Effect of Education by Multimedia Tools on Pre-colonoscopy Anxiety in Female Patients

Document Type : Original Article

Authors

1 Assistant Professor of Internal Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Department of Biology, Mashhad Islamic Azad University, Mashhad, Iran

Abstract

Background: Colonoscopy is the most accurate tool for the diagnosis of large intestine diseases, allowing one to observe the inner wall of the large intestine; nonetheless, the invasiveness of colonoscopy causes anxiety in patients.
 
Objectives: The present study aimed to assess the effect of education using multimedia tools on pre-colonoscopy anxiety in female patients.
 
Methods: The study tools were Spielberger State-Trait Anxiety Inventory (STAI) and a Knowledge questionnaire which were completed on the visit day. The patients completed the STAI and Knowledge questionnaire again before receiving the colonoscopy. The data were analyzed in SPSS software (version 24) using the analysis of variance (ANOVA) test.
 
Results: Based on the results, patients in the booklet group had lower anxiety scores on the day of the colonoscopy, as compared to their counterparts in the multimedia group. There was no significant difference between the control and multimedia groups in terms of anxiety scores on the day of the colonoscopy. Nevertheless, there was a significant difference in the knowledge scores of the three groups on the colonoscopy day, and this difference was quite evident in the multimedia group. Moreover, the results of the two-way ANOVA test indicated that an increase in patients' knowledge on the days of visit and colonoscopy increased their anxiety on the colonoscopy day.
 
Conclusion: As evidenced by the results of the present study, although multimedia tools increased patients’ understanding and knowledge of the colonoscopy procedure, they were not useful in the reduction of patients' anxiety. Therefore, the use of multimedia tools for the reduction of pre-colonoscopy anxiety was not effective in patients with high levels of anxiety.
 

Keywords


Copyright © 2024, Razavi International Journal of Medicine. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

1. Malekzadeh R, Bishehsari F, Mahdavinia M, Ansari R. Epidemiology and molecular genetics of colorectal cancer in Iran: a review. Archives of Iranian Medicine.2009;12(2):161-9.
 
2. Hoseini B, Rahmatinejad Z, Goshayeshi L, Bergquist R, Golabpour A, Ghaffarzadegan K, et al. Colorectal Cancer in North-Eastern Iran: a retrospective, comparative study of early-onset and late-onset cases based on data from the Iranian hereditary colorectal cancer registry. BMC cancer. 2022;22(1):1-11.
https://doi.org/10.1186/s12885-021-09132-5
PMid:34998373 PMCid:PMC8742430
 
3. Siegel RL, Miller KD, Fedewa SA, Ahnen DJ, Meester RG, Barzi A, et al. Colorectal cancer statistics, 2017. CA: a cancer journal for clinicians. 2017;67(3):177-93.
https://doi.org/10.3322/caac.21395
PMid:28248415
 
4. Bosetti C, Levi F, Rosato V, Bertuccio P, Lucchini F, Negri E, et al. Recent trends in colorectal cancer mortality in- Europe. International journal of cancer. 2011;129(1):180-91.
https://doi.org/10.1002/ijc.25653
PMid:20824701
 
5. Jemal A, Ward EM, Johnson CJ, Cronin KA, Ma J, Ryerson AB, et al. Annual report to the nation on the status of cancer, 1975-2014, featuring survival. JNCI: Journal of the National Cancer Institute. 2017;109(9):djx030
https://doi.org/10.1093/jnci/djx030
 
6. Issa IA, Noureddine M. Colorectal cancer screening: An updated review of the available options. World journal of gastroenterology. 2017;23(28):5086.
https://doi.org/10.3748/wjg.v23.i28.5086
PMid:28811705 PMCid:PMC5537177
 
7. Hsueh F-C, Chen C-M, Sun C-A, Chou Y-C, Hsiao S-M, Yang T. A study on the effects of a health education intervention on anxiety and pain during colonoscopy procedures. Journal of Nursing Research. 2016;24(2):181-9.
https://doi.org/10.1097/jnr.0000000000000112
PMid:26551213
 
