Students' Research Group"Alveolus", Medical University of Warsaw, Warsaw, Poland.
Department of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Warsaw, Poland.
PLoS One. 2022 Oct 6;17(10):e0274377. doi: 10.1371/journal.pone.0274377. eCollection 2022.
The bronchoscopy (BS) experience provokes anxiety amongst some patients. It can have a negative impact on the course of the procedure and on the willingness of patients to undergo the next BS in the future.
We aimed to identify factors influencing patients' satisfaction with BS.
The prospective study had been conducted between January and June 2019. It included patients hospitalized in our Department, who underwent elective BS. Patients assessed their anxiety and satisfaction level before and after BS using the Visual Analogue Scale (VAS). Data concerning the course of the bronchoscopy was collected.
The median level of anxiety prior to the procedure was moderate, higher in women (p<0.0001). The majority of patients (116/125, 93%) were satisfied with appropriate information before the procedure. Almost one-third of the interviewees (39/125, 31%) declared complete satisfaction (VAS = 0) with their procedure, 17 patients (14%) were dissatisfied (VAS >5/10). Overall 113 (90%) patients declared unconditional consent for future bronchoscopy. Multivariate linear regression analysis revealed two factors affecting patients' satisfaction with bronchoscopy: anxiety prior to BS (standardized regression coefficient β = 0.264, p = 0.003) and discomfort (β = 0.205, p = 0.018). Neither age, degree of amnesia, duration of the procedure nor its type added any significant value as factors affecting patient satisfaction. The most common factors inducing patients' discomfort during BS were local anesthesia of the throat (56/125, 45%) and cough (47/125, 38%).
Low anxiety level before bronchoscopy and reduced discomfort during the procedure are associated with better patient satisfaction. Thus, it is important to reduce patient anxiety and discomfort during the procedure.
支气管镜检查（BS）会引起一些患者的焦虑。它会对操作过程产生负面影响，并影响患者未来接受下一次 BS 的意愿。
我们旨在确定影响患者对 BS 满意度的因素。
前瞻性研究于 2019 年 1 月至 6 月进行。它包括在我们科住院并接受择期 BS 的患者。患者使用视觉模拟量表（VAS）在 BS 前后评估他们的焦虑和满意度水平。收集有关支气管镜检查过程的数据。
在手术前，焦虑的中位数水平处于中度，女性的焦虑水平更高（p<0.0001）。大多数患者（116/125，93%）对术前适当的信息感到满意。将近三分之一的受访者（39/125，31%）对他们的手术完全满意（VAS=0），17 名患者（14%）不满意（VAS>5/10）。总体而言，113 名（90%）患者表示无条件同意未来进行支气管镜检查。多元线性回归分析显示，有两个因素影响患者对支气管镜检查的满意度：BS 前的焦虑（标准化回归系数β=0.264，p=0.003）和不适（β=0.205，p=0.018）。年龄、遗忘程度、操作持续时间或其类型均不是影响患者满意度的重要因素。在 BS 过程中引起患者不适的最常见因素是喉咙局部麻醉（56/125，45%）和咳嗽（47/125，38%）。
BS 前的低焦虑水平和操作过程中的不适减轻与患者的满意度提高有关。因此，在操作过程中减轻患者的焦虑和不适非常重要。
