Effective communication enhances the patients’ endoscopy experience

Toomey, Deirdre; Hackett-Brennan, Mary; Corrigan, Genevieve K.; Singh, C. P.; Nessim, G.; Balfe, Paul

doi:10.1007/s11845-015-1270-0

Cited by 15 publications

(7 citation statements)

References 12 publications

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“…Previous research has shown that patients with experience of several colonoscopies particularly value the interaction, continuity, and the technical skill of the physician more than for example, patients admitted for a screening colonoscopy [8,[13][14][15][16]. Clear and concise information before and during the colonoscopy have important and positive effects on worries and pain before and during the procedure [15][16][17]. Waiting time and the surrounding environment during the visit are also factors of importance for satisfaction with the colonoscopy [14,18].…”

Section: Introductionmentioning

confidence: 99%

Undergoing repeated colonoscopies – experiences from patients with inflammatory bowel disease

Ryhlander

Ringström

Simrén

et al. 2019

Scandinavian Journal of Gastroenterology

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Background: Patients with Inflammatory Bowel Disease (IBD) undergo repeated colonoscopies to monitor their lifelong disease. Objective: To describe experiences from repeated colonoscopies in patients with IBD. Methods: Within a qualitative design 33 patients with IBD who had undergone at least three colonoscopies were interviewed by telephone. Hermeneutic interpretation served as the framework of the analysis. Results: The colonoscopy procedure was explained as strenuous to undergo and interfered with daily life. It reminded patients of a lifelong disease, but the necessity of the colonoscopy, being life-saving, was highlighted. The colonoscopies entailed several unpredictable aspectsno control over pain, potential blame and unpredictable care. Shame, inferiority and uncertainty enhanced the feeling of being exposed and vulnerable. Conclusion: Repeated colonoscopies can be perceived as both an assurance of life and a reminder of a lifelong illness. Healthcare professionals need to provide support in terms of awareness of patients' vulnerability, despite extensive experience of the colonoscopy procedure. For example, person-centred care and continuity in care are potential interventions based on the results of this study. Another important aspect of care is to minimise interference in everyday life to prevent feelings of loss of the healthy self, for example by self-administrated outpatient booking systems.

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Section: Introductionmentioning

confidence: 99%

Undergoing repeated colonoscopies – experiences from patients with inflammatory bowel disease

Ryhlander

Ringström

Simrén

et al. 2019

Scandinavian Journal of Gastroenterology

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“…Even though efforts have been made to reduce the invasiveness of this technique, colonoscopy still presents a risk of severe complications (especially during IBD exacerbations), 5 and a general physical and psychological discomfort is common in patients who have to undergo this examination. [6][7][8] In addition, this invasive methodology is restricted to the diagnostics of superficial changes on the Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.ibdjournal.org).…”

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confidence: 99%

Noninvasive Longitudinal Study of a Magnetic Resonance Imaging Biomarker for the Quantification of Colon Inflammation in a Mouse Model of Colitis

Bianchi

Bluhmki

Schönberger

et al. 2016

Inflammatory Bowel Diseases

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“…17 An interesting observation reported in a similar study is that longer waiting times before receiving procedural information are correlated with higher anxiety. 21 In our research, self-assessed levels of knowledge were not associated with discomfort. This result may be due to the fact that the patients described their level of knowledge about gastroscopy as moderate, and the knowledge that they have more often comes from friends and family than from the physician.…”

Section: Resultsmentioning

confidence: 39%

“…Some studies suggest that reliable information before a gastroscopy has a positive influence on the patient's distressing feelings. 19,20 Although informational leaflets are successful at reducing anxiety, 21 oral information seems to be more effective. 17 An interesting observation reported in a similar study is that longer waiting times before receiving procedural information are correlated with higher anxiety.…”

Section: Resultsmentioning

confidence: 99%

Factors affecting patient tolerance of unsedated upper gastrointestinal tract endoscopy

Maślanka-Seiffert¹,

Seiffert²,

Olchowska-Kotala³

et al. 2020

Piel. Zdr. Publ.

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Background. Endoscopy of the upper gastrointestinal tract is a widely used diagnostic procedure. It can be a source of anxiety, discomfort and even pain for the patients.Objectives. The aim of the study was to assess the discomfort and anxiety associated with gastroscopy, examine their determinants and describe patients' preferences regarding medical procedures and personnel behavior.Material and methods. The study involved 50 patients (21 men and 29 women) who underwent an endoscopy of the upper gastrointestinal tract. The State-Trait Anxiety Inventory (STAI) was employed, as well as the authors' own two-part questionnaire, which was conducted before and after the endoscopy.Results. The average level of anxiety was 40.72 STAI points and the emetic reflex was its main source (52%). The average level of discomfort felt during the gastroscopy was 2.84 and was related to both age (p = 0.001), security and privacy during the examination (p = 0.03), as well as to the level of anxiety prior to examination (p = 0.05). The severity of the discomfort was not associated with gender, education or subjective assessment of knowledge about the examination. Half of the patients would have liked to be sedated. A majority of the respondents (61%) indicated that verbal reassurance is a desirable form of behavior of the medical staff.Conclusions. The main cause of patients' anxiety is fear of the discomfort associated with the emetic reflex. The discomfort experienced by patients during endoscopy is linked to their age group, with younger participants experiencing greater discomfort, higher levels of anxiety prior to the examination, and a lower sense of security and privacy. Patients value verbal reassurance, procedural information and behavioral instructions during the endoscopy. General sedation is preferred by patients. Cite asMaślanka-Seiffert B, Seiffert P, Olchowska-Kotala A, Kempiński R. Factors affecting the tolerance of the unsedated upper gastrointestinal tract endoscopy. Piel Zdr Publ. StreszczenieWprowadzenie. Endoskopia górnego odcinka przewodu pokarmowego jest rozpowszechnionym badaniem diagnostycznym. Może stanowić dla pacjenta źródło lęku, dyskomfortu, a nawet bólu.Cel pracy. Celem badania była ocena dyskomfortu i lęku związanego z gastroskopią, zbadanie ich determinantów oraz określenie oczekiwań pacjentów odnośnie do procedur medycznych i zachowania personelu.Materiał i metody. Przebadano 50 pacjentów (21 mężczyzn i 29 kobiet) poddanych endoskopii górnego odcinka przewodu pokarmowego. Do badania wykorzystano Inwentarz Stanu i Cechy Lęku STAI oraz dwuczęściową autorską ankietę przeprowadzaną przed endoskopią i po niej.Wyniki. Średni poziom lęku wynosił 40,72 pkt STAI, a odruch wymiotny był jego głównym źródłem (52%). Średni poziom odczuwanego dyskomfortu podczas gastroskopii wynosił 2,84 i był związany zarówno z wiekiem (p = 0,001), bezpieczeństwem i prywatnością podczas badania (p = 0,03), jak i poziomem lęku przed badaniem (p = 0,05). Nasilenie dyskomfortu nie było związane z płcią, wykształceniem i subiektywną ...

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Effective communication enhances the patients’ endoscopy experience

Abstract: Structured information leaflets and improved staff communication skills reduce anxiety and enhance patients' experiences. They are now standard operating procedures.

Cited by 15 publications

References 12 publications

Undergoing repeated colonoscopies – experiences from patients with inflammatory bowel disease

Undergoing repeated colonoscopies – experiences from patients with inflammatory bowel disease

Noninvasive Longitudinal Study of a Magnetic Resonance Imaging Biomarker for the Quantification of Colon Inflammation in a Mouse Model of Colitis

Factors affecting patient tolerance of unsedated upper gastrointestinal tract endoscopy

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