8. M Ali Kiani MN, A Khodadad, A Khakshur, HR Kianifar, SA Jafari, M Ghayour Mobarhan, M Saeidi , Sh Mohammadi. Effect Supermint oil (peppermint oil) on Patient Satisfaction and the colonoscopy team during colonoscopy. Journal of North Khosrasan University of Medical Sciences. 2013;5(3):613-9.
https://doi.org/10.29252/jnkums.5.3.613
 
9. Morgan J, Roufeil L, Kaushik S, Bassett M. Influence of coping style and precolonoscopy information on pain and anxiety of colonoscopy. Gastrointestinal Endoscopy. 1998;48(2):119-27.
https://doi.org/10.1016/S0016-5107(98)70152-X
PMid:9717776
 
10. Yang C, Sriranjan V, Abou‐Setta AM, Poluha W, Walker JR, Singh H. Anxiety associated with colonoscopy and flexible sigmoidoscopy: a systematic review. The American journal of gastroenterology. 2018;113(12):1810-8.
https://doi.org/10.1038/s41395-018-0398-8
PMid:30385831 PMCid:PMC6768596
 
11. Tani A, TARTARISCO G, VAGHEGGINI G, CAMPANA S, VACCARO C, TOMAIUOLO F. Binaural Beats Reduce Feeling of Pain and Discomfort During Colonoscopy
 
Procedure in Not-Sedated Patients: A Randomized Control Trial. CTCP-D-22-00125, Available at SSRN: https://ssrn
 
com/abstract=4029449 or http://dxdoiorg/102139/
 
ssrn4029449
 
12. Shamim S, Andresen YLM, Thaysen HV, Jakobsen IH, Nielsen J, Danielsen AK, et al. Experiences of patients undergoing bowel preparation and colonoscopy: a qualitative longitudinal study. Journal of multidisciplinary healthcare. 2021;14:349-58.
https://doi.org/10.2147/JMDH.S290166
PMid:33603393 PMCid:PMC7887187
 
13. Bulut F, Karakas H, Isik N. The Effect of Meditation and Music Listening on the Anxiety Level, Operation Tolerance and Pain Perception in People who Were Performed Colonoscopy. International Journal of Caring Sciences. 2017;10(3):1587-94.
 
14. Yang C-C, Chen M-L, Liou Y-F, Li C-R, Chen P-Y, Chiang H-H, et al. Effects of music on anxiety and physiological responses in patients before gastroscopy. Journal of Medical Sciences. 2022;42(1):8.
https://doi.org/10.4103/jmedsci.jmedsci_190_20
 
15. Agre P, Kurtz RC, Krauss BJ. A randomized trial using videotape to present consent information for colonoscopy. Gastrointestinal endoscopy. 1994;40(3):271-6.
https://doi.org/10.1016/S0016-5107(94)70054-0
PMid:8056226
 
16. Hadaib I, Anglade P, Ibrahim H. Factors Contributing to Non-Attendance of GI Endoscopic Procedures in a Tertiary Care Center in the Middle East. Asian Pacific Journal of Cancer Prevention. 2022;23(1):33-7.
https://doi.org/10.31557/APJCP.2022.23.1.33
PMid:35092369 PMCid:PMC9258662
 
17. Petravage J, Swedberg J. Patient response to sigmoidoscopy recommendations via mailed reminders. J Fam Pract. 1988;27(4):387-9.
 
18. Babashahi M1 FS, Mardanian Dehkordi L. COMPARING THE EFFECT OF MASSAGE AND INHALATION AROMATHERAPY ON ANXIETY LEVEL OF THE PATIENTS IN THE PREOPERATIVE PERIOD. The Journal of Urmia Nursing and Midwiery Raculty. 2015;Vol 13(4), June:284-90.
 
