GI NURSING RESEARCH: PDF OnlyA Model Research Grant ProposalHOLLAND, PAT RN, CGCAuthor Information About the author: Ms Holland is Nurse Coordinator of Lithotripsy at St Joseph Hospital in Denver. Colorado. She has been active in SGNA for 11 years. serving currently as Secretary. Gastroenterology Nursing: Fall 1990 - Volume 13 - Issue 2 - p 23S Buy Abstract Patients undergoing gastrointestinal endoscopic procedures experience a great degree of anxiety, primarily resulting from fear of the unknown. The invasive nature of the procedures generates perceived potential threats to safety and physiological welfare. The purpose of this study is to look at the effect of pre-endoscopy patient visits on patient anxiety prior to the procedure. This research will be a significant addition to the currently limited body of knowledge regarding preendoscopy patient visits. Although many studies have been conducted supporting the theory that preoperative patient teaching reduces patient anxiety, only one previous study has looked at preprocedural teaching with endoscopy patients. This research will study the hypothesis that pre-endoscopy visits by endoscopy unit nursing staff will decrease patients' anxiety regarding GI endoscopic procedures.The research will be conducted in one large metropolitan hospital on a total of 200 hospitalized patients scheduled for GI endoscopic procedures. Patients will include adults (18 or older) scheduled for upper and lower endoscopies: they will be English speaking, oriented and able to hear and give accurate information. Patients will be randomly assigned to one of two populations, a control group or an experimental group. The control group will receive routine hospital care preprocedurally which may include receipt of a teaching pamphlet and information about the procedure from the unit nurse and/or the patient's physician. The experimental group will receive, in addition to routine hospital care a visit by an endoscopy unit nurse the afternoon prior to the scheduled procedure day. The purpose of the visit will be twofold: to make a personal contact with the patient and to provide the patient with a teaching/learning opportunity. The visit will be limited to 15 minutes and will include distribution of a teaching pamphlet, information (procedural and sensory) and/or clarification about the procedure, and answers to the patient's questions. Anxiety will be considered to be the patient's perceived level of nervousness. This will be measured by the amount of sedation given and patient's self-assessment (by questionnaire) of anxiety experienced using a visual analog scale. The hypothesis will be tested by comparing the two patient groups with respect to the data collected. Descriptive and comparative statistical analysis will include calculations of mean, median, mode, and standard deviation of medication used and patient's perceived anxiety ratings. If the hypothesis is correct, patients who receive a pre-endoscopy visit will be less anxious after the teaching and will require less medication during the endoscopic procedure than patients who do not receive a visit. © The Society of Gastroenterology Nurses & Associates 1990. All Rights Reserved.