van Vliet Marjolein J, Grypdonck Mieke, van Zuuren Florence J, Winnubst Jacques, Kruitwagen Cas
Department of Nursing Science, University Medical Center Utrecht, PO Box 85060, 3508 AB, Utrecht, The Netherlands.
Patient Educ Couns. 2004 Jan;52(1):23-30. doi: 10.1016/s0738-3991(02)00245-8.
The effects of the provision of information were tested in a sample of patients who underwent a gastrointestinal endoscopy for the first time (N=260). On the basis of their Threatening Medical Situation Inventory (TMSI)-monitoring score these patients were divided in high monitors versus low monitors. On the basis of the existing literature each group received the type of information that was considered most beneficial with regard to their coping style, and each group was compared with a control group receiving standard care (the usual information plus coaching by a nurse). Dependent variables were anxiety at different points in time, heart rate and skin conductance, pain, experience of the procedure, course of the procedure, duration of gagging, and satisfaction with the information provided. Unexpectedly, it turned out that high monitors did not profit by extensive information when compared with high monitors receiving standard care. Also for low monitors their minimal informational intervention did not exceed the effects of standard care. In the discussion, four factors possibly responsible for these results were elaborated. It is concluded that reservedness is required in providing (too) extensive information to patients who ask for this. Furthermore, considering the rather unpredictable and uncontrollable course of a gastrointestinal endoscopy, coaching by a nurse remains a valuable type of support.
在首次接受胃肠内镜检查的患者样本（N = 260）中测试了提供信息的效果。根据他们的威胁性医疗状况量表（TMSI）监测得分，这些患者被分为高监测者和低监测者。根据现有文献，每组患者都收到了就其应对方式而言被认为最有益的信息类型，并将每组与接受标准护理（常规信息加护士指导）的对照组进行比较。因变量包括不同时间点的焦虑、心率和皮肤电导、疼痛、检查体验、检查过程、 gag反射持续时间以及对所提供信息的满意度。出乎意料的是，与接受标准护理的高监测者相比，高监测者并未从广泛的信息中获益。同样，对于低监测者而言，他们的最小信息干预效果也未超过标准护理。在讨论中，详细阐述了可能导致这些结果的四个因素。得出的结论是，在向要求提供（过多）广泛信息的患者提供信息时需要谨慎。此外，考虑到胃肠内镜检查过程相当不可预测和无法控制，护士的指导仍然是一种有价值的支持方式。
