Shahrbabaki Parvin Mangolian, Asadi Nadere Baniasadi, Dehesh Tania, Nouhi Esmat
Department of Critical Care Nursing, Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Iran J Nurs Midwifery Res. 2022 Nov 18;27(6):554-559. doi: 10.4103/ijnmr.ijnmr_96_22. eCollection 2022 Nov-Dec.
Due to the increasing prevalence of intestinal diseases, colonoscopy is considered a safe and fast diagnostic and treatment method for these patients. According to studies, most patients waiting for a colonoscopy experience fear and anxiety. This study aimed to investigate the effect of a pre-colonoscopy education program on the fear and anxiety of patients undergoing colonoscopy.
This randomized clinical trial study was conducted on patients undergoing colonoscopy in hospitals in southeast Iran. A total of 90 participants were selected by convenient sampling and randomly assigned to two groups control ( = 45) and intervention ( = 45). The patients in the intervention group received nursing interventions before colonoscopy, while the patients in the control group received only routine care. The data were collected using a researcher-made fear of colonoscopy scale, its Cronbach's alpha coefficient (0.92), and the Spielberger State-Trait Anxiety Inventory. The data were analyzed with a Chi-square -test and pair -test.
The data showed that anxiety and fear of colonoscopy in the patients in the intervention group significantly decreased compared to the patients in the control group ( < 0.001).
Using non-pharmacological methods before colonoscopy can reduce the fear and anxiety in patients who are candidates for this procedure and similar invasive procedures. The intervention performed in this study can be used together with other methods to control patients' fear and anxiety. Especially for nurses, It is recommended to do pre-colonoscopy education programs for these clients.
由于肠道疾病的患病率不断上升，结肠镜检查被认为是这些患者安全、快速的诊断和治疗方法。根据研究，大多数等待结肠镜检查的患者会感到恐惧和焦虑。本研究旨在调查结肠镜检查前教育计划对接受结肠镜检查患者恐惧和焦虑的影响。
本随机临床试验研究在伊朗东南部医院接受结肠镜检查的患者中进行。通过便利抽样共选取90名参与者，并随机分为两组，对照组（n = 45）和干预组（n = 45）。干预组患者在结肠镜检查前接受护理干预，而对照组患者仅接受常规护理。使用研究者编制的结肠镜检查恐惧量表（其Cronbach's alpha系数为0.92）和斯皮尔伯格状态-特质焦虑量表收集数据。采用卡方检验和配对检验对数据进行分析。
数据显示，与对照组患者相比，干预组患者对结肠镜检查的焦虑和恐惧显著降低（P < 0.001）。
在结肠镜检查前使用非药物方法可以减轻接受该检查及类似侵入性检查患者的恐惧和焦虑。本研究中实施的干预措施可与其他方法一起用于控制患者的恐惧和焦虑。特别是对于护士，建议为这些患者开展结肠镜检查前教育计划。
