The experience of anxiety in colonoscopy outpatients: a mixed-method study

Rollbusch, Nicole, Mikocka-Walus, Antonina and Andrews, Jane M 2014, The experience of anxiety in colonoscopy outpatients: a mixed-method study, Gastroenterology nursing, vol. 37, no. 2, pp. 166-175, doi: 10.1097/SGA.0000000000000037.

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Title The experience of anxiety in colonoscopy outpatients: a mixed-method study
Author(s) Rollbusch, Nicole
Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina
Andrews, Jane M
Journal name Gastroenterology nursing
Volume number 37
Issue number 2
Start page 166
End page 175
Total pages 10
Publisher Lippincott Williams & Wilkins
Place of publication Philadelphia, Pa.
Publication date 2014-03
ISSN 1538-9766
Summary Colonoscopy is commonly used to investigate gastrointestinal symptoms such as pain or changes in bowel habits and may either induce patient anxiety or assist in patient reassurance. Currently, 2 studies investigating negative colonoscopy, reassurance, and anxiety came to conflicting conclusions on this issue. Furthermore, it is possible that differences in coping styles may influence patient anxiety. A mixed-methods study was conducted with 26 precolonoscopy and 24 postcolonoscopy patients to address the conflicting, limited literature regarding colonoscopy, coping, and anxiety. Participants completed postal surveys and interviews were conducted with 16 participants. There was no significant difference between pre- and postcolonoscopy groups on any anxiety measures; however, this was possibly because of individual differences. Significant positive correlations were found between maladaptive coping and state anxiety indicating that healthcare professionals should consider screening for maladaptive coping in patients needing invasive procedures. Neither problem- nor emotion-focused coping showed any significant relationship with state anxiety. Interviews revealed that clinicians and endoscopy nurses should be aware that some patients are not absorbing correct information about colonoscopy, specifically that they may be conscious or experience pain during the procedure. Because of this, clinicians should ensure that patients understand standard practice at their hospital. In addition, interview data suggested that more attention should be given to pain management as it currently may not be adequate during conscious sedation.
Language eng
DOI 10.1097/SGA.0000000000000037
Field of Research 110399 Clinical Sciences not elsewhere classified
111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, Society of Gastroenterology Nurses and Associates
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Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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