19. Murugesan M, Anand J, Durai S, Dutta A, Mahasampath G. Effectiveness of video instruction on anxiety, knowledge of procedure and quality of bowel cleanliness among patients undergoing colonoscopy. Indian Journal of Continuing Nursing Education. 2020;21(1):64-9.
https://doi.org/10.4103/IJCN.IJCN_49_20
 
20. Calderwood AH, Lai EJ, Fix OK, Jacobson BC. An endoscopist-blinded, randomized, controlled trial of a simple visual aid to improve bowel preparation for screening colonoscopy. Gastrointestinal endoscopy. 2011;73(2):307-14.
https://doi.org/10.1016/j.gie.2010.10.013
PMid:21168840
 
21. Silvester JA, Kalkat H, Walker JR, Graff LA, Duerksen DR. Tu1309 Impact of Direct-to-Colonoscopy on Information Seeking and Pre-Procedure Anxiety Among Patients Undergoing First-Time Colonoscopy. Gastrointestinal Endoscopy.2013;77(5, Supplement):AB494.
https://doi.org/10.1016/j.gie.2013.03.790
 
22. Valdez P, Mehrabian A. Effects of color on emotions. Journal of experimental psychology: General. 1994;123(4):394-409.
https://doi.org/10.1037/0096-3445.123.4.394
PMid:7996122
 
23. Hu P-H, Peng Y-C, Lin Y-T, Chang C-S, Ou M-C. Aromatherapy for reducing colonoscopy related procedural anxiety and physiological parameters: a randomized controlled study. Hepato-gastroenterology. 2010;57(102):1082-6.
 
24. Mahram B. Validity of Spielberger state-trait anxiety inventory (STAI) in Mashhad city. Tehran: Allameh Tabatabaei University. 1993.
 
25. Shaikh AA, Hussain SM, Rahn S, Desilets DJ. Effect of an educational pamphlet on colon cancer screening: a randomized, prospective trial. European journal of gastroenterology & hepatology. 2010;22(4):444-9.
https://doi.org/10.1097/MEG.0b013e328333fca6
PMid:19940781
 
26. van Vliet MJ, Grypdonck M, van Zuuren FJ, Winnubst J, Kruitwagen C. Preparing patients for gastrointestinal endoscopy: the influence of information in medical situations. Patient education and counseling. 2004;52(1):23-30.
https://doi.org/10.1016/S0738-3991(02)00245-8
PMid:14729287
 
27. Hasasn Tehrani T, Pakzad A, Mohammadi F, Tapak L, Azmamoun H. Effect of Pre-endoscopy Preparation Program on Children's Anxiety and Parental Satisfaction: A Clinical Trial Study. Evidence Based Care. 2022;11(4):48-54.
 
28. Abuksis G, Mor M, Segal N, Shemesh I, Morad I, Plaut S, et al. A patient education program is cost-effective for preventing failure of endoscopic procedures in a gastroenterology department. The American journal of gastroenterology. 2001;96(6):1786-90.
https://doi.org/10.1111/j.1572-0241.2001.03872.x
PMid:11419830
 
29. Lanius M, Zimmermann P, Heegewaldt H, Hohn M, Fischer M, Rohde H. Does an information booklet on gastrointestinal endoscopy reduce anxiety for these examinations? Results of a randomized study with 379 patients. Zeitschrift fur Gastroenterologie. 1990;28(12):651-5.
 
