Assessing the Degree of Satisfaction, Duration, and Level of Cooperativeness among Patients Undergoing Flexible Bronchoscopy
DOI:
https://doi.org/10.3889/oamjms.2022.11143Keywords:
Bronchoscopy, Patient satisfaction, Anxiety level, Education, Multimedia informationAbstract
Background: Bronchoscopy is an invasive procedure that has been used for a long time for diagnostic and therapeutic purposes. Objective: To assess the degree of satisfaction, duration, and level of cooperativeness among patients undergoing flexible fiberoptic bronchoscopy. Methods: The A quasi-experimental study was carried out on 128 flexible bronchoscopy patients that were equally divided into control and study groups. The program was applied only to the study group, and all procedure steps were discussed with patients by video records. The anxiety level score, patient satisfaction, and duration of the procedure were assessed in both groups. Results: The highest age range of patients was 61-90 years, with 38 patients from the study group (59.4%) and 44 from the control group (68.8%). Also, in both groups, most patients were illiterate, non-smokers, from nonduty areas, not city center residents, and had more than one associated comorbidity. The hospital anxiety scale was highly significant in the study group (p=0.0001), and the patient's satisfaction rate in the same group was significant (p=0.001). The procedure duration was significantly shorter in the study group (1.381 minutes) than in the control group. Conclusions: Patients with a better knowledge of the bronchoscopy procedure were more comfortable with the process, and the procedure duration was significantly shorter. Moreover, the process results in minimizing the levels of anxiety and improving the tolerability of the patients.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Holmes MG, Dagal A, Feinstein BA, Joffe AM. Airway management practice in adults with an unstable cervical spine: The Harborview medical center experience. Anesth Analg. 2018;127(2):450-4. https://doi.org/10.1213/ANE.0000000000003374 PMid:29649032 DOI: https://doi.org/10.1213/ANE.0000000000003374
Frerk C, Mitchell VS, McNarry AF, Mendonca C, Bhagrath R, Patel A, et al. Difficult airway society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015;115(6):827-48. https://doi.org/10.1093/bja/aev371 PMid:26556848 DOI: https://doi.org/10.1093/bja/aev371
Noda N, Hara M, Ise S, Ose M, Tatsuta M, Nagaoka A, et al. Comfort and safety of bronchoscopy performed under sedation and local anesthesia in elderly patients. Medicine (Baltimore). 2020;99(43):e22561. https://doi.org/10.1097/MD.0000000000022561 PMid:33120743 DOI: https://doi.org/10.1097/MD.0000000000022561
Viedma EC, Pallarés JP, García MÁ, Reyes RL, Moret FS, Aldas JL. A randomised study of midazolam for sedation in flexible bronchoscopy. Arch Bronconeumol. 2010;46(6):302-9. https://doi.org/10.1016/j.arbres.2010.02.007 PMid:20392554 DOI: https://doi.org/10.1016/S1579-2129(10)70072-0
Fujimoto K, Ishiwata T, Kasai H, Terada J, Shionoya Y, Ikari J, et al. Identification of factors during bronchoscopy that affect patient reluctance to undergo repeat examination: Questionnaire analysis after initial bronchoscopy. PLoS One. 2018;13(12):e0208495. https://doi.org/10.1371/journal.pone.0208495 DOI: https://doi.org/10.1371/journal.pone.0208495
Roh GU, Kang JG, Han JY, Chang CH. Utility of oxygen insufflation through working channel during fiberoptic intubation in apneic patients: A prospective randomized controlled study. BMC Anesthesiol. 2020;20(1):282. https://doi.org/10.1186/s12871-020-01201-9 PMid:33167909 DOI: https://doi.org/10.1186/s12871-020-01201-9
Hasan AA, Ali AM, Sharkawy SA, Abozeid HA, Labieb MM. Impact of a designed educational program on elderly patients undergoing flexible bronchoscopy. Egypt J Bronchol. 2018;12(2):93-9. https://doi.org/10.4103/ejb.ejb_55_17
Joseph TT, Gal JS, DeMaria S Jr., Lin HM, Levine AI, Hyman JB. A retrospective study of success, failure, and time needed to perform awake intubation. Anesthesiology. 2016;125(1):105-14. https://doi.org/10.1097/ALN.0000000000001140 PMid:27111535 DOI: https://doi.org/10.1097/ALN.0000000000001140
