发帖
每发1个新帖
可以获得0.5个丁当奖励
回帖

【文摘发布】结肠镜检查前内镜录像对病人的影响

只看楼主
页码直达：
直达末页

楼主

lukelu

消化内科

铁杆站友

1楼

这个帖子发布于13年零204天前，其中的信息可能已发生改变或有所发展。

Title: Impact of an information video before colonoscopy on patient satisfaction and anxiety - a randomized trial.

Author:Bytzer P, Lindeberg B.

Resource: Endoscopy. 2007 Aug;39(8):710-4

Abstract: BACKGROUND AND STUDY AIMS: Anxiety before colonoscopy may have adverse consequences and increase requirements for sedation and analgesics. We aimed to examine the effects of adding an information video to our usual preprocedural information. PATIENTS AND METHODS: 162 colonoscopy patients were randomly assigned to video (72) or no video (90) groups. Patients in the video group watched a video on colonoscopy procedures and cleansing. The patients' situational anxiety was measured using the State-Trait Anxiety Inventory (STAI) questionnaire. Patients rated pain and overall satisfaction related to the procedure. The colonoscopist and the endoscopy nurse, who were blinded to the patient's allocation, completed questionnaires on use of medication, procedure outcome, and their assessments of patient pain and toleration of the procedure. RESULTS: There were no differences between the two groups concerning situational anxiety (mean STAI-State score 45.0 +/- 13.3 vs. 45.9 +/- 12.9, P = 0.7), rating of pain, tolerability of the procedure, or the willingness to undergo a future colonoscopy. The staff rated the outcomes equally in the two groups. There was no difference in use of midazolam, but patients, who had seen the video used higher doses of fentanyl ( P < 0.02). Situational anxiety ratings were significantly higher in women, and they found the procedure significantly more painful ( P = 0.001) and were less satisfied ( P < 0.05). CONCLUSIONS: An information video shown to patients preparing for colonoscopy had no impact on tolerability or anxiety. Colonoscopy is less tolerable and more painful for women and this is probably related to a higher degree of anxiety. Endoscopy personnel should be aware of these gender differences and adjust information and medication accordingly.

PMID: 17661246

邀请讨论

搜索

2007-08-16 19:42 浏览 : 916 回复 : 2

投票
收藏
打赏
引用
分享
- 微信扫一扫
- 新浪微博
- 丁香客
- 复制网址
举报
- 广告宣传推广
- 政治敏感、违法虚假信息
- 恶意灌水、重复发帖
- 违规侵权、站友争执
- 附件异常、链接失效
- 其他

• 吐槽村医委培以及寻求各位前辈同仁的帮助

doctormy

肝胆外科

丁香园荣誉版主

2楼

本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。

2007-09-08 18:28

投票
收藏
打赏
引用
分享
- 微信扫一扫
- 新浪微博
- 丁香客
- 复制网址
举报
- 广告宣传推广
- 政治敏感、违法虚假信息
- 恶意灌水、重复发帖
- 违规侵权、站友争执
- 附件异常、链接失效
- 其他

• 一个2月龄患儿的死亡

doctormy

肝胆外科

丁香园荣誉版主

+1 积分
3楼

Title: Impact of an information video before colonoscopy on patient satisfaction and anxiety - a randomized trial.
题目：结肠镜检查前的指导录像资料对病人感受（满意与焦虑）的影响—一项随机研究
Author:Bytzer P, Lindeberg B.
作者：Bytzer P, Lindeberg B.
Resource: Endoscopy. 2007 Aug;39:710-4
来源：Endoscopy. 2007 Aug;39:710-4

