Morgan J, Roufeil L, Kaushik S, Bassett M
School of Social Sciences and Liberal Studies, Charles Sturt University, Bathurst, New South Wales, Australia.
Gastrointest Endosc. 1998 Aug;48(2):119-27. doi: 10.1016/s0016-5107(98)70152-x.
This study assessed the relationship between patient coping style, precolonoscopy information, and anxiety and pain associated with colonoscopy.
Eighty consecutive adult patients undergoing initial colonoscopy were classified into two groups on the basis of coping style: information seekers or information avoiders. All were given standardized information about colonoscopy. Half of each group was randomly assigned to receive additional sensory information describing what they could expect to feel. Self-report, physiologic, and behavioral indices of anxiety and pain were measured.
Patients given information congruent with coping style experienced significantly less self-report anxiety immediately after the information intervention and spent less time in recovery. In contrast, patients given information not congruent with coping style maintained their pre-intervention anxiety level. Patients given information congruent with coping style scored lower on behavioral indices of pain, but there were no differences with respect to patient perception of pain or the dosage of sedative drugs. Most patients reported that the bowel preparation was the most distressing part of the colonoscopy.
Assessment of coping style and provision of congruent information reduces anxiety, recovery time, and observed behavioral indices of pain of colonoscopy but has no effect on sedation dose or patient perception of pain.
本研究评估了患者应对方式、结肠镜检查前信息与结肠镜检查相关焦虑和疼痛之间的关系。
80例连续接受初次结肠镜检查的成年患者根据应对方式分为两组：信息寻求者或信息回避者。所有患者均接受了关于结肠镜检查的标准化信息。每组中的一半患者被随机分配接受额外的感官信息，描述他们可能会有何种感受。测量焦虑和疼痛的自我报告、生理和行为指标。
在信息干预后，接受与应对方式相符信息的患者自我报告的焦虑明显减少，恢复时间缩短。相比之下，接受与应对方式不符信息的患者维持干预前的焦虑水平。接受与应对方式相符信息的患者在疼痛行为指标上得分较低，但在患者对疼痛的感知或镇静药物剂量方面没有差异。大多数患者报告肠道准备是结肠镜检查中最痛苦的部分。
评估应对方式并提供相符信息可减少结肠镜检查的焦虑、恢复时间和观察到的疼痛行为指标，但对镇静剂量或患者对疼痛的感知没有影响。
