The effect of Orientation technique on vital sign and anxiety level of patients undergoing Endoscopic Retrograde Cholangiopancreatography (ERCP)

Document Type: Original Quantitative and Qualitative Research Paper

Authors

1 Graduate of MSc comunity health nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran

2 Assistant professor in Nursing, Deptment of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran

3 Associate professor in Biostatistics, Deptment of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran

Abstract

Background: Diagnostic and therapeutic procedures such as Endoscopic Retrograde Cholangiopancreatography (ERCP) is stressful for the patient.
Aim:  to determine the influence of Orientation technique on anxiety levels and pulse rate in patients before ERCP in Talaghni hospital in 2011.
Method: This study was a randomized controlled clinical trial which carried out on 70 subjects with gastrointestinal disorders hospitalized in Taleghani Hospital, Tehran, who were randomly allocated in two groups (35 experimental and 35 control group). The subjects in the experimental group were received orientation technique while control group were only received routine care in their ward. The anxiety level and vital sign was measured in both groups and analyzed with SPSS Version 13 using inferential statistics.
Results There was no difference between two groups in terms of demographics variablesbased on Chi square test. Beforeapplying Orientation technique, there was no significant difference in the average score of situational anxiety and vital sign (BP and P) scores of the subjects in the experimental and control group (P<0.05). However, after applying Orientation technique, a significant difference was seen in the situational anxiety average score and pulse rate of the subjects in two groups (P<0.05).
Conclusion: Use of Orientation technique was useful in decreasing the anxiety level of patients undergoing ERCP.  It is therefore recommended that Orientation technique to be used by health professionals as a non therapeutic and cost-effective intervention before performing medical procedures like ERCP.

