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      KCI등재 SCOPUS

      The Effect of Preparatory Education Program on Discomfort and Retching of Examinees during Upper Gastrointestinal Endoscopy

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      https://www.riss.kr/link?id=A101603181

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      다국어 초록 (Multilingual Abstract)

      Background: Although upper gastrointestinal (UGI) endoscopy is highly sensitive for the detection of esophago-gastroduodenal lesions, pain and discomfort during the procedure cause examinees to experience stress and anxiety. Moreover,there have been only a few studies on relief of pain and discomfort during UGI endoscopy through preparatory interventions. Therefore, the aim of this study was to investigate the relationship between a preparatory education program and the discomfort and retching experienced by examinees during endoscopy.
      Methods: A total of 306 examinees who visited a health promotion center and underwent non-sedated endoscopy from May 13 to July 3, 2009 were included in this study. After they were assigned to experimental (n = 154) and control groups (n = 152), their discomfort and retching were measured with a visual analogue scale. The preparatory education program consisted of cognitive intervention, behavioral intervention and information.
      Results: The preparatory education program relieved discomfort during endoscopy in male subjects, in subjects aged 60 and over, or in subjects with previous endoscopic experience with statistical significance (P < 0.05). It also relieved retching during endoscopy in subjects aged 60 and over with statistical significance (P = 0.023). Multiple logistic regression analysis showed that the preparatory education program significantly relieved the discomfort of examinees during endoscopy (P = 0.028).
      Conclusion: We found that the preparatory education program used in this study could significantly relieve the discomfort caused by endoscopy, particularly in subjects aged 60 and over, or in male subjects with a high incidence of stomach cancer in Korea.
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      Background: Although upper gastrointestinal (UGI) endoscopy is highly sensitive for the detection of esophago-gastroduodenal lesions, pain and discomfort during the procedure cause examinees to experience stress and anxiety. Moreover,there have been o...

      Background: Although upper gastrointestinal (UGI) endoscopy is highly sensitive for the detection of esophago-gastroduodenal lesions, pain and discomfort during the procedure cause examinees to experience stress and anxiety. Moreover,there have been only a few studies on relief of pain and discomfort during UGI endoscopy through preparatory interventions. Therefore, the aim of this study was to investigate the relationship between a preparatory education program and the discomfort and retching experienced by examinees during endoscopy.
      Methods: A total of 306 examinees who visited a health promotion center and underwent non-sedated endoscopy from May 13 to July 3, 2009 were included in this study. After they were assigned to experimental (n = 154) and control groups (n = 152), their discomfort and retching were measured with a visual analogue scale. The preparatory education program consisted of cognitive intervention, behavioral intervention and information.
      Results: The preparatory education program relieved discomfort during endoscopy in male subjects, in subjects aged 60 and over, or in subjects with previous endoscopic experience with statistical significance (P < 0.05). It also relieved retching during endoscopy in subjects aged 60 and over with statistical significance (P = 0.023). Multiple logistic regression analysis showed that the preparatory education program significantly relieved the discomfort of examinees during endoscopy (P = 0.028).
      Conclusion: We found that the preparatory education program used in this study could significantly relieve the discomfort caused by endoscopy, particularly in subjects aged 60 and over, or in male subjects with a high incidence of stomach cancer in Korea.

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      참고문헌 (Reference)

      1 유종윤, "상부 위장관 내시경 검사 시 보호자 참여가 환자의 동통 및 불편감에 미치는 영향" 대한가정의학회 29 (29): 13-19, 2008

      2 Hacke¤ ML, "Upper gastrointestinal endoscopy: are preparatory interventions effective?" 48 : 341-347, 1998

      3 Hoare AM, "Upper gastrointestinal endoscopy with and without sedation: patients' opinions" 2 : 20-, 1976

      4 Min YI, "Upper gastrointestinal endoscopy ATLAS" Kun Ja publishing company 2004

      5 Campo R, "Topical pharyngeal anesthesia improves tolerance of upper gastrointestinal endoscopy: a randomized doubleblind study" 27 : 659-664, 1995

      6 Tan CC, "Throat spray for upper gastrointestinal endoscopy is quite acceptable to patients" 28 : 277-282, 1996

      7 Callaghan P, "The effect of videotaped or written information on Chinese gastroscopy patients' clinical outcomes" 42 : 225-230, 2001

