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胃镜受检者的检查耐受性、检查前焦虑、知识需求和合作:一项健康筛查人群中的前瞻性、相关性分析。

Examination tolerance, pre-examination anxiety, knowledge needs and cooperation in gastroscopic examinees: A prospective, correlational analysis in a health screening population.

机构信息

Department of Nursing, Shanghai Health and Medical Center, Wuxi City, Jiangsu Province, China.

Outpatient Nursing Department, Shanghai Health and Medical Center, Wuxi City, Jiangsu Province, China.

出版信息

Nurs Open. 2024 Aug;11(8):e70006. doi: 10.1002/nop2.70006.

DOI:10.1002/nop2.70006
PMID:39161133
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11333715/
Abstract

AIM

To explore the correlations between examination tolerance and anxiety, knowledge needs and examination cooperation in sedation-free gastroscopy examinees.

DESIGN

Cross-sectional survey using convenience sampling.

METHODS

A total of 170 healthy adults who underwent sedation-free gastroenteroscopy were asked to complete a visual analogue scale (VAS) to rate their examination tolerance, the state anxiety questionnaire (S-AI), a newly designed knowledge needs questionnaire and a cooperation questionnaire.

RESULTS

The VAS score was 4.47 ± 1.96, the state anxiety score was 39.46 ± 9.81, the total score for knowledge needs was 44.89 ± 11.02, and the average cooperation score was 2.47 ± 0.38. The VAS score during the examination positively correlated with the pretest state anxiety score and pretest knowledge needs score and negatively correlated with the examination cooperation score. The results of multiple linear regression analysis showed that after undergoing the examination for the first time, anxiety, body position and swallowing control were the main factors influencing the examination tolerance of sedation-free gastroscopy examinees.

PATIENT OR PUBLIC CONTRIBUTION

We would like to thank the staff and patients of the participating hospital for their assistance and cooperation in performing the current study.

摘要

目的

探讨无镇静胃镜检查受检者检查耐受性与焦虑、知识需求和检查合作之间的相关性。

设计

采用便利抽样横断面调查。

方法

共纳入 170 例健康成年人,他们在接受无镇静胃镜检查时,需要使用视觉模拟评分量表(VAS)来评估他们的检查耐受性,填写状态焦虑问卷(S-AI)、新设计的知识需求问卷和合作问卷。

结果

VAS 评分为 4.47±1.96,状态焦虑评分为 39.46±9.81,知识需求总分为 44.89±11.02,平均合作评分为 2.47±0.38。检查过程中的 VAS 评分与检查前的状态焦虑评分和知识需求评分呈正相关,与检查合作评分呈负相关。多元线性回归分析结果显示,首次接受检查后,焦虑、体位和吞咽控制是影响无镇静胃镜检查受检者检查耐受性的主要因素。

患者或公众参与

感谢参与研究的医院工作人员和患者的协助与配合。

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Clinical Observation of the Effect of Nasal Breathing on Nonanalgesic and Sedative Gastroscopy.鼻呼吸对非镇痛镇静胃镜检查效果的临床观察。
Contrast Media Mol Imaging. 2022 Aug 26;2022:8603625. doi: 10.1155/2022/8603625. eCollection 2022.
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Alleviating Pregastroscopy Anxiety Using Mobile Social Media Application.使用移动社交媒体应用缓解胃镜检查前焦虑
Front Med (Lausanne). 2022 Jun 22;9:855892. doi: 10.3389/fmed.2022.855892. eCollection 2022.
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A self-assessment tool for predicting discomfort and tolerance in Chinese patients undergoing esophagogastroduodenoscopy.用于预测接受食管胃十二指肠镜检查的中国患者不适和耐受的自我评估工具。
BMC Gastroenterol. 2022 Jun 6;22(1):287. doi: 10.1186/s12876-022-02364-0.
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Do difficulties in emotional processing predict procedure pain and shape the patient's colonoscopy experience?情绪处理困难是否预示着操作疼痛,并影响患者的结肠镜检查体验?
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