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Review article on anxiety among upper GI patients
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Endoscopy is one of the anxiety provoking procedure which is routinely performed for diagnostic and therapeutic purpose. There are existing studies which reveals the importance of anxiety relieving programs pre- endoscopic procedures. Following are the findings of some relevant studies. A study published in 2011 suggested that the providing verbal information to the patients who are undergoing upper GI endoscopy is recommended due to its positive effects on the patient’s perception, compliance and anxiety level. (Pehlivan S, Ovayolu N, Koruk M) Although sedation is given in most of the patients before upper GI endoscopy and colonoscopy, it was found inadequate to reduce the pre-procedural anxiety levels. It is suggested to do further STUDIES BECAUSE OF inadequacy of literature.( Mehmet Sargin, Mehmet Selcuk Uluer, Eyüp Aydogan,Bülent Hanedan, published in 2016) Use of written educational material on endoscopy to inform the patient prior endoscopy procedure was useful in reducing anxiety level. (Sevinc Kuttuturkan, Ulku Gorgulu, published in 2010) A study indicates that the patient undergoing endoscopy procedure may have anxiety due to lack of knowledge. Proper education can decrease the level of anxiety in patients. (Prabhuswami Hiremath , Vaishali R. Mohite , Prakash Naregal , Shivaji Pawar ,Tejas Bhosale Karad, India).A study done on panic attack during elective gastrointestinal endoscopy conclude that , Patients who experience panic attacks during endoscopic procedures appear to have significantly higher anxiety levels before the procedure. Administering the STAI questionnaire prior to the endoscopy seems to be a useful screening method for the selection of vulnerable patients who may be in particular need for conscious sedation during elective GI endoscopy. (Mitsonis C, Dimopoulos N, Zavrou M, et al.) However, it can evoke anxiety, feelings of vulnerability, embarrassment and discomfort. The fears and concerns associated with endoscopic procedure.