Liu Yuan Yuan, Liu Yan Qun, Petrini Marcia A
Yuan Yuan Liu, MS, RN, is Staff Nurse, Tongji Hospital, Wuhan, Hubei, China. Yan Qun Liu, PhD, RN, is Lecturer, HOPE School of Nursing, Wuhan University, Wuhan, Hubei, China. Marcia A. Petrini, PhD, MPA, RN, FAAN, is Adjunct Professor, Chiang Mai University, Chiang Mai, Thailand. Yuan Yuan Liu, Yan Qun Liu, and Marcia A. Petrini contributed to the study design and manuscript preparation and Yuan Yuan Liu and Yan Qun Liu contributed to the data collection and analysis.
Gastroenterol Nurs. 2018 Jan/Feb;41(1):47-58. doi: 10.1097/SGA.0000000000000302.
Examination of the relationship between patients' coping style, pregastroscopy information, and anxiety associated with gastroscopy in China was the aim of this study. A pretest, post-test, nonrandom assignment study with a two by two design was conducted. One hundred forty-five patients who underwent initial gastroscopy without sedation were classified into 2 groups on the basis of the coping style: information seekers or information avoiders using the Information Subscale of the Krantz Health Opinion Survey (KHOS-I). All participants were given standardized procedural information about gastroscopy as routine care. Half of each group was assigned to receive additional sensory information describing what sensation they would experience and how to cooperate to alleviate the discomfort. State anxiety assessed by the State Anxiety Scale of Spielberg's State-Trait Anxiety Inventory, blood pressure, and pulse were measured at enrollment and before gastroscopy. The information seekers and avoiders who received additional sensory information experienced significantly less state anxiety after the intervention. In contrast, the information seekers and avoiders who received standardized procedural information maintained their preintervention state anxiety level. Most patients reported their preference for sensory information. In conclusion, the provision of sensory information could significantly reduce patients' pregastroscopy anxiety regardless of patients' information coping style.
本研究旨在探讨中国患者的应对方式、胃镜检查前信息与胃镜检查相关焦虑之间的关系。采用二乘二设计进行了一项前测、后测、非随机分组研究。145例未使用镇静剂进行初次胃镜检查的患者，根据应对方式，使用克兰茨健康意见调查（KHOS-I）的信息子量表分为信息寻求者或信息回避者两组。所有参与者均接受了关于胃镜检查的标准化程序信息作为常规护理。每组中的一半被分配接受额外的感官信息，描述他们将经历的感觉以及如何配合以减轻不适。在入组时和胃镜检查前，使用斯皮尔伯格状态-特质焦虑量表的状态焦虑量表评估状态焦虑，并测量血压和脉搏。接受额外感官信息的信息寻求者和回避者在干预后状态焦虑显著减轻。相比之下，接受标准化程序信息的信息寻求者和回避者维持了干预前的状态焦虑水平。大多数患者表示他们更喜欢感官信息。总之，无论患者的信息应对方式如何，提供感官信息都可以显著降低患者胃镜检查前的焦虑。
