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

Koruk, Mehmet; Ovayolu, Ozlem; Ovayolu, Nimet; Gulsen, Murat Taner; PEHLİVAN, Yavuz; Pehlivan, Seda

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

Seda PEHLİVAN, (Gaziantep Üniversitesi, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Gaziantep, Türkiye)

Nimet OVAYOLU, (Gaziantep Üniversitesi, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Gaziantep, Türkiye)

Mehmet KORUK, (Gaziantep Üniversitesi, Tıp Fakültesi, Gastroenteroloji Anabilim Dalı, Gaziantep, Türkiye)

Yavuz PEHLİVAN, (Gaziantep Üniversitesi, Tıp Fakültesi, Dahiliye Anabilim Dalı, Gaziantep, Türkiye)

Özlem OVAYOLU, (Gaziantep Üniversitesi, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Gaziantep, Türkiye)

Murat Taner GÜLŞEN (Gaziantep Üniversitesi, Tıp Fakültesi, Gastroenteroloji Anabilim Dalı, Gaziantep, Türkiye)

Turkish Journal of Gastroenterology

7 0

Yıl: 2011 Cilt: 22 Sayı: 1 Sayfa Aralığı: 10 - 17 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

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

Öz:

Amaç: Endoskopi gibi tanı işlemleri hastalarda anksiyeteye neden olmaktadır. Anksiyetenin azaltılması için en uygun girişim hastanın işlem hakkında bilgilendirilmesidir. Çalışmamız endoskopi hastalarının bilgilendirilmesinin hastanın işlemi algılamasına, işleme uyumuna ve anksiyete düzeyine etkisini belirlemek amacıyla randomize kontrollü deney olarak yapıldı. Yöntem: Çalışmaya alınan 300 hasta 3 gruba ayrıldı (kontrol, yazılı ve sözlü bilgilendirme). Veriler, hasta tanıtım formu, işlemi algılama formu, Durumluk/Sürekli Anksiyete Envanteri, Visual Analog Scale içeren işlemi değerlendirme formu, hekim tarafından doldurulan hastaların uyum ifadeleri ve Visual Analog Scale içeren form ile toplandı. Verilerin değerlendirilmesinde; Ki-Kare, İki Eş Arasındaki Farkın Önemlilik Testi, Tek Yönlü Varyans Analizi ve ileri analizlerde Tukey HSD kullanıldı. Bulgular: Araştırmanın sonuçlarına göre; işlemle ilgili bilgi sorularına sözlü bilgilendirme grubundaki hastaların diğer gruplara göre daha doğru cevaplar verdiği, bu gruptaki hastaların daha az ağrı, solunum sıkıntısı ve pişmanlık duyduğu; işlem sırasında kendini daha iyi hissettiği, daha memnun olduğu ve işlemi daha kolay olarak değerlendirdiği belirlendi (p<0.05). Ayrıca sözlü bilgilendirme grubundaki hastaların anksiyete puan ortalamaları diğer gruplara göre anlamlı olarak düşük bulundu (p<0.05). Sözlü bilgilendirme grubundaki hastaların işleme uyumlarının diğer gruplara göre daha iyi olduğu ve aradaki farkın istatistiksel olarak anlamlı olduğu tespit edildi (p<0.05).Sonuç: Bu bilgiler doğrultusunda; hastalara verilen sözlü bilginin hastanın işlemi algılamasına, anksiyete düzeyine ve işleme uyumuna olumlu etkileri nedeniyle, endoskopi işlemi öncesinde hastaların sözlü bilgilendirilmesi önerilebilir.

Anahtar Kelime:

Konular: Cerrahi

Üst gastrointestinal endoskopi işleminde bilgilendirmenin hastanın işlemi algılamasına, işleme uyumuna ve anksiyete düzeyine etkisi

Öz:

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.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Pehlivan S, Ovayolu N, Koruk M, PEHLİVAN Y, Ovayolu O, Gulsen M (2011). Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure. , 10 - 17.
Chicago	Pehlivan Seda,Ovayolu Nimet,Koruk Mehmet,PEHLİVAN Yavuz,Ovayolu Ozlem,Gulsen Murat Taner Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure. (2011): 10 - 17.
MLA	Pehlivan Seda,Ovayolu Nimet,Koruk Mehmet,PEHLİVAN Yavuz,Ovayolu Ozlem,Gulsen Murat Taner Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure. , 2011, ss.10 - 17.
AMA	Pehlivan S,Ovayolu N,Koruk M,PEHLİVAN Y,Ovayolu O,Gulsen M Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure. . 2011; 10 - 17.
Vancouver	Pehlivan S,Ovayolu N,Koruk M,PEHLİVAN Y,Ovayolu O,Gulsen M Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure. . 2011; 10 - 17.
IEEE	Pehlivan S,Ovayolu N,Koruk M,PEHLİVAN Y,Ovayolu O,Gulsen M "Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure." , ss.10 - 17, 2011.
ISNAD	Pehlivan, Seda vd. "Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure". (2011), 10-17.

APA	Pehlivan S, Ovayolu N, Koruk M, PEHLİVAN Y, Ovayolu O, Gulsen M (2011). Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure. Turkish Journal of Gastroenterology, 22(1), 10 - 17.
Chicago	Pehlivan Seda,Ovayolu Nimet,Koruk Mehmet,PEHLİVAN Yavuz,Ovayolu Ozlem,Gulsen Murat Taner Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure. Turkish Journal of Gastroenterology 22, no.1 (2011): 10 - 17.
MLA	Pehlivan Seda,Ovayolu Nimet,Koruk Mehmet,PEHLİVAN Yavuz,Ovayolu Ozlem,Gulsen Murat Taner Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure. Turkish Journal of Gastroenterology, vol.22, no.1, 2011, ss.10 - 17.
AMA	Pehlivan S,Ovayolu N,Koruk M,PEHLİVAN Y,Ovayolu O,Gulsen M Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure. Turkish Journal of Gastroenterology. 2011; 22(1): 10 - 17.
Vancouver	Pehlivan S,Ovayolu N,Koruk M,PEHLİVAN Y,Ovayolu O,Gulsen M Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure. Turkish Journal of Gastroenterology. 2011; 22(1): 10 - 17.
IEEE	Pehlivan S,Ovayolu N,Koruk M,PEHLİVAN Y,Ovayolu O,Gulsen M "Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure." Turkish Journal of Gastroenterology, 22, ss.10 - 17, 2011.
ISNAD	Pehlivan, Seda vd. "Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure". Turkish Journal of Gastroenterology 22/1 (2011), 10-17.