Liou JY, Chow LH, Chan KH, Tsou MY. (2014). Successful anesthetic management of a patient with thyroid carcinoma invading the trachea with tracheal obstruction, scheduled for total thyroidectomy. J Chin Med Assoc. 2014;77(9):496-9. https://doi.org/10.1016/j.jcma.2014.06.006 PMid:25150647 DOI: https://doi.org/10.1016/j.jcma.2014.06.006
Snaith RP. The hospital anxiety and depression scale. Health Qual Life Outcomes. 2003;1(1):29. https://doi.org/10.1186/1477-7525-1-29 PMid:12914662 DOI: https://doi.org/10.1186/1477-7525-1-29
Korraa EA, Dwedar IA, Gomaa AA, Shata AK. Evaluation of the role of bronchoscopy in the intensive care units. Egypt J Bronchol. 2019;13(1):67-72. https://doi.org/10.4103/ejb.ejb_60_18
Du Rand IA, Blaikley J, Booton R, Chaudhuri N, Gupta V, Khalid S, et al. Summary of the British thoracic society guideline for diagnostic flexible bronchoscopy in adults. Thorax. 2013;68(8):786-7. https://doi.org/10.1136/thoraxjnl-2013-203629 PMid:23842821 DOI: https://doi.org/10.1136/thoraxjnl-2013-203629
Rumchev K, Gilbey S, Mead-Hunter R, Selvey L, Netto K, Mullins B. Agricultural dust exposures and health and safety practices among Western Australian wheatbelt farmers during harvest. Int J Environ Res Public Health. 2019;16(24):5009. https://doi.org/10.3390/ijerph16245009 PMid:31835414 DOI: https://doi.org/10.3390/ijerph16245009
Si S, Carey RN, Reid A, Driscoll T, Glass DC, Peters S, et al. The Australian work exposures study: Prevalence of occupational exposure to respirable crystalline silica. Ann Occup Hyg. 2016;60(5):631-7. https://doi.org/10.1093/annhyg/mew007 PMid:26888888 DOI: https://doi.org/10.1093/annhyg/mew007
Madkour A, Osman N, Sharkawy S, Gomaa A. Assessment of patients’ satisfaction with flexible bronchoscopy: Initial Egyptian experience. Egypt J Bronchol. 2013;7(2):71-6. https://doi.org/10.4103/1687-8426.124002 DOI: https://doi.org/10.4103/1687-8426.124002
Lechtzin N, Rubin HR, White P Jr., Jenckes M, Diette GB. Patient satisfaction with bronchoscopy. Am J Respir Crit Care Med. 2002;166(10):1326-31. https://doi.org/10.1164/rccm.200203-231OC PMid:12406852 DOI: https://doi.org/10.1164/rccm.200203-231OC
Seeliger B, Kayser MZ, Drick N, Fuge N, Valtin C, Greer M, et al. (2022). Graphic narrative based informed consent for bronchoscopy improves satisfaction in patients after lung-transplantation: A randomized controlled trial. Patient Educ Couns. 2022;105(4):949-55. https://doi.org/10.1016/j.pec.2021.08.011 PMid:34417064 DOI: https://doi.org/10.1016/j.pec.2021.08.011
Günay E, Bağcıoğlu E, Ulaşlı SS, Akar O, Öz G, Coşkun K. Impact of multimedia information on anxiety levels of patients candidate for bronchoscopy. Acta Med Mediterranea. 2014;30:49.
Yıldırım F, Özkaya Ş, Yurdakul AS. Factors affecting patients’ comfort during fiberoptic bronchoscopy and endobronchial ultrasound. J Pain Res. 2017;10:775-81. https://doi.org/10.2147/JPR.S118047 PMid:28435314 DOI: https://doi.org/10.2147/JPR.S118047
Choi SM, Lee J, Park YS, Lee CH, Lee SM, Yim JJ. Effect of verbal empathy and touch on anxiety relief in patients undergoing flexible bronchoscopy: Can empathy reduce patients’ anxiety? Respiration. 2016;92(6):380-8. https://doi.org/10.1159/000450960 PMid:27764835 DOI: https://doi.org/10.1159/000450960
Aljohaney AA. Level and predictors of anxiety in patients undergoing diagnostic bronchoscopy. Ann Thorac Med. 2019;14(3):198-204. https://doi.org/10.4103/atm.ATM_38_19 PMid:31333770 DOI: https://doi.org/10.4103/atm.ATM_38_19
Tetikkurt C, Yasar I, Tetikkurt US, Yılmaz N, Kara BY, Yavuz R, et al. Role of anxiety on patient intolerance during bronchoscopy. Br J Med Med Res. 2014;4(11):2171-80. DOI: https://doi.org/10.9734/BJMMR/2014/6907
Tam WS, Lo KH, Hui DS. The effect of music during bronchoscopy: A meta-analysis. Heart Lung. 2016;45(2):86-94. https://doi.org/10.1016/j.hrtlng.2015.12.004 PMid:26764267 DOI: https://doi.org/10.1016/j.hrtlng.2015.12.004
Hadzri HM, Azarisman A, Fauzi A, Roslan H, Roslina A, Adina A, et al. Can a bronchoscopist reliably assess a patient’s experience of bronchoscopy? JRSM Short Rep. 2010;1(4):35. https://doi.org/10.1258/shorts.2010.010044 PMid:21103127 DOI: https://doi.org/10.1258/shorts.2010.010044
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 Rafiq Salih Kareem, Aram Baram (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0