Kim Hae Won, Jung Da Hyun, Youn Young Hoon, Kim Jie-Hyun, Kim Jae Jin, Park Hyo Jin
Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Department of Psychiatry, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2016 Feb;67(2):92-7. doi: 10.4166/kjg.2016.67.2.92.
BACKGROUND/AIMS: Patients who undergo endoscopic biopsy suffer anxiety until results are confirmed. This study assesses the effects of written educational material on the anxiety level of patients following endoscopic biopsy.
This study was a randomized controlled study trial with 83 patients divided into the following three groups: a biopsy group given written educational material prepared by our institution following the biopsy (intervention group, n=28), a biopsy group without written material (biopsy only group, n=25), and a control group without biopsy (control group, n=30). The anxiety level of each patient was evaluated three times using Spielberger's State-Trait Anxiety Inventory (STAI): for baseline at the first visit to our institution, at the day of endoscopy, one day later, and one week after the procedure. We compared baseline characteristics, STAI scores at each visit, and differences in STAI scores among the three groups.
No difference was found in STAI score among groups at baseline and before and after the endoscopic procedure. However, the STAI-state score of the intervention group was slightly lower than biopsy only group one day post-procedure (40.3 ± 7.7 vs. 43.9 ± 7.1, p=0.135). The STAI-state score significantly decreased from pre- to post-procedure only in the intervention group (-2.75 ± 6.1 vs. 0.92 ± 4.0, p<0.027).
Use of written educational material for patients having biopsy might lessen their anxiety level.
背景/目的：接受内镜活检的患者在结果确诊前会感到焦虑。本研究评估书面教育材料对内镜活检后患者焦虑水平的影响。
本研究为随机对照试验，83例患者分为以下三组：活检后给予本院编写的书面教育材料的活检组（干预组，n = 28）、无书面材料的活检组（仅活检组，n = 25）和无活检的对照组（对照组，n = 30）。使用斯皮尔伯格状态-特质焦虑量表（STAI）对每位患者的焦虑水平进行三次评估：在首次到本院就诊时作为基线，在内镜检查当天、检查后一天和检查后一周。我们比较了基线特征、每次就诊时的STAI评分以及三组之间STAI评分的差异。
在基线时以及内镜检查前后，各组之间的STAI评分没有差异。然而，干预组在术后一天的STAI状态评分略低于仅活检组（40.3±7.7对43.9±7.1，p = 0.135）。仅干预组的STAI状态评分从术前到术后显著降低（-2.75±6.1对0.92±4.0，p<0.027）。
为接受活检的患者使用书面教育材料可能会减轻他们的焦虑水平。