      8 Maguire D, "The effect of information and behavioural training on endoscopy patients’ clinical outcomes" 54 : 61-65, 2004

      9 Farhadi A, "The assessment of esophagogastroduodenoscopy tolerance a prospective study of 300 cases" 7 : 141-147, 2001

      10 "The Korean National Cancer Screening Survey in 2008[Internet]" National Cancer Center

      1 유종윤, "상부 위장관 내시경 검사 시 보호자 참여가 환자의 동통 및 불편감에 미치는 영향" 대한가정의학회 29 (29): 13-19, 2008

      2 Hacke¤ ML, "Upper gastrointestinal endoscopy: are preparatory interventions effective?" 48 : 341-347, 1998

      3 Hoare AM, "Upper gastrointestinal endoscopy with and without sedation: patients' opinions" 2 : 20-, 1976

      4 Min YI, "Upper gastrointestinal endoscopy ATLAS" Kun Ja publishing company 2004

      5 Campo R, "Topical pharyngeal anesthesia improves tolerance of upper gastrointestinal endoscopy: a randomized doubleblind study" 27 : 659-664, 1995

      6 Tan CC, "Throat spray for upper gastrointestinal endoscopy is quite acceptable to patients" 28 : 277-282, 1996

      7 Callaghan P, "The effect of videotaped or written information on Chinese gastroscopy patients' clinical outcomes" 42 : 225-230, 2001

      8 Maguire D, "The effect of information and behavioural training on endoscopy patients’ clinical outcomes" 54 : 61-65, 2004

      9 Farhadi A, "The assessment of esophagogastroduodenoscopy tolerance a prospective study of 300 cases" 7 : 141-147, 2001

      10 "The Korean National Cancer Screening Survey in 2008[Internet]" National Cancer Center

      11 van Vliet MJ, "Preparing patients for gastrointestinal endoscopy: the in¡uence of information in medical situations" 52 : 23-30, 2004

      12 Brandt LJ, "Patients’ attitudes and apprehensions about endoscopy: how to calm troubled waters" 96 : 280-284, 2001

      13 The Korean Academy of Family Medicine, "Korean society for lifetime health monitoring. rev. ed" Gyechuk munwhasa 2003

      14 Campo R, "Identification of factors that in¡uence tolerance of upper gastrointestinal endoscopy" 11 : 201-204, 1999

      15 Maruyama M., "Five year survival rate and depth of invasion of cancer the stomach" 11 : 855-, 1978

      16 Luck A, "Effects of video information on precolonoscopy anxiety and knowledge: a randomised trial" 354 : 2032-2035, 1999

      17 Schnee AD, "Effect of psychological preparation on reducing behavioural distress and morbidity in children undergoing endoscopy" 56 (56): 6406-, 1996

      18 Gattuso SM, "Coping with gastrointestinal endoscopy: self-efficacy enhancement and coping style" 60 : 133-139, 1992

      19 Kaplan RM, "Coping with a stressful sigmoidoscopy: evaluation of cognitive and relaxation preparations" 5 : 67-82, 1982

      20 Froehlich F, "Conscious sedation for gastroscopy: patient tolerance and cardiorespiratory parameters" 108 : 697-704, 1995

      21 Lembo T, "Audio and visual stimulation reduces patient discomfort during screening ¡exible sigmoidoscopy" 93 : 1113-1116, 1998

      22 Jankowski J, "Anxiety levels before, during and after endoscopy [abstract]" 31 : 613-, 1990

      23 Statistics Korea, "Annual report of the cause of death statistics" Statistics Korea 2007

      24 Ministry for Heath, Welfare and Family Affairs, "Annual report of cancer incidence (2005) and survival (1993-2005) in Korea" Ministry for Heath, Welfare and Family Affairs 2008

      25 Abuksis G, "A patient education program is cost-effective for preventing failure of endoscopic procedures in a gastroenterology department" 96 : 1786-1790, 2001

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      학술지 이력

      학술지 이력
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      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2008-12-29 학술지명변경 외국어명 : The Journal of the Korean Academy of Family Medicine -> Korean Journal of Family Medicine KCI등재
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      2004-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2003-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2002-01-01 평가 등재후보 1차 FAIL (등재후보1차) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.22 0.22 0.25
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.24 0.26 0.54 0.05
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