Impact of Pre-Procedure Anxiety on the Outcome of Upper Gastro-Intestinal Endoscopy. A Study at CMH Lahore
DOI:
https://doi.org/10.51253/pafmj.v75iSUPPL-6.6126Keywords:
Anxiety, Discomfort, Endoscopy, Fear, Panic, Tolerance.Abstract
Objective: To identify the association of anxiety with discomfort and tolerance in patients undergoing upper gastro-intestinal endoscopy at CMH, Lahore.
Study Design: Prospective longitudinal study.
Place and Duration of study: CMH Lahore.
Methodology: From October 2017 to December 2018 total 103 patients were recruited for the study from the Department of Gastroenterology, Combined Military Hospital, Lahore. All patients above 18 years, scheduled to undergo routine, diagnostic non-advanced endoscopy were included while patients with a history of decompensated liver disease, and esophageal or fundal varices were excluded from the study. To evaluate the anxiety of patients, a 10-point visual analogue scale (VISUAL ANALOGUE SCALE) is used before the endoscopy procedure. The examinations were performed in a regulated way. Variables including the age, gender, education, current diagnosis with pharyngitis, and self-evaluated tolerance for uncomfortable feelings (evaluated with a 10-point VISUAL ANALOGUE SCALE) were recorded.
Results: Out of 103 patients, 53 were females, and 50 patients were males. The mean age of 34.8±11.7 years was observed. The patients who scored low on visual analogue scale, were significantly older compared to those who had higher scores on visual analogue scale (p=0.007).
Furthermore, the mean self-evaluated tolerance scores were significantly higher in patients with low visual analogue scale scores were compared to those with greater visual analogue scale scores (p=0.005).
Conclusion: The current study reported that patient anxiety before endoscopy in our setting was influenced by age and self-reported tolerance levels.
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