Assessment of the Factors Influencing the Degree of Pain Associated with Upper Gastrointestinal Endoscopic Examination
| Jazyk: | japonština |
|---|---|
| Rok vydání: | 2009 |
| Předmět: | |
| Zdroj: | 富山大学看護学会誌. 8(2):25-32 |
| ISSN: | 1882-191X |
| Popis: | In this study, we aimed to clarify the factors influencing the degree of pain in the patients undergoing upper gastrointestinal endoscopic examination. The subjects of this study were 201 patients who underwent upper gastrointestinal endoscopic examination. We investigated the subjects' background factors such as gender, age, number of previous upper gastrointestinal endoscopic examinations and presence of sedative administration in this study, and recorded the examination time and the number of vomiting reflexes during the examination. We also performed psychological tests using the Japanese version of the State-Trait Anxiety Inventory (STAI), and evaluated the degree of pain using the visual analogue scale (VAS). Consequently, the degree of pain was significantly lower in the sedation group than in the no sedation group, it was clarified that number of vomiting reflexes during the examination, the patients' age, and the state-anxiety scores were the factors influencing the degree of pain associated with upper gastrointestinal endoscopic examination. In particular, sedative administration was effective in ensuring that the patients did not experience any pain during upper gastrointestinal endoscopic examination. Furthermore, we suggest that the nurses should play an active role in relieving patients from pre-examination anxiety and assisting the patients in recovering from the pain caused by vomiting reflexes during the examination. 本研究は，上部消化管内視鏡検査を受けた患者の苦痛度に関与する要因を明らかにすることを目的とした。上部消化管内視鏡検査を受ける201名の患者を対象に，患者の背景因子（性，年齢，過去に上部消化管内視鏡検査を受けた回数，本研究施行時における鎮静剤投与の有無）を調べるとともに，検査時間と検査中の患者の嘔吐反射の回数を記録した。さらに，自己評定質問紙のSTAI（State-Trait Anxiety Inventory）の日本語版を用いて心理テストを行うと共に、VAS（Visual Analogue Scale）を用いて患者の苦痛度を判定した。その結果，鎮静剤投与群は鎮静剤非投与群に比べ，苦痛度は有意に低かった。また，上部消化管内視鏡検査の苦痛度に影響する要因として，検査中の嘔吐反射の回数，年齢，状態不安が明らかになった。このような結果から，より苦痛の少ない上部消化管内視鏡検査のためには，鎮静剤投与は有効であると共に，看護師の役割として，検査前は検査に対する患者の不安の軽減を図り，検査中は嘔吐反射による苦痛を緩和するための介入の必要性が示唆された。 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|