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ID 114349
Author
Sogabe, Masahiro Tokushima University|Shikoku Central Hospital of the Mutual aid Association of Public School teachers Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Okahisa, Toshiya Tokushima University|Shikoku Central Hospital of the Mutual aid Association of Public School teachers Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Adachi, Yuka Shikoku Central Hospital of the Mutual aid Association of Public School teachers
Hamada, Shinichi Shikoku Central Hospital of the Mutual aid Association of Public School teachers
Okazaki, Jun Tokushima University
Fukuya, Akira Tokushima University
Kagemoto, Kaizo Tokushima University
Hirao, Akihiro Tokushima University
Nakasono, Masahiko Tsurugi Municipal Handa Hospital
Keywords
Distraction
Vital signs
Autonomic nervous system
Esophagoscopy
Music
Image
Content Type
Journal Article
Description
Background
Although many patients still have anxiety about upper gastrointestinal (GI) endoscopy, there have been few reports on the influence of distractions for a person who is going to undergo upper GI endoscopy soon. This study was a prospective randomized controlled study investigating the influence of distractions, such as auditive and visual distractions using subjective and objective assessments including autonomic nervous function prior to upper GI endoscopy.
Methods
206 subjects who underwent upper GI endoscopy as regular health check-ups were divided randomly into 4 groups prior to upper GI endoscopy; group 1 (control group), group 2 (auditive group), group 3 (visual group), and group 4 (combination group). We measured vital signs, autonomic nervous function, profile of mood state (POMS), and the impression for upper GI endoscopy pre- and post-distraction in the 4 groups.
Results
There was no significant difference in vital signs between 5 and 15 min after sitting in group 1, however, several vital signs in all distraction groups improved significantly after distraction (Pulse rate (P): p <  0.001 in group 4; blood pressure: p <  0.05 in group 2, 3, 4) and the rate of decrease in P and diastolic blood pressure was highest in group 4 (p <  0.001). Several scores of POMS and the impression for upper GI endoscopy post-distraction improved significantly compared to pre-distraction between distraction groups and the satisfaction for distraction was highest in group 4 (p <  0.01). Regarding autonomic nerve function, the low- frequency power/ high- frequency power ratio post-distraction was significantly lower than that pre-distraction in all distraction groups (p <  0.001).
Conclusions
Although auditive distraction alone and visual distraction alone were effective, a combination distraction was more effective than any other distraction by subjective and objective assessments. These distractions, which were simple and safe, may play an assistive role in the stability of physical and psychological conditions prior to upper GI endoscopy.
Trial registration
This trial was registered in the University Hospital Medical Information Network (UMIN) Clinical Trials Registry as UMIN000022801 ( https://www.umin.ac.jp/ctr/ ). Registered on 10 July 2016.
Journal Title
BMC Gastroenterology
ISSN
1471230X
NCID
AA12034934
Publisher
Springer Nature|BioMed Central
Volume
18
Start Page
132
Published Date
2018-08-29
Rights
© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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language
eng
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departments
Medical Sciences
University Hospital