의식하 진정 대장내시경 검사 중 복부통증 관련 요인
Abdominal Pain and Related Factors in Patients Undergoing Colonoscopy Under Conscious Sedation
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Purpose: This study aimed to determine the severity of patients’ abdominal pain symptom during and post-colonoscopy under conscious sedation and to determine associations between abdominal pain and demographic and colonoscopic characteristics. Methods: Cross-sectional study was conducted on 115 outpatients undergoing colonoscopy under conscious sedation in a single tertiary hospital. Pain symptom was evaluated 10 times through nonverbal behavioral observation tool with score from 0 to 20. Pain severity was analyzed with descriptive statistics, and abdominal pain-related factors were determined via multiple logistic regression. Results: Mean peak pain score was 7.43 out of 20 points during colonoscopy and 34 patients (29.6%) showed peak pain score of over 10 points. Based on multiple logistic regression, female gender (odds ratio=2.85), concern before colonoscopy (odds ratio=1.02), and time to cecum (odds ratio=1.12) were significantly related with abdominal pain during colonoscopy under conscious sedation. Conclusions: Based on the results obtained, nurses should inform colonoscopy candidates of potential abdominal pain during colonoscopy under conscious sedation. In addition, nurses should consider nursing interventions including warm pack application to effectively relieve abdominal pain during colonoscopy in candidates with presence of risk factors.
Abstract
Purpose: This study aimed to determine the severity of patients’ abdominal pain symptom during and post-colonoscopy under conscious sedation and to determine associations between abdominal pain and demographic and colonoscopic characteristics. Methods: Cross-sectional study was conducted on 115 outpatients undergoing colonoscopy under conscious sedation in a single tertiary hospital. Pain symptom was evaluated 10 times through nonverbal behavioral observation tool with score from 0 to 20. Pain severity was analyzed with descriptive statistics, and abdominal pain-related factors were determined via multiple logistic regression. Results: Mean peak pain score was 7.43 out of 20 points during colonoscopy and 34 patients (29.6%) showed peak pain score of over 10 points. Based on multiple logistic regression, female gender (odds ratio=2.85), concern before colonoscopy (odds ratio=1.02), and time to cecum (odds ratio=1.12) were significantly related with abdominal pain during colonoscopy under conscious sedation. Conclusions: Based on the results obtained, nurses should inform colonoscopy candidates of potential abdominal pain during colonoscopy under conscious sedation. In addition, nurses should consider nursing interventions including warm pack application to effectively relieve abdominal pain during colonoscopy in candidates with presence of risk factors.
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