Anxiety Levels in Patients Undergoing Sedation for Elective Upper Gastrointestinal Endoscopy and Colonoscopy

Mehmet Sargin, Mehmet Selcuk Uluer, Eyüp Aydogan, Bülent Hanedan, Muhammed İsmail Tepe, Mehmet Ali Eryılmaz, Emre Ebem, Sadık Özmen, Mehmet Sargin, Mehmet Selcuk Uluer, Eyüp Aydogan, Bülent Hanedan, Muhammed İsmail Tepe, Mehmet Ali Eryılmaz, Emre Ebem, Sadık Özmen

Abstract

Background: Anxiety is a common preprocedural problem and during processing especially in interventional medical processes.

Aim: Aim of this study was to assess the level of anxiety in patients who will undergo upper gastrointestinal endoscopy and coloscopy.

Methods: Five hundred patients scheduled to undergo sedation for elective upper gastrointestinal endoscopy and colonoscopy were studied. Beck Anxiety Inventory (BAI) was administered to each patient before brought to the endoscopy room. Demographic data of patients were collected.

Results: BAI scores and anxiety levels were significantly lower in; males compared to females, patients with no comorbidity compared to patients with comorbidity (both P values < 0.001). BAI scores were significantly lower in patients educational status university and upper compared to patients educational status primary-high school (p=0.026). There were no significant difference between BAI and anxiety levels compared to procedures (Respectively, P=0.144 P=0.054). There were no significant difference between BAI scores and anxiety levels compared to age groups (Respectively, P=0.301 P=0.214).

Conclusions: We think that level of anxiety in patients who will undergo upper gastrointestinal endoscopy and colonoscopy was effected by presence of comorbidities and gender but was not effected by features such as age, procedure type and educational status.

Keywords: Anxiety; colonoscopy; sedation; upper gastrointestinal endoscopy.

Conflict of interest statement

• Conflict of interest: none declared.

References

    1. Axon AT, Bell GD, Jones RH, Quine MA, McCloy RF. Guidelines on appropriate indications for upper gastrointestinal endoscop Working Party of the Joint Committee of the Royal College of Physicians of London, Royal College of Surgeons of England, Royal College of Anaesthetists, Association of Surgeons, the British Society of Gastroenterology, and the Thoracic Society of Great Britain. BMJ. 1995 Apr 1;310(6983):853–6.
    1. Yamada T. Endoscopy Handbook of Gastroenterology. USA: Lippincott Williams & Wilkins; 2002. pp. 667–80.
    1. Weinman J, Johnston M. In: Topics in health psychology. Maes S, Spielberger CD, Defares P, Sarason I, editors. Chichester: John Wiley & Sons; 1988.
    1. Rex DK, Khalfan HK. Sedation and the technical performance of colonoscopy. Gastrointestinal Endoscopy Clinics of North America. 2005;15:661–72.
    1. Williams GL, Clarke P, Vellacott KD. Anxieties should not be forgotten when screening relatives of colorectal cancer patients by colonoscopy. Colorectal Dis. 2006;8:781–4.
    1. Jones MP, Ebert CC, Sloan T, Spanier J, Bansal A, Howden CW, et al. Patient anxiety and elective gastrointestinal endoscopy. J Clin Gastroenterol. 2004 Jan;38(1):35–40.
    1. Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica. 1983;67:361–70.
    1. Essink-Bot ML, Kruijshaar ME, Bac DJ, Wismans PJ, ter Borg F, Steyerberg EW, et al. Different perceptions of the burden of upper GI endoscopy: an empirical study in three patient groups. Qual Life Res. 2007 Oct;16(8):1309–18.
    1. Spielberger C. State-Trait Anxiety Inventory (Form Y) Palo Alto, California: Mind Garden; 1983.
    1. Campo R, Brullet E, Montserrat A, Calvet X, Moix J, Rué M, et al. Identification of factors that influence tolerance of upper gastrointestinal endoscopy. Eur J Gastroenterol Hepatol. 1999 Feb;11(2):201–4.
    1. Rudin D. Frequently overlooked and rarely listened to: music therapy in gastrointestinal endoscopic procedures. World J Gastroenterol. 2007;13(33):4533.
    1. Salmore RG, Nelson JP. The effect of preprocedure teaching, relaxation instruction, and music on anxiety as measured by blood pressures in an outpatient gastrointestinal endoscopy laboratory. Gastroenterol Nurs. 2000;23:102–10.
    1. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology. 1988;56:893–7.
    1. Chung KC, Juang SE, Lee KC, Hu WH, Lu CC, Lu HF, et al. The effect of pre-procedure anxiety on sedative requirements for sedation during colonoscopy. Anaesthesia. 2013 Mar;68(3):253–9.
    1. Lee SY, Son HJ, Lee JM, Bae MH, Kim JJ, Paik SW, et al. Identification of factors that influence conscious sedation in gastrointestinal endoscopy. J Korean Med Sci. 2004 Aug;19(4):536–40.
    1. El-Hassan H, McKeown K, Muller AF. Clinical trial: music reduces anxiety levels in patients attending for endoscopy. Aliment Pharmacol Ther. 2009 Oct;30(7):718–24.
    1. Ersöz F, Toros AB, Aydoğan G, Bektaş H, Ozcan O, Arikan S. Assessment of anxiety levels in patients during elective upper gastrointestinal endoscopy and colonoscopy. Turk J Gastroenterol. 2010 Mar;21(1):29–33.
    1. Trevisani L, Sartori S, Putinati S, Gaudenzi P, Chiamenti CM, Gilli G, et al. Assessment of anxiety levels in patients during diagnostic endoscopy. Recenti Prog Med. 2002 Apr;93(4):240–4.
    1. Muzzarelli L, Force M, Sebold M. Aromatherapy and reducing preprocedural anxiety: a controlled prospective study. Gastroenterol Nurs. 2006;29:466–71.
    1. Drossman DA, Brandt LJ, Sears C, Li Z, Nat J, Bozymski EM. A preliminary study of patients’concerns related to GI endoscopy. Am J Gastroenterol. 1996 Feb;91(2):287–91.

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