Effectiveness of nursing interventions on level of anxiety, tress, and depression of elderly patients undergoing upper gastrointestinal endoscopy

Raefa Refaat Alam, Neamit Ibrahim Elemam Elashri
2020 International Journal of Advanced Nursing Studies  
Gastrointestinal Endoscopy is a widely used procedure in medicine today. It is the diagnosis and treatment of choice among elderly patients with upper gastrointestinal disorders. Thus anxiety, stress, and depression of adverse out-come or side effect and discomfort regarding endoscopy reduce the patient's acceptance ability. Effective procedure ex-planation and safety measures have positively impact on decrease level of anxiety, stress, and depression and improve elderly patient's general
more » ... ent's general health condition Aim: Evaluate effectiveness of nursing interventions on level of anxiety, stress and depression of elderly patients undergoing upper gastrointestinal endoscopy. Design: A quasi experimental study design with pre and post procedure was used.Setting: The study was conducted at Gastrointestinal Surgery Center (GISC) (Endoscopy Unit) Mansoura University Subjects: A convenient sample of 76 elderly patients undergoing GIT endoscopy. Data collected over a period of 9 months from first of May 2019 at the end of January 2020.Tools: Three tools were used: Socio Demographic Characteristics and Clinical Data Structured Interview Schedule, Depression, Anxiety and Stress scales (DASS-21), and Endoscopic Nursing interventions.Results: The study results revealed that statistically significant improvement in all aspects of elderly patient's anxiety score at pre and post nursing intervention (p<0.001). There were significant improvements of level of stress from pre and post implementation of nursing intervention to endoscopy (p<0.05). Also, there was a statistically significant difference in the pre, and posttest mean score of depression (p<0.05). Statistically significant differences regarding all sociodemographic characteristics within the studied subjects and their total mean score of anxiety, stress, and depression.Conclusion A clear and noticeable improvement in the mean score of anxiety, stress and depression of all studied subject after the implementation of the endoscopic nursing interventions than before.Recommendation: Replication of this study is highly recommended on a large representative probability sample to achieve generalizable results.
doi:10.14419/ijans.v9i1.30560 fatcat:xpwfswx7u5fbjcc4aqpa4rzshe