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提供胃镜检查前书面教育材料对患者焦虑的影响:一项随机对照试验。

The effects of providing pre-gastrointestinal endoscopy written educational material on patients' anxiety: a randomised controlled trial.

机构信息

Gazi University Faculty of Health Sciences, Nursing Department, Ankara, Turkey.

出版信息

Int J Nurs Stud. 2010 Sep;47(9):1066-73. doi: 10.1016/j.ijnurstu.2010.01.007. Epub 2010 Feb 23.

Abstract

BACKGROUND

Endoscopy is a frequently applied operation in health institutions which may cause anxiety in patients.

OBJECTIVE

The objective of this study is to determine the effects of written educational material related to the endoscopy procedure on the anxiety level of the patient before gastrointestinal endoscopy.

DESIGN

A randomised controlled trial design with two groups: case and control groups.

PARTICIPANTS

140 patients assigned randomly who applied for gastrointestinal endoscopy.

INTERVENTION

the control group in our study consisted of 70 people who were briefly informed by the relevant unit about pre-endoscopy preparation. The case group consisted of 70 people who were also given brief information about the pre-endoscopy preparation by the relevant unit. Only the case group were also given written educational material and told orally by the researcher about the content.

MEASUREMENTS

for the collection of the data, a questionnaire form and Spielberger's State-Trait Anxiety Inventory were used.

RESULTS

A significant difference in the average state anxiety scores was found between the case and the control group (p<0.05). An important difference was found in the average state anxiety scores between the case and the control group who had not undergone endoscopy before our study (p<0.05).

CONCLUSIONS

Use of written material including detailed information to inform the patient before endoscopy was useful in lessening their anxiety level. Health professionals should evaluate the anxiety level of patients before endoscopy and educational material should be given to them to read.

摘要

背景

内窥镜检查是医疗机构中经常进行的一项操作,可能会引起患者的焦虑。

目的

本研究旨在确定与内窥镜检查程序相关的书面教育材料对胃肠道内窥镜检查前患者焦虑水平的影响。

设计

一项随机对照试验设计,分为两组:病例组和对照组。

参与者

随机分配的 140 名申请胃肠道内窥镜检查的患者。

干预措施

在我们的研究中,对照组由 70 人组成,他们由相关单位简要告知内窥镜检查前的准备情况。病例组也由 70 人组成,他们也由相关单位简要告知内窥镜检查前的准备情况。只有病例组还获得了书面教育材料,并由研究人员口头告知其内容。

测量

为了收集数据,使用了问卷表和 Spielberger 的状态-特质焦虑量表。

结果

病例组和对照组的平均状态焦虑评分有显著差异(p<0.05)。在我们的研究之前,未接受过内窥镜检查的病例组和对照组的平均状态焦虑评分也有显著差异(p<0.05)。

结论

在进行内窥镜检查前使用包括详细信息的书面材料通知患者有助于减轻他们的焦虑水平。医疗保健专业人员应在进行内窥镜检查前评估患者的焦虑水平,并应给予他们阅读教育材料。

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