Effect of Visual and Audiovisual Distraction on Anxiety and Acceptance Levels in Patients Undergoing Colonoscopy_Chinese Journal of Evidence-Based Medicine

Authors：

Zhou Huilan ¹ , Jiang Xiaolian ¹ , Mimi M Y Tse ² ,  ZHU Dan ¹

1. School of Nursing, West China Center of Medical Sciences of Sichuan University, Chengdu 610041, China 2. School of Nursing, Hong Kong Polytechnic University, Kowloon Hong Kong, China;

Corresponding author：

ZHU Dan, Email: zhudan511@126.com

Keywords：

Colonoscopy; Distraction; Anxiety; Acceptance

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To evaluate the effect of visual and audiovisual distraction on anxiety and acceptance levels among patients undergoing colonoscopy.
Methods 　A total of 180 consecutive patients undergoing colonoscopy were randomly divided into three groups: group A received visual distraction; group B received audiovisual distraction; and group C received routine care alone. Levels of anxiety and willingness to accept the same intervention if the procedure needed to be repeated were compared among the three groups.
Results 　The reduction of anxiety score after colonoscopy in group A and group B was greater than that in group C, but the difference was not statistically significant. The rate of willingness to accept the same intervention if the procedure needed to be repeated was significantly different among the three groups: the rates for group A and group B were higher than for group C (P lt;0.05).
Conclusions 　Both visual distraction and audiovisual distraction can significantly improve patients’ acceptance of colonoscopy. Visual distraction and audiovisual distraction have no significant effect on reducing anxiety.

Citation： Zhou Huilan,Jiang Xiaolian,Mimi M Y Tse,ZHU Dan. Effect of Visual and Audiovisual Distraction on Anxiety and Acceptance Levels in Patients Undergoing Colonoscopy. Chinese Journal of Evidence-Based Medicine, 2006, 06(9): 630-634. doi: Copy

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1. 徐富星. 下消化道内镜学. 第1版. 上海: 上海科学技术出版社, 2003.
2. 汪向东. 心理卫生评定量表手册 (增订版). 中国心理卫生杂志社, 1999; 12.
3. Lindsay DC, Freeman JG, Cobden I, et al. Should colonoscopy be the first investigation for colonic disease? Br Med J (Clin Res Ed), 1988; 296(6616): 167–169.
4. Xu FX. Lower digestive tract endoscopy. 1st ed. Shanghai: Shanghai Science & Technology Press, 2003.
5. Jones MP, Ebert CC, Sloan T, et al. Patient anxiety and elective gastrointestinal endoscopy. J Clin Gastroenterol, 2004; 38(1):35–40.
6. Bejes C, Marvel MK. Attempting the improbable: offering colorectal cancer screening to all appropriate patients. Fam Pract Res J, 1992; 12(1): 83–90.
7. Thiis-Evensen E, Hoff GS, Sauar J, et al. Patient tolerance of colonoscopy without sedation during screening examination for colorectal polyps. Gastrointest Endosc, 2000; 52(5): 606–610.
8. Simmons D, Chabal C, Griffith J, et al. A clinical trial of distraction techniques for pain and anxiety control during cataract surgery. Insight, 2004; 29(4): 13–16.
9. Vagnoli L, Caprilli S, Robiglio A, et al. Clown doctors as a treatment for preoperative anxiety in children: a randomized, prospective study. Pediatrics, 2005; 116(4): e563–567.
10. Polit DF, Beck CT. Nursing Research: Principles and Methods. 7th ed. Baltimore: Lippincott Williams & Wilkins, 2003.
11. Polit DF, Hungler BP. Nursing research: Principles and methods. 5th ed. Philadelphia: J. B. Lippincott Company, 1995.
12. Wang XD. Handbook of Mental Health Assessment (Supplement). Chinese Mental Health Journal, 1999; 12.
13. Lopez-Cepero Andrada JM, Amaya Vidal A, Castro Aguilar-Tablada T, et al. Anxiety during the performance of colonoscopies: modification using music therapy. Eur J Gastroenterol Hepatol, 2004; 16(12): 1381–1386.
14. Schneider SM, Prince-Paul M, Allen MJ, et al. Virtual reality as a distraction intervention for women receiving chemotherapy. Oncology Nursing Forum, 2004; 31(1): 81–88.
15. Schneider SM, Workman ML. Effects of virtual reality on symptom distress in children receiving cancer chemotherapy. CyberPsychology and Behavior, 1999; 2: 125–134.
16. Diette GB, Lechtzin N, Haponik E, et al. Distraction therapy with nature sights and sounds reduces pain during flexible bronchoscopy: a complementary approach to routine analgesia. Chest, 2003; 123(3): 941–948.
17. Lee DW, Chan AC, Wong SK, et al. Can visual distraction decrease the dose of patient-controlled sedation required during colonoscopy? A prospective randomized controlled trial. Endoscopy, 2004; 36(3): 197–201.

Chinese Journal of Evidence-Based Medicine

Effect of Visual and Audiovisual Distraction on Anxiety and Acceptance Levels in Patients Undergoing Colonoscopy

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