| 상부위장관 내시경 검사 시 피검자의 불안 정도 평가 |
| 장진수 · 주문경 · 김진남 · 김용식 · 진윤태 · 전훈재 · 이홍식 · 이상우 · 최재현 · 김창덕 · 류호상 |
| 고려대학교 의과대학 내과학교실 |
| The Evalution of Patient Anxiety Associated with Upper Gastrointestinal Endoscopy |
| Jin Su Jang, M.D., Moon Kyung Joo, M.D., Jin Nam Kim, M.D., Yong Sik Kim, M.D., Yoon Tae Jeen, M.D., Hoon Jai Chun, M.D., Hong Sik Lee, M.D., Sang Woo Lee, M.D., Jai Hyun Choi, M.D., Chang Duck Kim, M.D. and Ho Sang Ryu, M.D. |
| Department of Internal Medicine, Institute of Digestive Diseases and Nutrition, Korea University College of Medicine, Seoul, Korea |
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| Abstract |
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Background/Aims:
Upper gastrointestinal (UGI) endoscopy is a necessary procedure for making the diagnosis of UGI diseases. However, it may evoke anxiety due to the procedural discomfort before endoscopy. There have been few detailed studies that have evaluated the anxiety of patients who undergo UGI endoscopy in Korea. The aim of this study is to evaluate the patient's anxiety associated with UGI endoscopy and to determine the methods to improve the tolerance of patients to UGI endoscopy.
Methods:
From May to September 2004, we assessed 38 patients who received UGI endoscopy for the first time as outpatients at Korea University, Anam Hospital. One group was examined with UGI endoscopy after being sedated. The patient's anxiety was rated at baseline and immediately before the procedure.
Results:
Endoscopy was associated with a significant increase in anxiety (prior to procedure, 48.53 vs. baseline, 43.58, p＜0.001) but not trait anxiety (43.92 vs. 43.63, p=0.70). The procedural anxiety was not influenced by gender, age or the education level, but it was correlated with conscious sedation (without CS, 5.67±0.23 vs. with CS, 4.06±0.16, p＜0.05).
Conclusions:
Sedating the patient during UGI endoscopy is an effective method to lower procedural anxiety. |
| Key Words:
Anxiety, Conscious sedation, Upper gastrointestinal endoscopy |
| 주요어:
불안, 상부위장관 내시경 검사, 의식하 진정 |
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