Prospective study of anxiety in patients undergoing an outpatient colonoscopy
| Autor: | Pablo Herrera Martín, Israel Grilo Bensusan, María Valle Aguado Álvarez |
|---|---|
| Přispěvatelé: | [Grilo Bensusan, Israel] Hosp Alta Resoluc Ecija, Agencia Sanitaria Bajo Guadalquivir, Dept Digest Dis, Av Dr Sanchez Malo S-N, Seville 41400, Spain, [Herrera Martin, Pablo] Hosp Alta Resoluc Ecija, Agencia Sanitaria Bajo Guadalquivir, Dept Digest Dis, Av Dr Sanchez Malo S-N, Seville 41400, Spain, [Aguado Alvarez, Valle] Hosp Alta Resoluc Ecija, Agencia Sanitaria Bajo Guadalquivir, Endoscopy Unit, Seville, Spain |
| Jazyk: | angličtina |
| Předmět: |
Male
Colonoscopy Satisfaction Anxiety Benzodiazepines Preoperative anxiety 0302 clinical medicine Benzodiacepinas Cirugía Outpatients Medicine 030212 general & internal medicine Prospective Studies Visual analog scale Prospective cohort study Unsedated colonoscopy Operating-conditions Melatonin Sex Characteristics medicine.diagnostic_test Gastroenterology General Medicine Middle Aged Cataract-surgery Opiates Sedation 030211 gastroenterology & hepatology Female Colonoscopia medicine.symptom Adult medicine.medical_specialty Pain Sedación Opiáceos 03 medical and health sciences Ansiedad Female patient Humans Topical anesthesia In patient lcsh:RC799-869 Aged Gynecology business.industry Intraocular-pressure Estudio prospectivo Surgery lcsh:Diseases of the digestive system. Gastroenterology business |
| Zdroj: | Revista Espanola de Enfermedades Digestivas, Vol 108, Iss 12, Pp 765-769 Revista Española de Enfermedades Digestivas v.108 n.12 2016 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname |
| ISSN: | 1130-0108 |
| Popis: | espanolAntecedentes: la realizacion de una colonoscopia puede originar ansiedad en los pacientes. Esta situacion ha sido poco estudiada en nuestro medio. Objetivos: determinar la frecuencia, el grado y los factores relacionados con la ansiedad previa a la realizacion de una colonoscopia. Metodos: estudio prospectivo descriptivo de los pacientes sometidos a colonoscopia ambulatoria en nuestro hospital. Se valoro la ansiedad mediante una escala visual analogica de 0 a 100. Se pondero la gravedad de la ansiedad en leve, moderada e intensa segun los valores de la escala entre 1-29, 30-79 y 80-100, respectivamente. Resultados: completaron el estudio 327 pacientes, 154 (47,1%) hombres con una edad mediana de 54 anos (p25-75: 45-65). En 309 (94,5%) pacientes existia algun grado de ansiedad. La mediana del valor de la escala visual analogica fue de 31 (p25-75: 10-53). La ansiedad fue leve en 136 (44%), moderada en 141 (45,6%) e intensa en 32 (10,4%) pacientes. Se asocio una mayor ansiedad con el sexo femenino (media 40,38 vs. 31,99, p = 0,01) a una colonoscopia previa mal tolerada (media 50,67 vs. 28,44, p = 0,01) y se correlaciono de manera inversa con la edad (r = -0,170, p = 0,02). Conclusiones: la realizacion de una colonoscopia provoca algun grado de ansiedad en la mayoria de los pacientes. El sexo femenino, una edad menor y una tolerancia mala en una exploracion previa se asocian con un mayor grado de ansiedad. Esta circunstancia debe ser tenida en cuenta para implementar medidas para mejorar la calidad y la tolerancia de la colonoscopia. EnglishBackground: Undergoing a colonoscopy can cause anxiety in patients and this is something which has not been closely studied. Objective: To determine the frequency and intensity of anxiety prior to a colonoscopy and the factors which are related to the procedure. Methods: This is a prospective study of patients undergoing outpatient colonoscopy in our hospital. Anxiety was assessed using a visual analogue scale of 0 to 100. The severity of anxiety was rated as mild (1-29), moderate (30-79) or severe (80-100). Results: Three hundred and twenty-seven patients completed the study, of whom 154 (47.1%) were men with a median age of 54 years (p25-75: 45-65). Three hundred and nine (94.5%) patients were found to suffer a certain degree of anxiety. The median value on the visual analogue scale was 31 (p25-75: 10-53). Anxiety levels were mild in 136 patients (44%), moderate in 141 (45.6%) and severe in 32 (10.4%). Greater anxiety was associated with female patients (mean 40.38 vs 31.99, p = 0.01) and a poorly tolerated previous colonoscopy (mean 50.67 vs 28.44, p = 0.01) and correlated inversely with age (r = -0.170, p = 0.02). Conclusions: Colonoscopy causes some degree of anxiety in most patients. Being female, younger and having experienced poor tolerance to a previous scan are associated with greater degrees of anxiety. These findings should be taken into account in the implementation of measures to improve the quality and tolerance of colonoscopy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|