van Zuuren Florence J, Grypdonck Mieke, Crevits Eveline, Vande Walle Cressy, Defloor Tom
University of Amsterdam, Department of Clinical Psychology, Amsterdam, The Netherlands.
Patient Educ Couns. 2006 Dec;64(1-3):173-82. doi: 10.1016/j.pec.2005.12.014. Epub 2006 Jul 21.
The aim of the present study was to test the potential beneficial effects of an information brochure on undergoing a gastrointestinal endoscopy for the first time. The information provided was based on self-regulation theory, and patients could restrict themselves to reading the summary only.
Patients were randomly assigned to an experimental group receiving the brochure at least 1 day before the gastroscopy (N=47), or to a control group not receiving the brochure (N=48).
The results show that all experimental subjects, except one, fully read the brochure. Those receiving the brochure experienced less anxiety before the gastroscopy and, afterwards, they reported greater satisfaction with the preparation for it. With regard to coping style there were some small moderating effects into the direction expected: low blunters (those not seeking distraction under impending threat) as compared to high blunters showed extra reduced anxiety after reading the brochure. They also tended to read the brochure more often. High monitors (those seeking information under impending threat) receiving the brochure showed reduced anxiety during the gastroscopy as compared to low monitors (tendency).
We conclude that providing patients with the developed brochure constitutes an efficient, beneficial intervention.
The brochure could easily be implemented in standard practice without the necessity to take the patient's coping style into account.
本研究旨在测试一份信息手册对首次接受胃肠内镜检查的潜在益处。所提供的信息基于自我调节理论,患者可以只阅读摘要。
患者被随机分为实验组(在胃镜检查前至少1天收到手册,N = 47)或对照组(未收到手册,N = 48)。
结果显示,除一名患者外,所有实验组受试者都完整阅读了手册。收到手册的患者在胃镜检查前焦虑程度较低,并且在检查后,他们对检查准备工作的满意度更高。在应对方式方面,出现了一些朝着预期方向的小调节效应:与高掩饰者相比,低掩饰者(即在即将到来的威胁下不寻求分心的人)在阅读手册后焦虑程度额外降低。他们也更倾向于频繁阅读手册。与低监控者相比,收到手册的高监控者(即在即将到来的威胁下寻求信息的人)在胃镜检查期间焦虑程度降低(有此趋势)。
我们得出结论,向患者提供编写好的手册是一种有效且有益的干预措施。
该手册可以很容易地在标准实践中实施,而无需考虑患者的应对方式。