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Evaluation of factors that influence anxiety and satisfaction in patients undergoing bronchofiberoscopy with analgosedation
Author(s) -
Andrychiewicz Anna,
Konarska Katarzyna,
Gorka Karolina,
Bartyzel Sylwia,
Salek Marta,
Biedron Grzegorz,
Surowiec Aleksandra,
Sladek Krzysztof,
Soja Jerzy,
Szczeklik Wojciech
Publication year - 2017
Publication title -
the clinical respiratory journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.789
H-Index - 33
eISSN - 1752-699X
pISSN - 1752-6981
DOI - 10.1111/crj.12384
Subject(s) - medicine , anxiety , observational study , patient satisfaction , sedation , surgery , psychiatry
Bronchofiberoscopy (BF) is a key tool used in the management of patients with respiratory diseases. Describing factors that contribute to patient anxiety surrounding BF has the potential to influence patient management and willingness to undergo the procedure again in the future if needed. Objectives This study sought to understand what factors influence anxiety and satisfaction experienced by patients undergoing BF under conscious sedation. Methods This study had a prospective observational character and evaluated 463 consecutive patients undergoing BF. Participants were divided into two groups, those undergoing BF for the first time and those who had undergone the procedure at least once in the past. Data were collected from three questionnaires prepared by the research team. Results Patients who had undergone multiple bronchoscopies were more satisfied with their physician's explanation of the procedure ( P  < 0.0001), had a better understanding of the indications ( P  < 0.0001) and potential complications ( P  < 0.0001) of BF and knew what specific procedure was planned ( P  < 0.001). Patients undergoing BF for the first time experienced anxiety before the procedure more frequently ( P  < 0.001). No significant difference in satisfaction was observed between patient groups and 89% would agree to BF in the future. Conclusions Patients who had previously undergone BF were better prepared for their procedure; however, satisfaction levels after the procedure were similar in both groups. Results suggest that medical staff should target patients who have not undergone BF previously to relieve anxiety.

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