Mahajan R J, Agrawal S, Barthel J S, Marshall J B
Division of Gastroenterology, University of Missouri Hospital and Clinics, Columbia 65212, USA.
Am J Gastroenterol. 1996 Dec;91(12):2505-8.
Our academic hospital center operates an open access endoscopy service that allows referring physicians to directly schedule patients for outpatient esophagogastroduodenoscopy and colonoscopy without having them first seen in the GI clinic. Although patients from the GI clinic have an opportunity to meet the endoscopist and discuss their procedures directly beforehand, patients who are scheduled to undergo endoscopy through our open access service receive only a brief telephone call from a GI fellow or nurse that is made to screen for contraindications to the procedure and to give instructions. Our objective was to find out whether patients who used our open access service were more anxious about their procedures than those referred from the GI clinic.
On arrival to our endoscopy center, consecutive patients from the open access service (n = 142) and the GI clinic (n = 85) completed a questionnaire that included three measures of anxiety. After completion of the endoscopic procedure, the attending endoscopist rated patient cooperation. Patients also completed a phone questionnaire on the day after their procedures assessing their experience with endoscopy.
We found no difference between patients from the open access service and those from the GI clinic in any of the measures of preprocedure anxiety, in scores measuring cooperation during procedures, or in patient ratings of their experience with endoscopy as assessed on the day after procedures.
Patients who used our open access service were no more anxious about their procedures or less cooperative during them than patients first seen in the GI clinic. In both groups, procedure-related anxiety was decreased in patients who had previously undergone endoscopy.
我们的学术医院中心提供一项开放预约的内镜检查服务，允许转诊医生直接为患者安排门诊食管胃十二指肠镜检查和结肠镜检查，而无需患者先在胃肠病诊所就诊。尽管来自胃肠病诊所的患者有机会见到内镜医师并事先直接讨论他们的检查程序，但通过我们的开放预约服务安排接受内镜检查的患者仅会接到胃肠病专科住院医师或护士的简短电话，该电话用于筛查检查的禁忌症并给予指示。我们的目的是了解使用我们开放预约服务的患者是否比从胃肠病诊所转诊的患者对检查更加焦虑。
在抵达我们的内镜检查中心时，来自开放预约服务组（n = 142）和胃肠病诊所组（n = 85）的连续患者完成了一份包含三项焦虑测量指标的问卷。在内镜检查程序完成后，主治内镜医师对患者的配合情况进行评分。患者还在检查后的第二天完成了一份电话问卷，评估他们的内镜检查体验。
我们发现，在任何术前焦虑测量指标、检查过程中的配合得分或检查后第二天评估的患者内镜检查体验评分方面，开放预约服务组的患者与胃肠病诊所组的患者之间均无差异。
使用我们开放预约服务的患者对检查并不比首先在胃肠病诊所就诊的患者更加焦虑，在检查过程中也没有更不配合。在两组中，之前接受过内镜检查的患者与检查相关的焦虑均有所降低。
