American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: http://www.sciepub.com/journal/ajnr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Nursing Research. 2019, 7(1), 58-64
DOI: 10.12691/ajnr-7-1-8
Open AccessArticle

The Effectiveness of Behavioral Intervention on Anxiety and Distress Levels among Upper Gastroscopy Patients

Samah El Sayed Ghonaem1 and Samah Ramadan Ibrahim2,

1Lecturer of Medical-Surgical Nursing Faculty of Nursing, Benha University

2Lecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Benha University

Pub. Date: December 27, 2018

Cite this paper:
Samah El Sayed Ghonaem and Samah Ramadan Ibrahim. The Effectiveness of Behavioral Intervention on Anxiety and Distress Levels among Upper Gastroscopy Patients. American Journal of Nursing Research. 2019; 7(1):58-64. doi: 10.12691/ajnr-7-1-8

Abstract

Background: upper gastrointestinal endoscopy is the most preferable diagnostic examination for patients, Anxiety is one of the common problems and issues in the patients selected for surgery or invasive diagnostic and therapeutic methods. This study was aimed to investigate the effectiveness of behavioral intervention on Patient's anxiety and distress levels among upper gastroscopy patients in Benha University Hospital. Study design: This study experimental design (Pretest-Posttest study control group). Setting: The study was carried out in the endoscopy department at Benha University hospital in Benha city, Egypt. Subject: One hundred twenty patients alert mentally and willingness to participate in the study who were subjected for upper gastroscopy. The selected subjects were assigned to study and control groups (n= 60) in each group. Three tools for data collection: The 1st. tool consists of two parts: Part I: It was concerned with the socio-demographic characteristic of the studied subjects. Part II: clinical variables. 2nd. Tool: The State-Trait Anxiety Inventory Scale (STAIYI) to measures the state and trait anxiety level. 3rd. Tool: Endoscopy Concerns Scale to measure patient’s distress pre-procedure regarding a scope procedure. Results: The main findings of the study were: A majority of the control group had a severe distress and severe anxiety as compared with the study group post behavioral intervention had mild distress and mild level of anxiety. Therefore there was a positive association between total anxiety and total distress score within both the control and the study group post-intervention. Conclusion: The present study concluded that reduction of anxiety and distress level in the study group than the control group after behavioral intervention for upper gastrointestinal endoscopy patients. Recommendations: The nurses should be implement the behavioral intervention to reduce the anxiety and distress toward upper gastroscopy and enhance patient cooperate during the procedure.

Keywords:
Behavioral intervention Upper gastroscopy Anxiety Distress Level

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Lee, J., et al., (2012). The Effect of Preparatory Education Program on Discomfort and Retching of Examinees during Upper Gastrointestinal EndoscopyKorean J Fam Med. 2012 Jul; 33(4): 219-228.
 
[2]  Block, B. (2013). Endoscopy of the upper gastrointestinal tract a training Manual Georg Thieme Stuttgart New York USA, pp2.
 
[3]  Erwin, B., Jörg. H., Volker, S., Frank, L., Tilman, S. (2008). Diagnosis and Management of Upper Gastrointestinal Bleeding 2008 Feb; 105(5): 85-94 [Pub Med].
 
[4]  Arabul, M., etal., (2012). Impacto de un video de información antes de la colonoscopia en la satisfacción del paciente y la ansiedad. Turk J Gastroenterol, 23: 523-9.
 
[5]  Kutluturkan, S., et al., (2010). Los efectos de proporcionar Pregastrointestinal Endoscopia Escrito Material didáctico en pacientes con ansiedad: un ensayo controlado aleatorio. Int J enfermera Stud. 47 (9): 106-73.
 
[6]  Bell, G., D. (2002). Premedication, preparation and surveillance. Endoscopy 34: 2-12.
 
[7]  Rosa, G. S., et al., (2013). Anxiety in gastroscopies: Comparison of two nursing interventions in endoscopy without sedation Ansiedad en gastroscopies: Comparación de dos intervenciones de enfermería en gastroscopies: (32) ISSN 1695-6141.
 
[8]  Speilberger, D. C., Gorsuch, R. L., Lushene, R., Vagg, P. R., and Jacobs, G. A. (1977). The State-Trait Anxiety Inventory for Adult, Self-Evaluation Questionnaire, STAI Form Y-1, and Form Y-2, Published by Mind Garden, Inc, 1960 Woodside Rd, Suit 202, Redwood City, CA 94061. www.Mindgaren.com.
 
[9]  Wardle, J., Williamson, S., and Sutton, S., (2003). Psychological impact of colorectal cancer screening. Health Psychol. 22: 54-9. [Pub Med].
 
[10]  Seda, P., Nimet, O., Mehmet, K., Yavuz, P., Ozlem, O., and Murat, T. (2011). Effect of providing information to the patient about upper gastrointestinal endoscopy on the patient’s perception, compliance and anxiety level associated with the procedure, Turk J Gastroenterol; 22 (1): 10-17.
 
[11]  Kennedy, J., Oconnor, P., and Sadovnick, A., D. (2006). Multiple peptic ulcers influenced by place of residence. American Journal of Nursing, 93 (9), 162-167.
 
[12]  Mohamad, H. A., Mohamad, Z. A., and Sayed, Z. E. (2014). Esophagogastroduodenoscopy": Impact of a designed nursing teaching protocol on nurse's performance and patient's outcome, Journal of American Science; 10 (10); 56-65.
 
[13]  Quick, J. D. (2006). Social Support, Secure Attachments and Health Handbook, 2nd Ed, Volume (I), Philadelphia, Lippincott, Chapter: (3), p: 169.
 
[14]  Kowsalya. R1., Akila, P2., and Malarvizhi, M. (2013). Effectiveness of Behavioral Intervention on Anxiety and Tolerance among Gastroscopy Patients International Journal of Science and Research (IJSR) Index Copernicus Value: 6.14 |: 4.438.