非住院病人之焦慮狀況評估

沈美鈴

doi:10.6822/CTUST.2012.00041

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非住院病人之焦慮狀況評估

Assessment of Anxiety Level in Outpatients

沈美鈴 , Masters　　Advisor：林宣宏　　

繁體中文 DOI： 10.6822/CTUST.2012.00041

滿意度；大腸鏡；焦慮；靜脈式麻醉； satisfaction ； intravenous anesthesia ； colonoscopy ； anxiety

Abstract │ Reference (32) │ Times Cited (2) │ Altmetrics

Abstract 〈TOP〉

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Background: Anxious patients may suffered severe unstable hemodynamic changes when they received invasive procedure, like upper gastrointestinal endoscopy and colonoscopy. Intravenous anesthesia and monitoring was suggested for improving patients’ safety recently. The study was designed to investigate the factors related to patients’ anxiety level and the influences caused by anxiety for better anesthetic service and patient safety. 
Methods: Outpatients who would receive intravenous anesthesia for planned upper gastrointestinal endoscopy and colonoscopy of elective health examination would be enrolled in this study. Zung’s self-anxiety-scales was used to evaluate outpatients’ anxiety level. 
Results: 109 ASA 1-2 outpatients participated in this study. There were 49 males and 60 females in study. Sex, age and education level was not related to anxiety. Self-report symptoms(p<0.05), palpitation(p<0.05) and use of sleeping pills(p<0.05) were found to be related to patients’ anxiety level. Anxiety would increase total dosage of propofol (p<0.05) but not increase the incidence of nausea, vomiting and dizziness. Patients’ satisfaction was not related to anxiety level statistically.  
Conclusions: Patients with self-report symptoms, palpitation or drug habit of sleeping pills would be more anxious. Anxiety might be related to the need of intravenous anesthesic drug–propofol but not related to the incidence of nausea, vomiting and dizziness and dissatisfaction.

Reference ( 32 ) 〈TOP〉

Anderson, J. C., Messina, C. R., Cohn, W., Gottfried, E., Ingber, S., Bernstein, G., . . . Polito, J. (2001). Factors predictive of difficult colonoscopy. Gastrointestinal Endoscopy, 54(5), 558-562.
連結：
Bernstein, C., Thorn, M., Monsees, K., Spell, R., & O''Connor, J. B. (2005). A prospective study of factors that determine cecal intubation time at colonoscopy. Gastrointestinal Endoscopy, 61(1), 72-75.
連結：
E. Mulcahy, P. K., MR Banks, P. Connor, SE Patchet, MJG Farthing, PD Fairclough, PJ Kumar, H. (2001). Factors associated with tolerance to, and discomfort with, unsedated diagnostic gastroscopy. Scandinavian journal of gastroenterology, 36(12), 1352-1357.
連結：
Ersöz, F., Toros, A. B., Aydoğan, G., Bektaş, H., Ozcan, O., & Arikan, S. (2010). Assessment of anxiety levels in patients during elective upper gastrointestinal endoscopy and colonoscopy. Turk. J. Gastroenterol, 21(1), 29-33.
連結：
Froehlich, F., Schwizer, W., Thorens, J., Köhler, M., Gonvers, J. J., & Fried, M. (1995). Conscious sedation for gastroscopy: patient tolerance and cardiorespiratory parameters. Gastroenterology, 108(3), 697-704.
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