Evaluation of factors that influence anxiety and satisfaction in patients undergoing bronchofiberoscopy with analgosedation

Bronchofiberoscopy (BF) is a key tool used in the management of patients with respiratory diseases. Describing factors that contribute to patient anxiety surrounding BF has the potential to influence patient management and willingness to undergo the procedure again in the future if needed. This stud...

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Bibliographic Details
Published in:	The clinical respiratory journal Vol. 11; no. 5; p. 566
Main Authors:	Andrychiewicz, Anna, Konarska, Katarzyna, Gorka, Karolina, Bartyzel, Sylwia, Salek, Marta, Biedron, Grzegorz, Surowiec, Aleksandra, Sladek, Krzysztof, Soja, Jerzy, Szczeklik, Wojciech
Format:	Journal Article
Language:	English
Published:	England 01-09-2017
Subjects:	Aged Anxiety - etiology Anxiety - psychology Bronchoscopy - adverse effects Bronchoscopy - methods Bronchoscopy - psychology Conscious Sedation - adverse effects Conscious Sedation - methods Female Humans Male Middle Aged Patient Satisfaction - statistics & numerical data Poland - epidemiology Prospective Studies Respiratory Tract Diseases - diagnostic imaging Respiratory Tract Diseases - pathology Surveys and Questionnaires bronchoscopy - conscious sedation - observational study - patient satisfaction
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Summary:	Bronchofiberoscopy (BF) is a key tool used in the management of patients with respiratory diseases. Describing factors that contribute to patient anxiety surrounding BF has the potential to influence patient management and willingness to undergo the procedure again in the future if needed. This study sought to understand what factors influence anxiety and satisfaction experienced by patients undergoing BF under conscious sedation. This study had a prospective observational character and evaluated 463 consecutive patients undergoing BF. Participants were divided into two groups, those undergoing BF for the first time and those who had undergone the procedure at least once in the past. Data were collected from three questionnaires prepared by the research team. Patients who had undergone multiple bronchoscopies were more satisfied with their physician's explanation of the procedure (P < 0.0001), had a better understanding of the indications (P < 0.0001) and potential complications (P < 0.0001) of BF and knew what specific procedure was planned (P < 0.001). Patients undergoing BF for the first time experienced anxiety before the procedure more frequently (P < 0.001). No significant difference in satisfaction was observed between patient groups and 89% would agree to BF in the future. Patients who had previously undergone BF were better prepared for their procedure; however, satisfaction levels after the procedure were similar in both groups. Results suggest that medical staff should target patients who have not undergone BF previously to relieve anxiety.
ISSN:	1752-699X
DOI:	10.1111/crj.12384