Abstract
Objectives: To describe the anxiety prevalence of clients undergoing gastrointestinal endoscopy with anesthesia and investigate associated factors related to the anxiety status.
Subjects and Method: A cross-sectional study was conducted on 76 clients who indicated for gastrointestinal endoscopy with anesthesia from April to July 2025 at the Department of General Medicine and Outpatient Clinic, Vinmec Smart City International General Hospital. Anxiety levels were assessed using the STAI (State-Trait Anxiety Inventory) scale. Descriptive analysis, Chi-square and Fisher’s Exact tests, and Spearman’s rho correlation were used to analyze the research data.
Results: Most clients were under 60 years old (77.6%), with a higher proportion of females (57.9%). 51.3% of clients had previously undergone gastrointestinal endoscopy. The most common reasons for anxiety about endoscopy were: post-endoscopy diet (78.9%), time to return to work and normal daily activities (73.7%) and possible complications related to the endoscopy procedure (68.4%). Factors reducing anxiety included: familiarity with medical examinations (60.5%) and prior endoscopy (57.9%). The average STAI-S score (state anxiety) was 39.4 ± 8.2, and STAI-T score (trait anxiety) was 35.1 ± 5.1. Anxiety at moderate level or higher measured by STAI-S accounted for the majority (52.6%). On the STAI-T scale, high anxiety was only 3.9%, while little or no anxiety made up the majority (72.4%). Significant factors related to anxiety (p < 0.05) included: previous gastrointestinal endoscopy, family members with gastrointestinal diseases and number of gastrointestinal symptoms experienced.
Conclusion: Anxiety before undergoing gastrointestinal endoscopy with anesthesia exists and is notable. Major concerns relate to post-endoscopy diet, time to resume normal work and daily life, and potential complications during the procedure. Factors associated with increased anxiety include prior history of endoscopy, family history of gastrointestinal disease, and the number of gastrointestinal symptoms the clients has.
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References
Jardim SR, de Souza LMP, de Souza HSP. The Rise of Gastrointestinal Cancers as a Global Phenomenon: Unhealthy Behavior or Progress? Int J Environ Res Public Health 2023; 18;20(4):3640. doi: 10.3390/ijerph20043640.
Ghanouni A, Plumb A, Hewitson P, Nickerson C, Rees CJ, von Wagner C. Patients’ experience of colonoscopy in the English Bowel Cancer Screening Programme. Endoscopy 2016;48(3):232-40. doi: 10.1055/s-0042-100613.
Ko CW, Riffle S, Shapiro JA, Saunders MD, Lee SD, Tung BY, et al. Incidence of minor complications and time lost from normal activities after screening or surveillance colonoscopy. Gastrointest Endosc 2007;65(4):648-56. doi: 10.1016/j.gie.2006.06.020.
Karpuzcu HC, Yarbaş G, Çatalbaş R, Atlı NA, Erdoğan Ç. The effect of pre-procedural anxiety level on the quality of upper GI endoscopy in non-sedated patients: “can the need for sedation be predicted?”. Therap Adv Gastroenterol 2025;18:17562848251333025. doi: 10.1177/17562848251333025.
Xiong Y, Yan H, Qu L, Wang S, Meng X, Zhu X, et al. Global Trends of Gastrointestinal Endoscopy Anesthesia/Sedation: A Bibliometric Study (from 2001 to 2022). J Pain Res 2023;16:2393-2406.doi: 10.2147/JPR.S408811.
ASGE Standards of Practice Committee. Guidelines for sedation and anesthesia in GI endoscopy. Gastrointest Endos 2018;87(2):327-337.
Trần Đình Thảo, Phạm Thị Thu Hường, Đào Việt Hằng. Thực trạng lo âu của cha mẹ bệnh nhi nội soi tiêu hóa gây mê và các yếu tố liên quan tại Bệnh viện Đại học Y Hà Nội. Tạp chí Y học Việt Nam 2024;543(2):145-148. https://doi.org/10.51298/vmj.v543i2.11419.
Nguyễn Công Khanh. Tâm lý trị liệu. Nhà xuất bản Đại học Quốc gia Hà Nội; 2000.
Kayikcioglu O, Bilgin S, Seymenoglu G, Deveci A. State and Trait Anxiety Scores of Patients Receiving Intravitreal Injections. Biomed Hub 2017;2(2):1-5. doi: 10.1159/000478993.
Mitsonis C, Dimopoulos N, Zavrou M, Psarra V, Giofkos C, Fiorakis C, et al. Panic Attack during Elective Gastrointestinal Endoscopy. Gastroenterol Res Pract 2011;2011:162574. doi: 10.1155/2011/162574.
Behrouzian F, Sadrizadeh N, Nematpour S, Seyedian SS, Nassiryan M, Zadeh AJF. The Effect of Psychological Preparation on the Level of Anxiety before Upper Gastrointestinal Endoscopy. J Clin Diagn Res 2017;11(7):VC01-VC04. doi: 10.7860/JCDR/2017/24876.10270.
Sargin M, Uluer MS, Aydogan E, Hanedan B, Tepe Mİ, Eryılmaz MA, et al. Anxiety Levels in Patients Undergoing Sedation for Elective Upper Gastrointestinal Endoscopy and Colonoscopy. Med Arch 2016;70(2):112-5. doi: 10.5455/medarh.2016.70.112-115.
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