"It's a tube up your bottom; it makes people nervous": the experience of anxiety in initial colonoscopy patients

Mikocka-Walus, Antonina, Moulds, Lauren G, Rollbusch, Nicole and Andrews, Jane M 2012, "It's a tube up your bottom; it makes people nervous": the experience of anxiety in initial colonoscopy patients, Gastroenterology nursing, vol. 35, no. 6, pp. 392-401, doi: 10.1097/SGA.0b013e318274b0c6.

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Title "It's a tube up your bottom; it makes people nervous": the experience of anxiety in initial colonoscopy patients
Author(s) Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina orcid.org/0000-0003-4864-3956
Moulds, Lauren G
Rollbusch, Nicole
Andrews, Jane M
Journal name Gastroenterology nursing
Volume number 35
Issue number 6
Start page 392
End page 401
Total pages 10
Publisher Lippincott Williams & Wilkins
Place of publication Philadelphia, Pa.
Publication date 2012-11
ISSN 1538-9766
Summary This study aimed to prospectively consider the effect of colonoscopy on patients' experiences of anxiety at 4 time points related to an initial colonoscopy, using a qualitative approach. The study involved a sample of 13 patients undergoing an initial colonoscopy at a public hospital and followed for 12 months. Four exploratory interviews were conducted with each participant: before the procedure, 1 week, 2 weeks, and 12 months after the procedure. Thematic analysis was conducted to summarize patients' responses. In these participants, colonoscopy was associated with stigma. The discussion of the procedure was perceived as stressful and embarrassing and led to anxiety. Irrational expectations regarding the procedure were also contributing to anxiety, as was a doctor-patient relationship based on unequal powers and lack of control. Before the procedure, fear of a serious diagnosis contributed to anxiety; however, postprocedure, an unclear or functional diagnosis also appeared to increase anxiety. Anticipating the preparation for the procedure was also reported as an important factor in preprocedure anxiety. A shift toward a biopsychosocial approach to healthcare, such as providing patients with a greater sense of control by participating in decision making, should be recommended as it may reduce anxiety.
Language eng
DOI 10.1097/SGA.0b013e318274b0c6
Field of Research 110307 Gastroenterology and Hepatology
170106 Health, Clinical and Counselling Psychology
110399 Clinical Sciences not elsewhere classified
Socio Economic Objective 920105 Digestive System Disorders
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2012, Society of Gastroenterology Nurses and Associates
Persistent URL http://hdl.handle.net/10536/DRO/DU:30090098

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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