Hagiwara Shin-Ichiro, Nakayama Yoshiko, Tagawa Manabu, Arai Katsuhiro, Ishige Takashi, Murakoshi Takatsugu, Sekine Hiroko, Abukawa Daiki, Yamada Hiroyuki, Inoue Mikihiro, Saito Takeshi, Kudo Takahiro, Seki Yoshitaka
Division of General Pediatrics, Saitama Children's Medical Center, 2100 Magome, Iwatsuki-ku, Saitama 339-8551, Japan.
Department of Pediatrics, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.
Scientifica (Cairo). 2015;2015:797564. doi: 10.1155/2015/797564. Epub 2015 Aug 31.
Objective. To assess anxiety among pediatric patients and their parents related to initial gastrointestinal endoscopy. Methods. Patients aged <19 years undergoing initial gastrointestinal (GI) endoscopy and their parents were invited to complete a self-administered questionnaire related to endoscopy in 13 institutions in Japan. Results. The subjects were 128 children, aged 1 month to 17 years. Forty-eight patients (37.5%) underwent esophagogastroduodenoscopy (EGD), 32 (25%) underwent colonoscopy (CS), 39 (30.5%) underwent both EGD and CS, 3 (2.3%) underwent balloon enteroscopy (BE), 3 (2.3%) underwent capsule endoscopy (CE), and 3 (2.3%) underwent CE and other endoscopic procedures. In the preendoscopy questionnaire, the most common concerns of the patients and parents before undergoing the procedure were "Pain" (45% of the patients underwent EGD or BE via the oral approach, and 52% of the patients underwent CS or BE via the anal approach) and "Procedural accidents related to the endoscopy" (63% of parents). In the postendoscopy questionnaire, the most common difficulty that patients and parents actually experienced before and after undergoing the procedure was "Hunger." Conclusion. A preparatory intervention including an explanation regarding specific concerns before initial GI endoscopy, which this study revealed, could reduce anxiety experienced by both pediatric patients and parents.
目的。评估儿科患者及其父母在初次胃肠内镜检查时的焦虑情绪。方法。邀请年龄小于19岁的初次接受胃肠（GI）内镜检查的患者及其父母，在日本的13家机构完成一份与内镜检查相关的自填式问卷。结果。研究对象为128名年龄在1个月至17岁之间的儿童。48例患者（37.5%）接受了食管胃十二指肠镜检查（EGD），32例（25%）接受了结肠镜检查（CS），39例（30.5%）同时接受了EGD和CS，3例（2.3%）接受了气囊小肠镜检查（BE），3例（2.3%）接受了胶囊内镜检查（CE），3例（2.3%）接受了CE及其他内镜检查。在内镜检查前问卷中，患者及其父母在检查前最常见的担忧是“疼痛”（45%经口途径接受EGD或BE的患者，52%经肛门途径接受CS或BE的患者）和“与内镜检查相关的操作事故”（63%的父母）。在内镜检查后问卷中，患者及其父母在检查前后实际经历的最常见困难是“饥饿”。结论。本研究揭示，在初次胃肠内镜检查前进行包括针对特定担忧的解释在内的准备性干预措施，可以减轻儿科患者及其父母的焦虑情绪。