Abstract: BACKGROUND AND STUDY AIMS: Anxiety before colonoscopy may have adverse consequences and increase requirements for sedation and analgesics. We aimed to examine the effects of adding an information video to our usual preprocedural information.
摘要：背景和研究目的：结肠镜检查前的焦虑可能产生不利后果，增加镇痛剂和镇静剂的用量。我们研究的目的是检测在结肠镜检查前常规指导中增加内镜录像资料指导的影响。
PATIENTS AND METHODS: 162 colonoscopy patients were randomly assigned to video (72) or no video (90) groups. Patients in the video group watched a video on colonoscopy procedures and cleansing. The patients' situational anxiety was measured using the State-Trait Anxiety Inventory (STAI) questionnaire.
患者与方法：我们将162名接受结肠镜检查的患者随机分为录像组（72名）和非录像组（90名）。录像组的患者观看关于结肠镜检查操作以及清洁的录像。患者的情景性焦虑通过使用状态-特质焦虑量表(STAI) 问卷测量。
Patients rated pain and overall satisfaction related to the procedure. The colonoscopist and the endoscopy nurse, who were blinded to the patient's allocation, completed questionnaires on use of medication, procedure outcome, and their assessments of patient pain and toleration of the procedure.
患者对结肠镜检查过程的痛苦和整体满意度进行评定。结肠镜检查医师和护士不知晓患者分组情况，他们填写问卷中关于药物应用，检查结果以及他们对于检查中患者疼痛和耐受情况评定等部分来完成问卷。
RESULTS: There were no differences between the two groups concerning situational anxiety (mean STAI-State score 45.0 +/- 13.3 vs. 45.9 +/- 12.9, P = 0.7), rating of pain, tolerability of the procedure, or the willingness to undergo a future colonoscopy. The staff rated the outcomes equally in the two groups. There was no difference in use of midazolam, but patients, who had seen the video used higher doses of fentanyl ( P < 0.02). Situational anxiety ratings were significantly higher in women, and they found the procedure significantly more painful ( P = 0.001) and were less satisfied ( P < 0.05).
结果：两组患者间在情景性焦虑（平均STAI状态评分45.0 +/- 13.3 vs. 45.9 +/- 12.9, P = 0.7），疼痛分级，检查操作的耐受性，再次接受结肠镜检查的意愿等方面没有差异。医务人员平等地评定两组间的检查结果。咪达唑仑的使用没有差异。但是看过录像的患者使用芬太尼的剂量较大( P < 0.02)。女性患者的情景性焦虑分级较高，而且她们更加认为检查操作很痛苦( P = 0.001)，很少令其满意( P < 0.05)。
CONCLUSIONS: An information video shown to patients preparing for colonoscopy had no impact on tolerability or anxiety. Colonoscopy is less tolerable and more painful for women and this is probably related to a higher degree of anxiety. Endoscopy personnel should be aware of these gender differences and adjust information and medication accordingly.
结论：准备结肠镜检查前的录像指导对于耐受性或焦虑没有影响。对于女性来讲，结肠镜检查更痛苦和难以耐受，这可能与其焦虑程度较高有关。负责内镜检查的医务人员应该了解这些性别方面的差异，相应地调整指导和用药措施。
PMID: 17661246

编译：
题目：结肠镜检查前的指导录像对病人感受（满意与焦虑）的影响—一项随机研究
作者：Bytzer P, Lindeberg B.
来源：Endoscopy. 2007 Aug;39:710-4
摘要：背景和研究目的：结肠镜检查前的焦虑可能产生不利后果，增加镇痛剂和镇静剂的用量。我们研究的目的是检测在结肠镜检查前常规指导中增加内镜录像资料指导的影响。
患者与方法：我们将162名接受结肠镜检查的患者随机分为录像组（72名）和非录像组（90名）。录像组的患者观看有关结肠镜检查操作以及清洁的录像。患者的情景性焦虑通过使用状态-特质焦虑量表(STAI) 问卷测量。患者对结肠镜检查过程的苦痛和整体满意度进行评定。结肠镜检查医师和护士不知晓患者分组情况，他们填写问卷中关于药物应用，检查结果以及其对检查中患者疼痛和耐受情况评定等部分来完成问卷。
结果：两组患者间在情景性焦虑（平均STAI状态评分45.0 +/- 13.3 vs. 45.9 +/- 12.9, P = 0.7），疼痛分级，检查操作的耐受性，再次接受结肠镜检查的意愿等方面没有差异。医务人员平等地评定两组间的检查结果。咪达唑仑的使用没有差异。但录像组的患者使用芬太尼的剂量较大( P < 0.02)。女性患者的情景性焦虑分级较高，而且她们更认为结肠镜检查操作痛苦( P = 0.001)，并很少令其满意( P < 0.05)。
结论：准备结肠镜检查前的录像指导对于患者镜检耐受性或焦虑感没有影响作用。女性患者对结肠镜检查的感受更痛苦和难以耐受，这可能与其焦虑程度较高有关。负责内镜检查的医务人员应该了解这些性别方面的差异，相应地调整检查指导和用药措施。

共计：588个字

2007-09-09 17:46

投票
收藏
打赏
引用
分享
- 微信扫一扫
- 新浪微博
- 丁香客
- 复制网址
举报
- 广告宣传推广
- 政治敏感、违法虚假信息
- 恶意灌水、重复发帖
- 违规侵权、站友争执
- 附件异常、链接失效
- 其他

• 文献求助

科技动态

【文摘发布】结肠镜检查前内镜录像对病人的影响

提示

丁香园旗下网站

关于丁香园

官方链接

科技动态

分享到：

微信扫一扫

【文摘发布】结肠镜检查前内镜录像对病人的影响

微信扫一扫

微信扫一扫

微信扫一扫

提示

丁香园旗下网站

关于丁香园

官方链接