The influence of various distractions prior to upper gastrointestinal endoscopy: a prospective randomized controlled study

Abstract

BackgroundAlthough many patients still have anxiety about upper gastrointestinal (GI) endoscopy, there have been few reports on the influence of distractions for a person who is going to undergo upper GI endoscopy soon. This study was a prospective randomized controlled study investigating the influence of distractions, such as auditive and visual distractions using subjective and objective assessments including autonomic nervous function prior to upper GI endoscopy.Methods206 subjects who underwent upper GI endoscopy as regular health check-ups were divided randomly into 4 groups prior to upper GI endoscopy; group 1 (control group), group 2 (auditive group), group 3 (visual group), and group 4 (combination group). We measured vital signs, autonomic nervous function, profile of mood state (POMS), and the impression for upper GI endoscopy pre- and post-distraction in the 4 groups.ResultsThere was no significant difference in vital signs between 5 and 15 min after sitting in group 1, however, several vital signs in all distraction groups improved significantly after distraction (Pulse rate (P): p < 0.001 in group 4; blood pressure: p < 0.05 in group 2, 3, 4) and the rate of decrease in P and diastolic blood pressure was highest in group 4 (p < 0.001). Several scores of POMS and the impression for upper GI endoscopy post-distraction improved significantly compared to pre-distraction between distraction groups and the satisfaction for distraction was highest in group 4 (p < 0.01). Regarding autonomic nerve function, the low- frequency power/ high- frequency power ratio post-distraction was significantly lower than that pre-distraction in all distraction groups (p < 0.001).ConclusionsAlthough auditive distraction alone and visual distraction alone were effective, a combination distraction was more effective than any other distraction by subjective and objective assessments. These distractions, which were simple and safe, may play an assistive role in the stability of physical and psychological conditions prior to upper GI endoscopy.Trial registrationThis trial was registered in the University Hospital Medical Information Network (UMIN) Clinical Trials Registry as UMIN000022801. Registered on 10 July 2016.

Lipom eksizyonu sırasında stres küpü kullanımının ağrı ve anksiyete üzerine etkisi

“…Hastalardaki ağrı ve anksiyete iyileşmeyi olumsuz etkilemekte ve taburculuğu geciktirebilmektedir (27). Buna karşın, hastaların ağrı ve anksiyetesi etkili biçimde yönetildiğinde kan basıncı, solunum sayısı ve ilaç kullanımının azaldığı, yaşam kalitesinin arttığı ve iyileşme süresinin kısaldığı gözlenmektedir (28,29 Eksizyon işlemi sırasındaki ağrı şiddeti ortalamaları bakımından müdahale ve kontrol grubu arasında istatistiksel anlamlı bir fark vardır (p<0,05) (Tablo-2). İşlem sırasında ağrı şiddeti farkı için etki büyüklüğü (Cohen's d) 0,769, işlem sonrası ağrı şiddeti farkı etki büyüklüğü (Cohen's d) 0,297 olarak hesaplanmıştır.…”

Comparison of the Effects of Visual and Auditory Distractions on Fistula Cannulation Pain among Older Patients Undergoing Hemodialysis: A Randomized Controlled Clinical Trial

“…However, it is believed that watching a video can engage both visual and auditory senses. Therefore, it is expected that visual distraction becomes more effective than auditory distraction due to the positive psychological impacts of visual stimulation on patients [30,36].…”

“…For instance, Lee et al (2004) [ 37 ] showed that audiovisual distraction via a home-made scenic movie with classic music in patients undergoing colonoscopy reduced the dose of medications and the pain score. In the study of Sogabe et al (2018) [ 36 ], patients undergoing upper gastrointestinal endoscopy received visual distraction via watching moving images including mountains, forests, rivers, waterfalls, lakes, sunsets, along with auditive distraction through listening to healing music such as country and classical and a combination of both. It was also shown that their combination was more effective than the use of each one alone.…”

Effects of listening to music in digestive endoscopy: A prospective intervention study led by nursing

“…Previous nursing studies (Ware, 2018) have shown how the degree of satisfaction in digestive endoscopy is linked to nursing skills aimed at reducing anxiety through specific intervention protocols such as the use of visual and auditory distractors (Sogabe et al, 2018). In a similar setting a randomized controlled trial (Cheng-Hua, Wei-Her, TA B L E 3 Variables associated with patients satisfied with the procedure (OUTCOME 1) and willingness to repeat procedure under same conditions (OUTCOME 2) patients undergoing Day Surgery procedures, significantly, benefit from nursing musical intervention to reduce preoperative anxiety and improve physiological parameters.…”