Pehlıvan Seda, Ovayolu Nimet, Koruk Mehmet, Pehlıvan Yavuz, Ovayolu Ozlem, Gülşen Murat Taner
Department of, Nursing, Gaziantep University, Health Sciences Faculty, Gaziantep.
Turk J Gastroenterol. 2011 Feb;22(1):10-7. doi: 10.4318/tjg.2011.0150.
BACKGROUND/AIMS: Diagnostic tests such as endoscopy are anxiety-provoking. The best intervention to reduce anxiety is to inform the patient about the procedure. Our study was conducted as a randomized controlled trial to determine the effect of providing information on the patient's perception of endoscopy, compliance with the procedure and their anxiety level associated with the procedure.
This study included 300 patients allocated to three groups (controls, and provision of written versus verbal information). Data were collected with identification form, perception form, State/Trait Anxiety Inventory, and the Visual Analogue Scale completed by the patients and the physician regarding patient compliance. Chi-square test, paired sample t-test and one-way ANOVA tests were used for statistical evaluation of the data, and Tukey's HSD test was used for further analysis.
According to the results of the study, it was noted that the patients in the verbal information group responded more accurately to the questions related to the procedure. These patients experienced less pain, breathing difficulties and regret. Furthermore, they felt better during the procedure, were more satisfied, and evaluated the procedure as less difficult (p<0.05). The mean anxiety score of the patients in the verbal information group was significantly lower than of patients in the other groups (p<0.05). Compliance with the procedure was better in these patients than in the other groups, and the difference was statistically significant (p<0.05).
In light of our findings, we suggest that providing verbal information to patients is recommended due to its positive effects on the patient's perception, compliance and anxiety level associated with the procedure.
背景/目的：诸如内窥镜检查之类的诊断测试会引发焦虑。减轻焦虑的最佳干预措施是让患者了解该检查程序。我们的研究作为一项随机对照试验进行，以确定提供信息对患者对内窥镜检查的认知、对该检查程序的依从性以及与该检查程序相关的焦虑水平的影响。
本研究纳入300名患者，分为三组（对照组、提供书面信息组和提供口头信息组）。通过身份识别表、认知表、状态/特质焦虑量表以及患者和医生填写的关于患者依从性的视觉模拟量表收集数据。采用卡方检验、配对样本t检验和单因素方差分析对数据进行统计学评估，并使用Tukey's HSD检验进行进一步分析。
根据研究结果，注意到口头信息组的患者对与检查程序相关的问题回答更准确。这些患者经历的疼痛、呼吸困难和遗憾更少。此外，他们在检查过程中感觉更好，更满意，并且认为检查程序难度更小（p<0.05）。口头信息组患者的平均焦虑得分显著低于其他组患者（p<0.05）。这些患者对检查程序的依从性比其他组更好，差异具有统计学意义（p<0.05）。
根据我们的研究结果，我们建议向患者提供口头信息，因为它对患者对检查程序的认知、依从性和焦虑水平具有积极影响。
