The Effect of Preparatory Education Program on Discomfort and Retching of Examinees during Upper Gastrointestinal Endoscopy.
10.4082/kjfm.2012.33.4.219
- Author:
Ju Yeon LEE
1
;
Min Whon ANHN
;
Eun Tae KIM
;
Dae Hyun KIM
;
Hyuk Jung KWEON
;
Dong Yung CHO
;
Hyung Moon YOON
Author Information
1. Department of Family Medicine, Seoul Red Cross Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Preparatory Education;
Program;
Endoscopy;
Anxiety
- MeSH:
Aged;
Anxiety;
Endoscopy;
Endoscopy, Gastrointestinal;
Health Promotion;
Humans;
Incidence;
Korea;
Logistic Models;
Male;
Stomach Neoplasms
- From:Korean Journal of Family Medicine
2012;33(4):219-228
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Although upper gastrointestinal (UGI) endoscopy is highly sensitive for the detection of esophago-gastroduodenal lesions, pain and discomfort during the procedure cause examinees to experience stress and anxiety. Moreover, there have been only a few studies on relief of pain and discomfort during UGI endoscopy through preparatory interventions. Therefore, the aim of this study was to investigate the relationship between a preparatory education program and the discomfort and retching experienced by examinees during endoscopy. METHODS: A total of 306 examinees who visited a health promotion center and underwent non-sedated endoscopy from May 13 to July 3, 2009 were included in this study. After they were assigned to experimental (n = 154) and control groups (n = 152), their discomfort and retching were measured with a visual analogue scale. The preparatory education program consisted of cognitive intervention, behavioral intervention and information. RESULTS: The preparatory education program relieved discomfort during endoscopy in male subjects, in subjects aged 60 and over, or in subjects with previous endoscopic experience with statistical significance (P < 0.05). It also relieved retching during endoscopy in subjects aged 60 and over with statistical significance (P = 0.023). Multiple logistic regression analysis showed that the preparatory education program significantly relieved the discomfort of examinees during endoscopy (P = 0.028). CONCLUSION: We found that the preparatory education program used in this study could significantly relieve the discomfort caused by endoscopy, particularly in subjects aged 60 and over, or in male subjects with a high incidence of stomach cancer in Korea.
