The Effect of Clinical Orientation program on Anxiety, Pain, and Satisfaction of Candidates for Esophagogastroduodenoscopy: A Clinical Trial

Abstract

Background:

 Endoscopy is one of the most common diagnostic and therapeutic methods in patients with gastrointestinal diseases. Anxiety and pain are associated with the patients. This procedure is unpleasant and intolerable.  The present study was performed to determine the effect of the clinical Orientation Tour on the anxiety, pain, and satisfaction of patients who were candidates for endoscopy referred to Hospital in Rafsanjan in 2019. Hazrat Ali Ibn Abitaleb (AS) Hospital in Rafsanjan in 2019.

Materials and Methods:

In this clinical trial study, 64 patients referred to the hospital were randomly divided into control and intervention groups. Demographic characteristics, Spiel Berger Anxiety Scale, Visual Analogue Pain Scale, and Modified Questionnaire (GHAA-9) were the data collection tools. The intervention was Orientation Tour with endoscopy and direct endoscopic observation. Patient's anxiety before and after the intervention, pain during endoscopy, and satisfaction after endoscopy were measured. Data were analyzed using paired t-test, independent t-test, Chi-square, linear regression, and Mann-Whitney tests. Analysis was done using SPSS software version 16.

Results:

The mean score of overt anxiety before the intervention was 56.78±7.32 and after the intervention was 35.19±12.52, latent anxiety ranged from 57.22±9.04 to 32.25±13.67, and total anxiety from 114.00±15.90 decreased to 67.44±25.76, which was statistically significant (P=0.0001). However, in the control group, it was associated with an increase in anxiety scores after the intervention. Pain during endoscopy was also statistically significant between the intervention and control groups (P=0.0001). But the mean satisfaction score after endoscopy was not significantly different between the two groups (P=0.161).

Conclusion:

 Clinical orientation training is effective in reducing anxiety and pain in patients undergoing esophagogastroduodenoscopy. It can therefore be suggested to reduce anxiety.