Gastrointestinal endoskopiler öncesinde uygulanan sedasyon hastaların gelecekteki işlemler için kaygı düzeyini nasıl etkiler?

Abstract

Aim: The application of sedoanalgesia during gastrointestinal endoscopic procedures increases the success of the procedure as well as patient comfort and safety. The aims of this study are to investigate the anxiety levels of patients and potential early complications who practised sedoanalgesia in gastrointestinal endoscopic procedures before and two days after. Material and Method: The study was designed as a prospective, randomized, single-centre clinical trial. Patients over the age of 18 and had American Society of Anaesthesiology (ASA) physical status score 1-3 who were practised elective gastrointestinal endoscopy, between April 2022 and September 2022 were included to the study. The patients who refused to participate, were above ASA 3, and were illiterate, had an Ejection Fraction <30%, and had a diagnosis and treatment of psychiatric disease were excluded from the study. Informed consent obtained from all patients. Anxiety levels of the patients were evaluated with Beck Anxiety Inventory (BAI). Hemodynamic changes, blood test results were recorded and compared before and after the procedure. Results: One hundred four patients included to the study with the age of 23 to 79. Preoperative and postoperative BAI scores were found statistically significant (p<0.05). The patients’ satisfactions have seen very high after procedure. The complications have seen on 7 (%6.7) patients. All of the complications were due to nature of the procedure as epistaxis/mucosal trauma (n=3), equipment damage(n=4). There have been no serious or life-threatening complications during procedures.Conclusion: Reducing anxiety by anaesthesia, patients will be more efficiently persuaded to execute endoscopy and by thus early diagnosis can be achieved. Patients who have undergone an endoscopy procedure while sedated have significantly fewer concerns about the future. This may increase the procedure's chances of success every time.