Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient's perception, compliance and anxiety level associated with the procedure


Pehlivan S. , Ovayolu N., Koruk M., Pehlivan Y., Ovayolu O., Gulsen M. T.

TURKISH JOURNAL OF GASTROENTEROLOGY, vol.22, pp.10-17, 2011 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 22
  • Publication Date: 2011
  • Doi Number: 10.4318/tjg.2011.0150
  • Title of Journal : TURKISH JOURNAL OF GASTROENTEROLOGY
  • Page Numbers: pp.10-17

Abstract

Background/aims: Diagnostic tests such as endoscopy are anxiety-provoking. The best intervention to reduce anxiety is to inform the patient about the procedure. Our study was conducted as a randomized controlled trial to determine the effect of providing information on the patient's perception of endoscopy, compliance with the procedure and their anxiety level associated with the procedure. Methods: This study included 300 patients allocated to three groups (controls, and provision of written versus verbal information). Data were collected with identification form, perception form, State! Trait Anxiety Inventory, and the Visual Analogue Scale completed by the patients and the physician regarding patient compliance. Chi-square test, paired sample t-test and one-way ANOVA tests were used for statistical evaluation of the data, and Tukey's HSD test was used for further analysis. Results: According to the results of the study, it was noted that the patients in the verbal information group responded more accurately to the questions related to the procedure. These patients experienced less pain, breathing difficulties and regret. Furthermore, they felt better during the procedure, were more satisfied, and evaluated the procedure as less difficult (p < 0.05). The mean anxiety score of the patients in the verbal information group was significantly lower than of patients in the other groups (p < 0.05). Compliance with the procedure was better in these patients than in the other groups, and the difference was statistically significant (p < 0.05). Conclusions: In light of our findings, we suggest that providing verbal information to patients is recommended due to its positive effects on the patient's perception, compliance and anxiety level associated with the procedure.