Ahmed Abdelwahab, McKay Anusha, Musa Arif, Naji Abdullah, Zuchelli Tobias
Cleveland Clinic Foundation, Cleveland, OH, USA.
Department of Internal Medicine, Detroit Medical Center, Detroit, MI, USA.
Dig Dis Sci. 2025 Jul 24. doi: 10.1007/s10620-025-09239-w.
Colonoscopy is often considered by patients to be an anxiety-provoking procedure. Studies have investigated different approaches to help alleviate anxiety prior to colonoscopies. However, there have been no investigations of gastroenterologists and their attitudes towards pre-procedural anxiety of patients. This study presents the largest survey assessing these attitudes.
The aim of our study is to determine attitudes and practices of gastroenterologists towards pre-procedural anxiety before colonoscopies.
An anonymous questionnaire was sent online to gastroenterologists of the American College of Gastroenterology to assess views regarding pre-procedural anxiety.
Of the 280 complete responses, most respondents were male (n = 205, 73.21%), in practice between 0 and 9 years (n = 133, 47.50%), at the attending/faculty level (n = 69.53%, 194), and practiced in the academic setting (n = 124, 44.28%). Most respondents did not ask their patients about pre-operative anxiety prior to colonoscopy (n = 149, 53.79%), although many responded that they would use a pre-procedural anxiety rating scale if one was available (n = 124, 44.73%). Techniques gastroenterologists implemented to reduce anxiety about colonoscopies in their patients included pre-operative education about the procedure (n = 223, 82.90%), permitting family members to be present (n = 90, 33.46%), and playing music (n = 77, 28.62%). On a weighted scale, most responded that the endoscopist has the most responsibility for the patient's anxiety, followed by anesthesiologists/CRNAs.
The majority of gastroenterologists did not regularly measure pre-operative anxiety prior to colonoscopy and almost half would be open to the use a tool to help assess their patient's anxiety. Future directions may include the development of a specific tool for anxiety measurement specific to colonoscopy.
患者通常认为结肠镜检查是一种引发焦虑的检查程序。已有研究探讨了不同方法来帮助减轻结肠镜检查前的焦虑。然而，尚未有针对胃肠病学家及其对患者术前焦虑态度的调查。本研究呈现了评估这些态度的最大规模调查。
我们研究的目的是确定胃肠病学家对结肠镜检查前术前焦虑的态度和做法。
向美国胃肠病学会的胃肠病学家在线发送一份匿名问卷，以评估他们对术前焦虑的看法。
在280份完整回复中，大多数受访者为男性（n = 205，73.21%），从业0至9年（n = 133，47.50%），处于主治医师/教员级别（n = 194，69.53%），且在学术机构执业（n = 124，44.28%）。大多数受访者在结肠镜检查前未询问患者术前焦虑情况（n = 149，53.79%），尽管许多人表示如果有术前焦虑评分量表，他们会使用（n = 124，44.73%）。胃肠病学家为减轻患者对结肠镜检查的焦虑所采用 的方法包括对检查程序进行术前教育（n = 223，82.90%）、允许家属在场（n =
90，33.46%）以及播放音乐（n = 77，28.62%）。在加权量表上，大多数人认为内镜医师对患者的焦虑负有最大责任，其次是麻醉医师/麻醉护士。
大多数胃肠病学家在结肠镜检查前未定期测量术前焦虑，近一半人愿意使用一种工具来帮助评估患者的焦虑。未来的方向可能包括开发一种专门用于结肠镜检查的焦虑测量工具。
