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Effects of audio and visual distraction on patients' vital signs and tolerance during esophagogastroduodenoscopy: a randomized controlled trial.


ABSTRACT:

Background

Esophagogastroduodenoscopy (EGD) provides an indispensable and unambiguous inspection allowing the discovery upper gastrointestinal lesions. However, many patients are anxious about undergoing EGD. Few studies have investigated the influence on patients' vital signs and tolerance during EGD using subjective and objective assessments. This study was a prospective randomized controlled study that investigated the influence of audio and visual distraction on EGD.

Methods

We randomly divided 289 subjects who underwent EGD into 4 groups (control group, audio group, visual group, combination group) and examined their vital signs, heart rate variability (HRV), psychological items, and acceptance of distraction.

Results

Pulse rate (PR) at post-distraction and post-EGD in the 3 distraction groups were significantly lower than those of control group (p?ConclusionsDistractions effectively improved psychological factors, vital signs and some of HRV at pre and post-EGD. Distractions may suppress BP elevation during the latter half of EGD and lead to stability of HRV on EGD.

Trial registration

This prospective trial was registered in the University Hospital Medical Information Network (UMIN) Clinical Trials Registry as UMIN000029637. Registered on 20 October 2017.

SUBMITTER: Sogabe M 

PROVIDER: S-EPMC7175521 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Publications

Effects of audio and visual distraction on patients' vital signs and tolerance during esophagogastroduodenoscopy: a randomized controlled trial.

Sogabe Masahiro M   Okahisa Toshiya T   Fukuya Akira A   Kagemoto Kaizo K   Okada Yasuyuki Y   Adachi Yuka Y   Kurihara Takeshi T   Nii Toru T   Teramae Satoshi S   Tanaka Hironori H   Tomonari Tetsu T   Okamoto Koichi K   Miyamoto Hiroshi H   Nakasono Masahiko M   Takayama Tetsuji T  

BMC gastroenterology 20200421 1


<h4>Background</h4>Esophagogastroduodenoscopy (EGD) provides an indispensable and unambiguous inspection allowing the discovery upper gastrointestinal lesions. However, many patients are anxious about undergoing EGD. Few studies have investigated the influence on patients' vital signs and tolerance during EGD using subjective and objective assessments. This study was a prospective randomized controlled study that investigated the influence of audio and visual distraction on EGD.<h4>Methods</h4>W  ...[more]

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