Keywords


  1. Rostami KH, Yazdanbod A, Amini Sani N, Moharami F. Risk Factors Influencing Bile Stones: a Case Control Study. Ardebil medical university scientific journal 2007; 2(7): 263-7. (Persian)
  2. Sadjadi A, Nouraie M, Mohagheghi MA, Mousavi-Jarrahi A, Malekezadeh R, Parkin DM. Cancer Occurrence in Iran in 2002, an International Perspective . Asian Pac J Cancer Prev. 2005; 6(3): 359-63. (Persian)
  3. Khosh Baten M, Farzin H, Ghavidel A, Sate H.Assessment of Pancreatitis after Ercp in Emam Khomeini Hospital in Tabriz. Tayebe Shargh 2007; 9(20): 87-94. (Persian)
  4. Alizadeh AHM, et al. Endoscopic Retrograde Cholangio Pancreato Graphy Outcome from a Single Referral Center in Iran. Hepatobiliary  Pancreat Dis Int 2010; 9(4): 428-32.
  5. Fisher L, Fisher A, Thomson A. Cardiopulmonary Complications of Ercp in Older Patients. Gastrointest Endosc 2006; 63(7): 948-55.
  6. Morgan J,  Morgan L, Kaushik S, Bassett M. Influence of Coping Style and   Precolonoscopy Information on Pain and Anxiety of Colonoscopy.  Gastrointest Endosc 1998; 48(2): 119-27.
  7. Trevisani  L, Sartori  S, Putinati S, et al.  Assessment of Anxiety Levels in Patients During Diagnostic Endoscopy. Recenti Prog Med 2002; 93(4), 240–4.
  8. Maguire D, Walsh  JC, Little CL. The Effect of Information and Behavioral Training on Endoscopy Patients’ Clinical Outcomes. Patient Educ Couns 2004; 54 (1): 61–5.
  9. Deyirmenjian M, Karam N, Salameh P. Preoperative Patient Education for Open-Heart Patients: a Source of Anxiety?. Patient Educ Couns. 2006; 62(1): 111-7.
  10. Sung Kim W  Byeon G,  Song, B,  Jeong LH. Availability of Preoperative Anxiety Scale as a Predictive Factor for Hemodynamic Changes During Induction of Anesthesia.Korean J Anesthesiol. 2010 ; 58(4): 328–33.
  11. Felley C, et al. Combined Written and Oral Information Prior to Gastrointestinal Endoscopy Compared with Oral Information Alone: A Randomized Trial. J of BMC Gastroenterol 2008;  8(22): 1-7
  12. Triantafyllou K. Deep Sedation for Endoscopic Retrograde Cholangio Pacreatography.   World J Gastrointest Endosc  2011;  3(2): 34-9
  13. Kutluturkan S, Gorgulu U, Hatice F, Karavelioglu A. The Effects of Providing Pregastro Intestinal Endoscopy Written Educational Material on Patients’ Anxiety: A Randomized Controlled Trial. Int J Nurs Stud 2010; 47(9): 1066–73.
  14.  van Vliet, M.J., Grypdonck, M., van Zuuren, F.J., Winnubst, J., Kruitwagen, C. Preparing Patients for Gastrointestinal Endoscopy: The Influence of Information in Medical Situations. Patient Educ Couns 2004; 52 (1): 23–30.
  15. Dehkordi L, Salahshourian A, Mohamad Alaiha J, Hosseini F.Perception of Nurses about Patient Education, Provoking and Suppress Factors. Iranian journal of nursing 2004; 40(17): 18-27. (Persian)
  16. Hanifi  N, Bahraminejad N ,Mirzaei T, Ahmadi F Khani M, Taran L. The Effect of Orientation Program on Stress, Anxiety and Depression of Patients Undergoing Coronary  Angiography . Nurs Res 2011;7(25):1-8
  17. Nikbakht AR ,Taghavi T,Mahmodi M, Taghlili F.A Comparison of Two Methods of  Benson Relaxation and Repeated Invocations on Patient Anxiety before Abdominal Surgery.Hayat 2004;10(3):29-38
  18. Wang SM, Kain ZN. Auricular Acupuncture: a Potential Treatment for Anxiety. Anesth Analg. 2001; 92(2): 548-53.
  19. [19]  - Kober A, Scheck T, Schubert B, Strasser H, Gustorff B, Bertalanffy P, et al. Auricular Acupressure as a Treatment for Anxiety in Pre Hospital Transport Settings. Anesthesiology. 2003 ; 98(6): 1328-32.
  20. Hanifi  N, Bahraminejad N ,Amane Idea Dadgaran,,Ahmadi F Khani M, Haghdoost F. Effect of Orientation Program on Hemodynamic Variables of Patients Undergoing Heart Catheterization .Hayatt J 2011;17(3):38-48
  21. Talaei A, Toufani H, Hojjat SK, Jami-Alahmadi Z. [Effect of Familiarizing the Patient with the Personnel and Operating Room on the Day before Surgery for Preoperative Anxiety]. The Quarterly Journal of Fundamentals of Mental Health. 2004; 6(21-22): 57-61. (Persian)
  22. Akbarzadeh F, Ranjbar kouchaksaraei F, Bagheri Z, Ghezel M. Effect of Preoperative Information and Reassurance in Decreasing Anxiety of Patients Who are Candidate for Coronary Artery Bypass Graft Surgery. J Thorac Cardiovasc Surg 2009; 1(2): 25-8.
  23. Florence J. van Zuuren, Mieke Grypdonck , Eveline Crevits, Cressy Vande Walle, Tom Defloor, The Effect of an Information Brochure on Patients Undergoing Gastrointestinal Endoscopy: a Randomized Controlled Study. Patient Educ Couns 2006 ;64(3): 173–82
  24. Van Zuuren FJ, Grypdonck M, Crevits E, et al. The Effect of an Information Brochure on Patients Undergoing Gastrointestinal Endoscopy: A Randomized Controlled Study. Patient Educ  Couns 2006; 64 (1–3), 173–82.
  25.  Maguire D, Walsh JC, Little CL. The Effect of Information and Behavioural Training on Endoscopy Patients’ Clinical Outcomes.  Patient Educ Couns 2004; 54(1): 61–5.
  26.  Babaei M, Kermanshahi S, Alhani F. Influence of Discharge Planning on Anxiety Levels in Patients with Myocardial Infarction. Koomesh 2011; 12(3): 272-8. (Persian)
  27. Guo P, East L, Arthur A. A Preoperative Education Intervention to Reduce Anxiety and Improve Recovery among Chinese Cardiac Patients: a Randomized Controlled Trial. Int J Nurs Stud 2012 ; 49(2):129-37.
  28. Tomaino-Brunner C, et al. Can Precolposcopy Education Increase Knowledge and Decrease Anxiety?. J Obstet Gynecol Neonatal Nurs 2011; 27(6): 636–45