30. Luo YY. Effects of written plus oral information vs. oral information alone on precolonoscopy anxiety. Journal of clinical nursing. 2013;22(5-6):817-28.
https://doi.org/10.1111/j.1365-2702.2011.04053.x
PMid:22845184
 
31. Veldhuijzen G, Klemt-Kropp M, sive Droste JST, van Balkom B, van Esch AA, Drenth JP. Computer-based patient education is non-inferior to nurse counselling prior to colonoscopy: a multicenter randomized controlled trial. Endoscopy. 2021;53(03):254-63.
https://doi.org/10.1055/a-1225-8708
PMid:32702759
 
32. Luck A, Pearson S, Maddem G, Hewett P. Effects of video information on precolonoscopy anxiety and knowledge: a randomised trial. The Lancet. 1999;354(9195):2032-5.
https://doi.org/10.1016/S0140-6736(98)10495-6
PMid:10636368
 
33. Power H. Patients who saw an information video 1 week before colonoscopy had reduced anxiety and better knowledge immediately before the procedure. Evidence-Based Nursing. 2000;3(3):79.
https://doi.org/10.1136/ebn.3.3.79
 
34. Shamekhi A, Tadayonfar M, Rastaghi S, Molavi M. Comparison of the effect of video education and guided imagery on patient anxiety before endoscopy. Biomedical Research. 2019;30(1):138-42.
https://doi.org/10.35841/biomedicalresearch.30-19-036
 
35. Parker S, Zipursky J, Ma H, Baumblatt G-L, Siegel CA. A web-based multimedia program before colonoscopy increased knowledge and decreased anxiety, sedation requirement, and procedure time. Journal of clinical gastroenterology. 2018;52(6):519-23.
https://doi.org/10.1097/MCG.0000000000000958
PMid:29095417
 
36. Callaghan P, Chan HC. The effect of videotaped or written information on Chinese gastroscopy patients' clinical outcomes. Patient Education and Counseling. 2001;
https://doi.org/10.1016/S0738-3991(00)00125-7
PMid:11164321
 
42(3):225-30.
 
37. Bytzer P, Lindeberg B. Impact of an information video before colonoscopy on patient satisfaction and anxiety-a randomized trial. Endoscopy. 2007;39(08):710-4.
https://doi.org/10.1055/s-2007-966718
PMid:17661246
 
38. Shaw MJ, Beebe TJ, Tomshine PA, Adlis SA, Cass OW. A randomized, controlled trial of interactive, multimedia software for patient colonoscopy education. Journal of clinical gastroenterology. 2001;32(2):142-7.
https://doi.org/10.1097/00004836-200102000-00010
PMid:11205650
 
39. Arabul M, Kandemır A, Çelık M, Alper E, Akpinar Z, Aslan F, et al. Impact of an information video before colonoscopy on patient satisfaction and anxiety. The Turkish journal of gastroenterology: the official journal of Turkish Society of Gastroenterology. 2012;23(5):523-9.
https://doi.org/10.4318/tjg.2012.0416
PMid:23161296
 
40. Sheng L-P, Han C-Q, Nie C, Xu T, Zhang K, Li X-J, et al. Watching videos of colonoscopies and receiving interpretations reduce pain and anxiety while increasing the satisfaction of patients. Digestive Diseases and Sciences. 2021;66(2):541-6.
https://doi.org/10.1007/s10620-020-06186-6
PMid:32193861
 
41. Esen CSB, Yazici G, Hurmuz P, Ozyigit G, Zorlu F. The Effect of Video-Based Education on Anxiety of Patients Receiving Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy. Journal of Cancer Education. 2022:1-5.
https://doi.org/10.1007/s13187-022-02135-1
PMid:35022988
 
42. Kumar KA, Balazy KE, Gutkin PM, Jacobson CE, Chen JJ, Karl JJ, et al. Association between patient education videos and knowledge of radiation treatment. International Journal of Radiation Oncology* Biology* Physics. 2021;109(5):1165-75.
https://doi.org/10.1016/j.ijrobp.2020.11.069
PMid:33301819
 
43. Drokow EK, Effah CY, Agboyibor C, Sasu E, Amponsem-Boateng C, Akpabla GS, et al. The impact of video-based educational interventions on cervical cancer, pap smear and HPV vaccines. Frontiers in Public Health. 2021;9:681319.
https://doi.org/10.3389/fpubh.2021.681319
PMid:34307280 PMCid:PMC8294697