The Effects of a Psychological Preparation Program on Anxiety in Children and Adolescents Undergoing Gastrointestinal Endoscopy
| Autor: | Lori Mahajan, Jeff Dettorre, Kathleen McCue, Gary Kitaoka, Marsha Kay, Robert Wyllie, Rita Steffen, Samra Sarigol |
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| Rok vydání: | 1998 |
| Předmět: |
Adult
medicine.medical_specialty Generalized anxiety disorder Adolescent Vital signs Blood Pressure Anxiety Endoscopy Gastrointestinal Patient Education as Topic Heart Rate Surveys and Questionnaires Gastroscopy medicine Humans Child medicine.diagnostic_test business.industry Gastroenterology medicine.disease Surgery Endoscopy Distress El Niño Pediatrics Perinatology and Child Health Physical therapy Observational study medicine.symptom business Anxiety disorder |
| Zdroj: | Journal of Pediatric Gastroenterology & Nutrition. 27:161-165 |
| ISSN: | 0277-2116 |
| Popis: | Background: Like adults, children often experience anxiety associated with medical procedures. The purpose of this study was to investigate the effects of a program of psychological preparation for children undergoing endoscopy. Methods: Sixty patients aged 6 to 19 years (mean, 12.2 years) were randomized into one of two groups. Group 1 received routine preparation before endoscopy. Group 2 received psychological preparation consisting of demonstration of materials that would be encountered during the procedure, use of a doll as a model, or use of a book with photographs of a child who had previously undergone endoscopy. Patients in both groups completed the Spielberger State-Trait Anxiety Inventory in the clinic and just before endoscopy. The Observational Scale of Behavioral Distress was completed by a blinded observer during each procedure. The attending physician (blinded) assessed patient cooperation. Vital signs were recorded in clinic and just before endoscopy. Parents and patients completed questionnaires after endoscopy. Results: Analysis of the Spielberger State-Trait Anxiety Inventory showed patients in group 2 were significantly less anxious before endoscopy (p < 0.0001). They also required less meperidine (p < eq 0.04) per kilogram body weight and were more cooperative during the examination (p = 0.042). There was significantly less autonomic nervous system stimulation in those who had undergone psychological preparation (change in heart rate, p < 0.001; change in systolic blood pressure, p = 0.04). Statistically significant differences were found in the patients' response to questions after endoscopy regarding perceived anxiety during the procedure (p = 0.003) and the parents' response to questions regarding their own conditions (p = 0.026) and that of their child (p < 0.001). Conclusion: Psychological preparation before endoscopy significantly decreases patient and parental anxiety. Such preparation may allow for a reduction in sedative medications and thereby enhance procedural safety. |
| Databáze: | OpenAIRE |
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