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The experience of anxiety in colonoscopy outpatients: a mixed-method study
journal contribution
posted on 2014-03-01, 00:00 authored by N Rollbusch, Antonina Mikocka-WalusAntonina Mikocka-Walus, J M AndrewsColonoscopy 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.
History
Journal
Gastroenterology nursingVolume
37Issue
2Pagination
166 - 175Publisher
Lippincott Williams & WilkinsLocation
Philadelphia, Pa.Publisher DOI
eISSN
1538-9766Language
engPublication classification
C Journal article; C1.1 Refereed article in a scholarly journalCopyright notice
2014, Society of Gastroenterology Nurses and AssociatesUsage metrics
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