Spodik Maya, Goldman Joshua, Merli Kirsten, Walker Cathy, Alpini Barbara, Kastenberg David
Philadelphia, Pennsylvania, USA.
Gastrointest Endosc. 2008 Jan;67(1):103-11. doi: 10.1016/j.gie.2007.08.035.
Providing a procedure report to patients after endoscopy is inconsistently practiced by clinicians.
To evaluate the effect of providing a procedure report to patients after an outpatient endoscopy.
Demographic data, including age, sex, race, and endoscopic procedures. Assessments one week after the procedure included anxiety, satisfaction, recall of endoscopic findings and recommendations, and compliance.
A prospective, randomized, single-center, investigator-blinded study. Anxiety was measured by using the Beck Anxiety Inventory; satisfaction was measured with a modified American Society for Gastrointestinal Endoscopy survey, which was validated as part of this study, and recall and compliance was measured by a patient interview, during which responses were compared with the original endoscopy report.
Single university outpatient endoscopy laboratory. Between June and September 2005, 115 patients were randomized, and 83 completed this protocol.
The two groups were equally matched, except the intervention group (received report) was older (54.4 vs 50.7 years; P = .037). Receipt of an endoscopy report reduced postprocedure anxiety (P = .001) and improved recall of findings and recommendations (P = .001 for both). Satisfaction was very high for all patients and was unaffected by receipt of a report. Patients older than 60 years had significantly lower satisfaction scores by approximately 6 points (P = .004). Some subcategories of compliance were significantly better in the intervention group, but there was no effect on the number of patients who complied with all recommendations.
Small number of patients.
The receipt of an endoscopy report at discharge reduces postprocedure anxiety, improves recall of findings and recommendations, and may increase compliance. This inexpensive and safe practice should be routinely adopted.
临床医生在内镜检查后向患者提供检查报告的做法并不一致。
评估门诊内镜检查后向患者提供检查报告的效果。
人口统计学数据，包括年龄、性别、种族和内镜检查项目。检查后一周的评估内容包括焦虑程度、满意度、对内镜检查结果及建议的记忆情况以及依从性。
一项前瞻性、随机、单中心、研究者设盲的研究。使用贝克焦虑量表测量焦虑程度；采用经过修改的美国胃肠内镜学会调查问卷测量满意度，该问卷在本研究中经过验证，通过患者访谈测量记忆情况和依从性，并将访谈回答与原始内镜检查报告进行比较。
单一大学门诊内镜检查实验室。2005年6月至9月期间，115名患者被随机分组，83名患者完成了本方案。
两组情况基本匹配，但干预组（收到报告组）年龄较大（54.4岁对50.7岁；P = 0.037）。收到内镜检查报告可降低检查后的焦虑程度（P = 0.001），并改善对检查结果及建议的记忆情况（两者P值均为0.001）。所有患者的满意度都很高，且不受是否收到报告的影响。60岁以上患者的满意度得分显著低约6分（P = 0.004）。干预组在某些依从性子类别方面明显更好，但对完全遵循所有建议的患者数量没有影响。
患者数量较少。
出院时收到内镜检查报告可降低检查后的焦虑程度，改善对检查结果及建议的记忆情况，并可能提高依从性。这种低成本且安全的做法应常规采用。
