Examination tolerance, pre-examination anxiety, knowledge needs and cooperation in gastroscopic examinees: A prospective, correlational analysis in a health screening population.
Yingzi Yang, Qing Xia, Liangyu Wu and 4 others
PMID 39161133WHAT IT FOUND
Non-sedated gastroscopy patients reported mean discomfort 4.47 on a 0-10 scale.
Higher anxiety and poorer cooperation, especially swallowing and body control, were associated with worse tolerance. First-time patients also had higher scores.
Key findings
01Non-sedated gastroscopy examinees had a mean tolerance VAS score of 4.47 ± 1.96 on a 0-10 scale.
02Higher pre-examination state anxiety and poorer examination cooperation were correlated with higher discomfort scores (r=0.317 and r=-0.523).
03In adjusted analysis, being a first-time examinee and higher state anxiety were associated with higher VAS (p=0.008 and p=0.017), while higher body and swallowing cooperation scores were associated with lower VAS (p=0.034 and p<0.001); knowledge needs was not (p=0.108).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Single-centre cross-sectional survey of a health-screening population with good basic physical condition and high social status, so it may not apply to other patient groups. Convenience sample with 170 analysed from 180 distributed; the small sample may bias the results. Observational design did not analyse unknown confounding factors, so associations do not establish causes. The study did not test interventions such as anxiety reduction, breathing training or swallowing training. The knowledge needs and cooperation questionnaires were self-designed, although reliability was reported.
Declared interests
The authors declared no conflicts of interest. Funding was from a Shanghai public health action plan (2023-2025), a Shanghai Nursing Association youth project, and a National Key Research and Development Plan project.
The easy way to misread this
Do not conclude that giving patients more information, anxiety reduction, or swallowing training will improve gastroscopy tolerance. This was an observational survey, not a trial; knowledge needs was not significant in the adjusted model (p=0.108).