Impact of multimedia information on bronchoscopy procedure: is it really helpful?

Ersin Günay, Elif Doğan Baki, Serdar Kokulu, Sevinç Sarınç Ulaşlı, Gürhan Öz, Olcay Akar, Erman Bağcıoğlu, Mehmet Ünlü, Ersin Günay, Elif Doğan Baki, Serdar Kokulu, Sevinç Sarınç Ulaşlı, Gürhan Öz, Olcay Akar, Erman Bağcıoğlu, Mehmet Ünlü

Abstract

Aim: In this study, we aimed to investigate the effect of written informed consent and comprehensive multimedia information on the anxiety level of patients, consumption of sedatives, difficulties during bronchoscopy, complications and duration of procedure.

Methods: 150 patients undergoing bronchoscopy were included to this study. They were randomized into two groups Multimedia information group (MIG, n = 75) and written-informed consent group (WICG, n = 75)). Signed written informed consent was obtained from all patients. Patients in MIG group watched comprehensive multimedia presentation. State anxiety scores of all patients were evaluated with State and Trait anxiety inventory (STAI-S).

Results: STAI-S score of patients in MIG (40.31 ± 8.08) was lower than patients in WICG (44.29 ± 9.62) (P = 0.007). Satisfaction level was higher in MIG (P = 0.001). Statistically higher difficulties during passage through vocal cords and interventions during bronchoscopy were present in WICG group (P = 0.013 and P = 0.043, respectively). Total midazolam dose during bronchoscopy, and duration of bronchoscopy were statistically lower in MIG patients (P < 0.001 and P = 0.045, respectively). Difficulties during waiting period, passage through nasal/oral route, applications of local anesthesia and complication frequency were similar in both groups.

Conclusion: Besides reducing the state anxiety, multimedia information can reduce the dose of sedation, shorten the processing duration and reduce the difficulties during bronchoscopy.

Keywords: Bronchoscopy; ethics; multimedia information; sedation.

Conflict of interest statement

Conflict of Interest: None declared.

References

    1. Cabrini L, Gioia L, Gemma M, Melloni G, Carretta A, Ciriaco P, et al. Acupuncture for diagnostic fiberoptic bronchoscopy: A prospective, randomized, placebo-controlled study. Am J Chin Med. 2006;34:409–15.
    1. Weinman J, Johnston M. In: Topics in Health Psychology. Maes S, Spielberger CD, Defares P, Sarason L, editors. Chichester: John wiley & sons; 1988.
    1. Günay E, Bagcioglu E, Sarinc Ulasli S, Akar O, Oz G, Coskun KS, et al. Impact of multimedia informatýon on anxiety levels of patients candidate for bronchoscopy. Acta Med Mediterr. 2014;30:49–56.
    1. Tamam MO, Bagcioglu E, Mulazimoglu M, Tamam L, Ozpacaci T. Evaluation of anxiety and depression in patients prior to myocardial perfusion scintigraphy. Int J Psychiatry Clin Pract. 2012;16:93–7.
    1. Bytzer P, Lindeberg B. Impact of an information video before colonoscopy on patient satisfaction and anxiety - a randomized trial. Endoscopy. 2007;39:710–4.
    1. van Zuuren FJ, Grypdonck M, Crevits E, Vande Walle C, Defloor T. The effect of an information brochure on patients undergoing gastrointestinal endoscopy: A randomized controlled study. Patient Educ Couns. 2006;64:173–82.
    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;68:253–9.
    1. Luck A, Pearson S, Maddern G, Hewett P. Effect of video information on precolonoscopy and knowledge: A randomized trial. Lancet. 1999;354:2032–5.
    1. Faul F, Erdfelder E, Lang A, Buchner A. G Power 3: A flexible statistical power analysis for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–91.
    1. Johnston M, Vogele C. Benefits of psychological preparation for surgery: A meta-analysis. Ann Behav Med. 1993;15:245–56.
    1. Marteau TM, Kidd J, Cuddeford L. Reducing anxiety in women referred for colonoscopy using an information booklet. Br J Health Psychol. 1996;1:181–9.
    1. Olver IN, Turrell SJ, Olszewski NA, Willson KJ. Impact of an information and consent form on patients having chemotherapy. Med J Aust. 1995;162:82–3.
    1. Stanley BM, Walters DJ, Maddern GJ. Informed consent: How much information is enough? Aust N Z J Surg. 1998;68:788–91.
    1. Arabul M, Kandemir A, Çelik M, Alper E, Akpinar Z, Aslan F, et al. Impact of an information video before colonoscopy on patient satisfaction and anxiety. Turk J Gastroenterol. 2012;23:523–9.
    1. Wanzer MB, Wojtaszczyk AM, Schimert J, Missert L, Baker S, Baker R, et al. Enhancing the “informed” in informed consent: A pilot test of a multimedia presentation. Health Commun. 2010;25:365–74.
    1. Agre P, Kurtz RC, Krauss BJ. A randomized trial using videotape to present consent information for colonoscopy. Gastrointest Endosc. 1994;40:271–6.
    1. Johnson JE, Morrissey JF, Leventhal H. Psychological preparation for an endoscopic examination. Gastrointest Endosc. 1973;19:180–2.
    1. Simons RJ, Baily RG, Zelis R, Zwillich CW. The physiologic and psychological effects of the bedside presentation. N Engl J Med. 1989;321:1273–5.
    1. Smoller JW, Pollack MH, Otto MW, Rosenbaum JF, Kradin RL. Panic anxiety, dyspnea, and respiratory disease: Theoretical and clinical considerations. Am Rev Respir Crit Care Med. 1996;154:6–17.
    1. Colt HG, Powers A, Shanks TG. Effect of music on state anxiety scores in patients undergoing fiberoptic bronchoscopy. Chest. 1999;116:819–24.
    1. McIsaac HK, Thordarson DS, Shafran R, Rachman S, Poole G. Claustrophobia and the magnetic resonance imaging procedure. J Behav Med. 1998;21:255–68.
    1. British Thoracic Society Bronchoscopy Guidelines Committee, a Subcommittee of Standards of Care Committee of British Thoracic Society. Thorax. 2001;56(Suppl):i1–21.

Source: PubMed

Sponsorzy i współpracownicy

Warunki medyczne

Interwencje lekowe

3
Subskrybuj