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...
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BMC
2020-04-01
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Series: | BMC Gastroenterology |
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Online Access: | http://link.springer.com/article/10.1186/s12876-020-01274-3 |
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doaj-aeb28683695e4478b26be3579f621531 |
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Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Masahiro Sogabe Toshiya Okahisa Akira Fukuya Kaizo Kagemoto Yasuyuki Okada Yuka Adachi Takeshi Kurihara Toru Nii Satoshi Teramae Hironori Tanaka Tetsu Tomonari Koichi Okamoto Hiroshi Miyamoto Masahiko Nakasono Tetsuji Takayama |
spellingShingle |
Masahiro Sogabe Toshiya Okahisa Akira Fukuya Kaizo Kagemoto Yasuyuki Okada Yuka Adachi Takeshi Kurihara Toru Nii Satoshi Teramae Hironori Tanaka Tetsu Tomonari Koichi Okamoto Hiroshi Miyamoto Masahiko Nakasono Tetsuji Takayama Effects of audio and visual distraction on patients’ vital signs and tolerance during esophagogastroduodenoscopy: a randomized controlled trial BMC Gastroenterology Esophagogastroduodenoscopy Vital signs Heart rate variability Distraction Subjective and objective assessment |
author_facet |
Masahiro Sogabe Toshiya Okahisa Akira Fukuya Kaizo Kagemoto Yasuyuki Okada Yuka Adachi Takeshi Kurihara Toru Nii Satoshi Teramae Hironori Tanaka Tetsu Tomonari Koichi Okamoto Hiroshi Miyamoto Masahiko Nakasono Tetsuji Takayama |
author_sort |
Masahiro Sogabe |
title |
Effects of audio and visual distraction on patients’ vital signs and tolerance during esophagogastroduodenoscopy: a randomized controlled trial |
title_short |
Effects of audio and visual distraction on patients’ vital signs and tolerance during esophagogastroduodenoscopy: a randomized controlled trial |
title_full |
Effects of audio and visual distraction on patients’ vital signs and tolerance during esophagogastroduodenoscopy: a randomized controlled trial |
title_fullStr |
Effects of audio and visual distraction on patients’ vital signs and tolerance during esophagogastroduodenoscopy: a randomized controlled trial |
title_full_unstemmed |
Effects of audio and visual distraction on patients’ vital signs and tolerance during esophagogastroduodenoscopy: a randomized controlled trial |
title_sort |
effects of audio and visual distraction on patients’ vital signs and tolerance during esophagogastroduodenoscopy: a randomized controlled trial |
publisher |
BMC |
series |
BMC Gastroenterology |
issn |
1471-230X |
publishDate |
2020-04-01 |
description |
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 < 0.001 and p < 0.01, respectively). Blood pressure (BP) during and post-EGD was significantly higher than that at pre-EGD in control group (p < 0.05), but no significant elevation of BP was observed during the latter half of EGD and post-EGD in the 3 distraction groups. BP at post-distraction improved significantly compared to pre-distraction in the 3 distraction groups (p < 0.05). There was a significant difference in the low-frequency (LF) power/ high-frequency (HF) power at post-distraction and post-EGD among the 4 groups (p < 0.001 and p < 0.001, respectively). The LF power/HF power at post-distraction and post-EGD in the 3 distraction groups was significantly lower than that in control group (p < 0.05). Several items of profile of mood states (POMS) and the impression of EGD at post-distraction improved significantly compared to those at pre-distraction among the 3 distraction groups (p < 0.05). Visual analog scale (VAS) of willingness for the next use of distraction in the 3 distraction groups was excellent because VAS was more than 70. Conclusions Distractions 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. |
topic |
Esophagogastroduodenoscopy Vital signs Heart rate variability Distraction Subjective and objective assessment |
url |
http://link.springer.com/article/10.1186/s12876-020-01274-3 |
work_keys_str_mv |
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doaj-aeb28683695e4478b26be3579f6215312020-11-25T02:48:09ZengBMCBMC Gastroenterology1471-230X2020-04-0120111310.1186/s12876-020-01274-3Effects of audio and visual distraction on patients’ vital signs and tolerance during esophagogastroduodenoscopy: a randomized controlled trialMasahiro Sogabe0Toshiya Okahisa1Akira Fukuya2Kaizo Kagemoto3Yasuyuki Okada4Yuka Adachi5Takeshi Kurihara6Toru Nii7Satoshi Teramae8Hironori Tanaka9Tetsu Tomonari10Koichi Okamoto11Hiroshi Miyamoto12Masahiko Nakasono13Tetsuji Takayama14Department of Gastroenterology and Oncology, Tokushima University Graduate School of Biomedical SciencesDepartment of Gastroenterology and Oncology, Tokushima University Graduate School of Biomedical SciencesDepartment of Gastroenterology and Oncology, Tokushima University Graduate School of Biomedical SciencesDepartment of Gastroenterology and Oncology, Tokushima University Graduate School of Biomedical SciencesDepartment of Gastroenterology and Oncology, Tokushima University Graduate School of Biomedical SciencesDepartment of Internal Medicine, Shikoku Central Hospital of the Mutual aid Association of Public School teachersDepartment of Internal Medicine, Shikoku Central Hospital of the Mutual aid Association of Public School teachersDepartment of Internal Medicine, Shikoku Central Hospital of the Mutual aid Association of Public School teachersDepartment of Gastroenterology and Oncology, Tokushima University Graduate School of Biomedical SciencesDepartment of Gastroenterology and Oncology, Tokushima University Graduate School of Biomedical SciencesDepartment of Gastroenterology and Oncology, Tokushima University Graduate School of Biomedical SciencesDepartment of Gastroenterology and Oncology, Tokushima University Graduate School of Biomedical SciencesDepartment of Gastroenterology and Oncology, Tokushima University Graduate School of Biomedical SciencesDepartment of Internal Medicine, Tsurugi Municipal Handa HospitalDepartment of Gastroenterology and Oncology, Tokushima University Graduate School of Biomedical SciencesAbstract 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 < 0.001 and p < 0.01, respectively). Blood pressure (BP) during and post-EGD was significantly higher than that at pre-EGD in control group (p < 0.05), but no significant elevation of BP was observed during the latter half of EGD and post-EGD in the 3 distraction groups. BP at post-distraction improved significantly compared to pre-distraction in the 3 distraction groups (p < 0.05). There was a significant difference in the low-frequency (LF) power/ high-frequency (HF) power at post-distraction and post-EGD among the 4 groups (p < 0.001 and p < 0.001, respectively). The LF power/HF power at post-distraction and post-EGD in the 3 distraction groups was significantly lower than that in control group (p < 0.05). Several items of profile of mood states (POMS) and the impression of EGD at post-distraction improved significantly compared to those at pre-distraction among the 3 distraction groups (p < 0.05). Visual analog scale (VAS) of willingness for the next use of distraction in the 3 distraction groups was excellent because VAS was more than 70. Conclusions Distractions 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.http://link.springer.com/article/10.1186/s12876-020-01274-3EsophagogastroduodenoscopyVital signsHeart rate variabilityDistractionSubjective and objective assessment |