| Purpose:The research is specialized in colonoscopy examination assisted by the emotional methods. During this research, patients'pain level, anxiety level and the time spent by doctors to instert the colonoscopy will be observed. The relation between the causes of colonoscopy, education, occupation and the trait anxiety (TA), state anxiety (SA), degree of pain, the time used to insert the colonoscopy will be analyzied. By exploring using emotional methods to decrease the anxiety in the colonoscopy patients, the patients'potential will be stimulated, and the purpose of easing the pain and decreasing the time of colonoscopy will be achieved. Eventually, the patients can finish the colonoscopy process more comfortably. It not only improve the relationship between physicians and patients, but also provides clinical evidence for the colonoscopy assisted by emotional methods.Methods:The subject applies a randomized, comparision controlled design, and questionary methods. By intervening during the colonoscopy process (intervention group:emotional intervention, control group:control), patient's trait anxiety, state anxiety, pain and colonoscopy time were observed. Meanwhile, it also studies the correlation between patients' profession, course, education, body mass index and the degree of pain, state anxiety level, the time from the colonoscopy to ileocecal part. After the clinical data collection, statistical software SPSS13.0 are used for code entry, entry and statistical analysis. Descriptive analysis method is used to calculate the frequency and composition; analysis of variance is used for measurement data groups; count data groups were analyzed using chi-square test. Bivariate correlation is used for the relationship between the various parameters.Result:1.Comparison of the observed targetExperimental group and control group trait anxiety (TA) and state anxiety (SA) was not significantly different P> 0.05. However, the difference between TA and SA compared (T-S) to two sets of data there was significant difference P<0.05, which suggests the sentiment of experimental group is more steady than that of the control group.Pain in the two groups showed no significant difference P> 0.05. The time spent for colonoscopy of the two groups was significant difference P<0.01. Therefore, the experimental group spends less time than the control group to finish the colonoscopy.2. Different baseline data comparison between the observed indicatorsCompared the observation of gender indicators, TA, SA, and pain intensity of the two groups showed no significant difference P> 0.05. The time need to get into the colonoscopy of the same group members showed no significant difference P> 0.05, but there was significantly difference between groups P<0.001. experimental group spends less time than in the control group to get into the colonoscopy.Compared different age groups with the observed indicators, TA, SA of the two groups showed no significant difference P> 0.05. Two groups were significantly different in the degree of pain P<0.05. In he experimental group, the younger members showed higher pain levels, while the older members showed less pain than the control group. Time spent on getting into the colonoscopy of the members within both groups had no significant difference P> 0.05, but there wassignificant difference between groups P<0.05. The experimental group spends less time than in the control group to get into the colonoscopy. Different body mass index with the observed indicators are comapred. When comparing the TA, SA, the group memembers of the experimental group showed no significant difference P> 0.05, but the members of the control group were significantly different P<0.05. The lower the body mass index, the higher the TA, SA. There were significant difference in pain level between the wo groups P<0.05. experimental group showed less pain than the control group. The time spent on reaching the colonoscopy were significantly different P<0.05. the lower the body mass index, the longer it takes to get into the colonoscopy.Different course with the observed indicators are compared. The TA of the two groups are not statistically significant P> 0.05; Within the experimental group SA duration of disease were significantly different P<0.05, the SA of members with short course duration increase more than those with long course duration. Duration of the pain was no significant difference P> 0.05. Time spent on getting into the colonoscopy of members with different course of the disease are significantly different P<0.05. Members with short duration of time takes less time to get into the colonoscopy than those with long duration. Different indicators of education and observation are compared. TA, SA of the two groups showed no significant difference P> 0.05. TS groups were significantly different P<0.05, TS value of low educational level is higher than low educational level. Two groups were significantly different in degree of pain P<0.05. The experimental group showed the lowest level of high pain. Time spent on getting into the colonoscopy were significantly different P<0.05. In the experimental group members with high school-level education take the least time to get into the colonoscopy.3. Relationship between the general information and the observed indexEducation level was negatively correlated with SA, TA, SA were increased with the degree of cultural decline, indicating that people with high level of education can control emotions better than those with low education level. Duration was negatively correlated with SA, but positively correlated with T-S. Within the experimental group, symptoms and anxiety are not significantly associated P> 0.05; control group, TA was negatively correlated with symptoms. Whithin the xperimental group, age, body mass index were negatively correlated with pain, but not related factors such as the course, clinical symptoms, education level and occupation. In control group, age, body mass index, duration of symptoms, education, occupation, etc was not significantly associated with pain P> 0.05.Experimental member's body mass index are negatively correlated with the time needed to get into the colonoscopy, positively correlated with the clinical symptoms, but not related to education and occupation. Control group's age, body mass index, duration of symptoms, education, occupation and the time needed to get into the colonoscopy was not significantly correlated P> 0.05.4. Observe the correlation between indicatorsIn the experimental group, the pain level and SA are postively correlated. In control group, the pain level and SA are also positively correlated. Therefore, the higher the SA points, the more severe the pain. The time needed to get into the colonoscopy of both groups were not obviously relatedP) 0.05. The time needed to get into the colonoscopy and the pain was positively correlated, while in the control group, the time needed to get into the colonoscopy has no significant correlation with the degree of pain.Conclusion:The study is concerned with the intervention by emotions colonoscopy examination method, which significantly shorten the time needed to get into the colonoscopy, so that patients can cooperate with the physician to get into the colonoscopy in a better way. At the same time, it reduced the pain level, keeps emotional stability of patients, and ease patients'anxiety. Emotional methods is an economical and safe way to alleviate the discomfort, and it doesn't have the risk of analgesic drugs and side effects. This study confirmed that the emotional methods can control the anxiety, pain and the time that physicians need to get into the colonoscopy with this traditional, non-invasive drug intervention measures. Besides, it affirmed that it can reduce pain and discomfort in colonscopy. It is a good choice for the patients of colonoscopy. |
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