Preparatory information reduces gastroscopy-related stress in children as confirmed by salivary cortisol

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dc.authoridKara, Duygu/0000-0003-3325-2565
dc.authoridBayrak, Nevzat Aykut/0000-0002-5553-6123
dc.authorwosidYILDIZ, SEDAT/AAB-6354-2021
dc.authorwosidKara, Duygu/HKE-3410-2023
dc.authorwosidBayrak, Nevzat Aykut/J-6380-2013
dc.contributor.authorVolkan, Burcu
dc.contributor.authorBayrak, Nevzat Aykut
dc.contributor.authorUcar, Cihat
dc.contributor.authorKara, Duygu
dc.contributor.authorYildiz, Sedat
dc.date.accessioned2024-08-04T20:46:45Z
dc.date.available2024-08-04T20:46:45Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground/Aims: This study aimed to determine whether the anxiety levels of pediatric patients who undergo endoscopy are reduced after receiving preparatory information about the endoscopic procedure by monitoring their salivary cortisol (s-cortisol) levels. Patients and Methods: A total of 184 children undergoing gastroscopy under sedoanalgesia were induded in the study. All the patients received a brief explanation of the endoscopic procedure. Patients were divided into two groups; Group Unexplained did not receive any further information other than a brief explanation of the procedure, Group Explained received more detailed explanation of the procedure. To determine anxiety levels, saliva specimens were taken on the day before the procedure to examine cortisol levels before and after endoscopy. Anxiety scores before endoscopy were calculated by the modified Yale Preoperative Anxiety Scale. Patients were monitored throughout sedoanalgesia, induding during the endoscopy, sedation and recovery, and total propofol dosages were recorded. Results: Eighty-nine children undergoing gastroscopy (age 11.55 +/- 252 years; 50.596 girls) constituted Group Explained and 95 children undergoing gastroscopy (age 11.44 +/- 2.66 years; 56.896 male) constituted Group Unexplained. The anxiety score, duration of sedation, endoscopy and recovery, propofol dose, pre- and post-endoscopy s-cortisol levels were significantly reduced in Group Explained. Conclusions: We demonstrated that when endoscopic procedure is explained broadly to a child, the procedural stress is significantly less, as measured by the s-cortisol levels and the anxiety questionnaire. It is important for the attending physician to explain all aspects of examination carefully.en_US
dc.identifier.doi10.4103/sjg.SJG_493_18
dc.identifier.endpage267en_US
dc.identifier.issn1319-3767
dc.identifier.issn1998-4049
dc.identifier.issue4en_US
dc.identifier.pmid31044746en_US
dc.identifier.scopus2-s2.0-85071710921en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage262en_US
dc.identifier.urihttps://doi.org/10.4103/sjg.SJG_493_18
dc.identifier.urihttps://hdl.handle.net/11616/98938
dc.identifier.volume25en_US
dc.identifier.wosWOS:000484111200009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofSaudi Journal of Gastroenterologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEndoscopyen_US
dc.subjectpreparatory informationen_US
dc.subjectprocedural stressen_US
dc.subjectsalivary cortisolen_US
dc.titlePreparatory information reduces gastroscopy-related stress in children as confirmed by salivary cortisolen_US
dc.typeArticleen_US

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