Ersöz Feyzullah, Toros Ahmet Burak, Aydoğan Gülşen, Bektaş Hasan, Ozcan Ozhan, Arikan Soykan
Department of General Surgery, Istanbul Education and Research Hospital Council of Forensic Medicine, Istanbul.
Turk J Gastroenterol. 2010 Mar;21(1):29-33. doi: 10.4318/tjg.2010.0044.
BACKGROUND/AIMS: Upper gastrointestinal endoscopy and colonoscopy are frequently performed procedures that can cause anxiety related to disappointing expectations, embarrassment and fear of discomfort. The aim of this study was to examine the possible relationship between state anxiety and trait anxiety with upper gastrointestinal endoscopy and colonoscopy.
Ninety-eight consecutive outpatients (52 gastroscopy and 46 colonoscopy) undergoing upper gastrointestinal endoscopy and colonoscopy were interviewed to evaluate anxiety. Anxiety was rated at baseline and immediately prior to upper gastrointestinal endoscopy and colonoscopy using the Spielberger State- Trait Anxiety Inventory.
A modest but significant increase was detected in state anxiety prior to upper gastrointestinal endoscopy and colonoscopy but no change was detected in trait anxiety in either group. Anxiety levels were not related with the type of endoscopic procedure. State anxiety scores increased from 36.9 (28.5 42.5) to 45.7 (27.5 48.0) (p=0.001) in patients undergoing upper gastrointestinal endoscopy and from 36.2 (26.5 38.5) to 44.8 (30.5 48.0) (p=0.001) in patients undergoing colonoscopy. Females had higher anxiety levels than males in both groups.
Diagnostic outpatient upper gastrointestinal endoscopy and colonoscopy were associated with remarkable anxiety in patients; however, anxiety levels were not related with the type of endoscopic procedure.
背景/目的：上消化道内镜检查和结肠镜检查是常用的检查方法，可能会因期望落空、尴尬和对不适的恐惧而导致焦虑。本研究的目的是探讨状态焦虑和特质焦虑与上消化道内镜检查和结肠镜检查之间的可能关系。
对98例连续接受上消化道内镜检查和结肠镜检查的门诊患者（52例行胃镜检查，46例行结肠镜检查）进行访谈以评估焦虑情况。使用斯皮尔伯格状态-特质焦虑量表在基线时以及在上消化道内镜检查和结肠镜检查前即刻对焦虑进行评分。
在上消化道内镜检查和结肠镜检查前检测到状态焦虑有适度但显著的增加，但两组的特质焦虑均未发现变化。焦虑水平与内镜检查类型无关。接受上消化道内镜检查的患者状态焦虑评分从36.9（28.5 42.5）升至45.7（27.5 48.0）（p = 0.001），接受结肠镜检查的患者从36.2（26.5 38.5）升至44.8（30.5 48.0）（p = 0.001）。两组中女性的焦虑水平均高于男性。
门诊诊断性上消化道内镜检查和结肠镜检查与患者的明显焦虑有关；然而，焦虑水平与内镜检查类型无关。
