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위내시경 과정에 대해서 서면과 구두설명을 함께 받은 군과 구두설명만 받은 군 사이 불안감과 이해도 비교

Combined written and oral information about gastrointestinal endoscopy compared with oral information alone

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초록

More recently, malpractice claim frequency has increased for endoscopists because they perform invasive procedures. Appropriate informed consents associated with few claims. Little is known about how to deliver relevant information to patients scheduled for gastrointestinal endoscopy most effectively. From May to July 2009, 486 clients who underwent upper gastrointestinal endoscopy were enrolled in this study. The subjects were randomly grouped into combined written and oral information group (n= 228) and oral information group (n=258). Evaluation of quality of information was rated on scales between 1 (poor) and 5(excellent). In addition, patients rated their anxiety at the time of the procedure, how tolerable the procedure was, their pain during the procedure, whether any health problems occurred as a result of the procedure, as well as the procedure as a whole. Patients who received written information(n= 228) rated the overall quality of the information that they received higher than those who randomized to oral information(n=258) only. Differences were significant regarding information about mean information score (3.45 versus 3.0, P < 0.001). The two groups reported similar levels of anxiety at time of procedure (P = 0.935). Written information led to more favourable assessments of the quality of information and had no impact on patient anxiety nor on the overall assessment of the endoscopy. Endoscopists should clearly explain to their patients the risks, benefits and alternatives of endoscopic procedures.

Abstract

More recently, malpractice claim frequency has increased for endoscopists because they perform invasive procedures. Appropriate informed consents associated with few claims. Little is known about how to deliver relevant information to patients scheduled for gastrointestinal endoscopy most effectively. From May to July 2009, 486 clients who underwent upper gastrointestinal endoscopy were enrolled in this study. The subjects were randomly grouped into combined written and oral information group (n= 228) and oral information group (n=258). Evaluation of quality of information was rated on scales between 1 (poor) and 5(excellent). In addition, patients rated their anxiety at the time of the procedure, how tolerable the procedure was, their pain during the procedure, whether any health problems occurred as a result of the procedure, as well as the procedure as a whole. Patients who received written information(n= 228) rated the overall quality of the information that they received higher than those who randomized to oral information(n=258) only. Differences were significant regarding information about mean information score (3.45 versus 3.0, P < 0.001). The two groups reported similar levels of anxiety at time of procedure (P = 0.935). Written information led to more favourable assessments of the quality of information and had no impact on patient anxiety nor on the overall assessment of the endoscopy. Endoscopists should clearly explain to their patients the risks, benefits and alternatives of endoscopic procedures.

참고문헌 (14)

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  8. Gerstenberger PD, "Malpractice claims in gastrointestinal endoscopy: analysis of an insurance industry database", Gastrointest Endosc, 39(2), pp.132~138 (1993)
  9. Lanius M, "Does an information booklet on gastrointestinal endoscopy reduce anxiety for these examinations? Results of a randomized study with 379 patients", Z Gastroenterol, 28(12), pp.651~655 (1990)
  10. Levy N, "Does a detailed explanation prior to gastroscopy reduce the patient's anxiety", Endoscopy, 21(6), pp.263~265 (1989)
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  12. Pereira SP, "Informed consent for upper gastrointestinal endoscopy", Gut, 37(1), pp.151~153 (1995)
  13. Van Zuuren FJ, "The effect of an information brochure on patients undergoing gastrointestinal endoscopy", Patient Educ Couns, 64(1), pp.173~182 (2006)

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