduced by listening to music compared to controls. The availability of music within the endoscopy unit is a simple strategy that will improve the well-being of patients.
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              Aromatherapy and reducing preprocedural anxiety: A controlled prospective study.

              The purpose of this study was to evaluate the use of aromatherapy to reduce anxiety prior to a scheduled colonoscopy or esophagogastroduodenoscopy. A controlled, prospective study was done on a convenience sample of 118 patients. The "state" component of the State Trait Anxiety Inventory (STAI) was used to evaluate patients' anxiety levels pre- and postaromatherapy. The control group was given an inert oil (placebo) for inhalation, and the experimental group was given the essential oil, lavender, for inhalation. The STAI state anxiety raw score revealed that patients were at the 99th (women) and 96th (men) percentiles for anxiety. The intervention group and the control group had similar levels of state anxiety prior to the beginning of the study (t[116] = .47, p = .64). There was no difference in state anxiety levels between pre- and postplacebo inhalation in the control group (t[112] = .48, p = .63). There was no statistical difference in state anxiety levels between pre- and postlavender inhalation in the experimental group (t[120] = .73, p = .47). Although this study did not show aromatherapy to be effective based on statistical analysis, patients did generally report the lavender scent to be pleasant. Lavender is an inexpensive and popular technique for relaxation that can be offered to patients as an opportunity to promote preprocedural stress reduction in a hospital setting.
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                Author and article information

                Journal
                Med Arch
                Med Arch
                Medical Archives
                AVICENA, d.o.o., Sarajevo (Bosnia and Herzegovina )
                0350-199X
                1986-5961
                April 2016
                01 April 2016
                : 70
                : 2
                : 112-115
                Affiliations
                [1 ]Konya Training and Research Hospital, Anesthesiology and Reanimation Department, Konya, Turkey
                [2 ]Konya Training and Research Hospital, General Surgery Department, Konya, Turkey
                Author notes
                Corresponding author: Mehmet Sargin, MD, Konya Training and Research Hospital, Anesthesiology and Reanimation Department, Konya, Turkey, Phone +905322662766, Fax +903323236723, mehmet21sargin@ 123456yahoo.com
                Article
                MA-70-112
                10.5455/medarh.2016.70.112-115
                4851499
                27147784
                745c36c6-3d34-4511-937f-44678c275c01
                Copyright: © Mehmet Sargin, Mehmet Selcuk Uluer, Eyüp Aydogan, Bülent Hanedan, Muhammed İsmail Tepe, Mehmet Ali Eryılmaz, Emre Ebem, and Sadık Özmen

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 25 January 2016
                : 16 March 2016
                Categories
                Original Paper

                anxiety,sedation,upper gastrointestinal endoscopy,colonoscopy

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