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The Impact of Comprehensive Education Before Gastroscopy on Improving the Tolerance of Patients

30 juni 2019 uppdaterad av: Ningbo No. 1 Hospital

The Impact of Comprehensive Education Before Gastroscopy on Improving the Tolerance of Patients: A Prospective Randomized Controlled Study

This clinical trial is being conducted to assess whether the comprehensive education before gastroscopy could reduce the adverse reactions, such as nausea, vomiting and improve patient satisfaction.

Studieöversikt

Status

Avslutad

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Faktisk)

260

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • Zhejiang
      • Ningbo, Zhejiang, Kina, 315010
        • Ningbo NO.1 hospital

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 75 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  1. Patients over the age of 18 years undergoing routine gastroscopy
  2. Informed consent

Exclusion Criteria:

  1. Serious coronary heart disease and myocardial injury with serious heart failure
  2. Stenosis of the esophagus or cardia obstruction
  3. Acute pharyngitis and tonsillitis
  4. Acute upper gastrointestinal bleeding
  5. Hemodynamically unstable
  6. allergy to topical lidocaine
  7. Patients did not cooperate or spirit was not normal
  8. Pregnancy

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Diagnostisk
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Dubbel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Comprehensive education group

The details of Comprehensive education are as follows:

  1. introduce the purpose, method and function of breathing training and the whole process of gastroscopy;
  2. instruct patients to take deep breath training, inhaling with his/her nose and exhaling with his/her mouth,
  3. provide patients with a disposable dental biting device and repeat exercising deep breathing again until he/she is fully mastered,
  4. inform patients to cooperate with the instructions issued by endoscopist and endoscopy nurse during the whole process of gastroscopy,
  5. inform patients to inhale with nose and exhale with mouth when the gastroscope passes through the throat, then he/she should perform inhaling and exhaling with his/her nose until the end of the gastroscopy when the endoscopist ask to adjust the breathing method,
  6. inform patients that there would be some normal physiological reaction when gastroscopy, such as throat discomfort and nausea/vomiting.

The details of Comprehensive education are as follows:

  1. introduce the purpose, method and function of breathing training and the whole process of gastroscopy;
  2. instruct patients to take deep breath training, inhaling with his/her nose and exhaling with his/her mouth,
  3. provide patients with a disposable dental biting device and repeat exercising deep breathing again until he/she is fully mastered,
  4. inform patients to cooperate with the instructions issued by endoscopist and endoscopy nurse during the whole process of gastroscopy,
  5. inform patients to inhale with nose and exhale with mouth when the gastroscope passes through the throat, then he/she should perform inhaling and exhaling with his/her nose until the end of the gastroscopy when the endoscopist ask to adjust the breathing method,
  6. inform patients that there would be some normal physiological reaction when gastroscopy, such as throat discomfort and nausea/vomiting.
Inget ingripande: standard education

The details of standard education are as follows:

  1. inform patients to cooperate with the instructions issued by endoscopist and endoscopy nurse during the whole process of gastroscopy,
  2. inform patients that there would be some normal physiological reaction when gastroscopy, such as the throat discomfort and nausea/vomiting.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Adverse reaction times in gastroscopy
Tidsram: 1 day
research assistant records nausea/vomiting/retching times in the whole process of gastroscopy
1 day

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Patients' tolerance scores
Tidsram: 1 day
At the end of the procedure, the patients were asked about the tolerance in the process of gastroscopy by using a 100-mm visual analogue scale. Tolerance includes the extent of pain and nausea. The endpoints were assigned "no nausea or no pain " to the left and "worst possible nausea or worst pain imaginable " to the right.
1 day

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Endoscopists' assessment scores
Tidsram: 1 day

At the end of the procedure, Endoscopists scored the level of difficulty in introduction of the gastroscope on a 100-mm visual analogue scale. The endpoints were assigned " easiest" to the left and " worst difficult " to the right.

Endoscopists' satisfaction was assessed with 100-mm VAS for the performances of the endoscopes. The endpoints were assigned " worst dissatisfied" to the left and " Most satisfied " to the right.

1 day
Systolic/diastolic blood pressure (SBP/DBP)
Tidsram: 1 day
Patients were monitored the Systolic/diastolic blood pressure (SBP/DBP) throughout using an electronic multifunctional patient monitor unit. The research assistant records Systolic/diastolic blood pressure (SBP/DBP) on 5 min prior to endoscopic intubation, during endoscopy and at time of entry into the stomach body
1 day
Pulse rate (PR)
Tidsram: 1 day
Patients were monitored the pulse rate (PR) throughout using an electronic multifunctional patient monitor unit. The research assistant records pulse rate (PR) on 5 min prior to endoscopic intubation, during endoscopy and at time of entry into the stomach body.
1 day
Oxygen saturation by pulse oximetry (SpO2)
Tidsram: 1 day
Patients were monitored the Oxygen saturation by pulse oximetry (SpO2) throughout using an electronic multifunctional patient monitor unit. The research assistant records oxygen saturation by pulse oximetry (SpO2) on 5 min prior to endoscopic intubation, during endoscopy and at time of entry into the stomach body.
1 day

Samarbetspartners och utredare

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Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

15 augusti 2018

Primärt slutförande (Faktisk)

15 augusti 2018

Avslutad studie (Faktisk)

15 september 2018

Studieregistreringsdatum

Först inskickad

8 augusti 2018

Först inskickad som uppfyllde QC-kriterierna

17 augusti 2018

Första postat (Faktisk)

20 augusti 2018

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

2 juli 2019

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

30 juni 2019

Senast verifierad

1 juni 2019

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • 2018-R010

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