Pediatric Patient and Parental Anxiety and Impressions Related to Initial Gastrointestinal Endoscopy: A Japanese Multicenter Questionnaire Study

Objective. To assess anxiety among pediatric patients and their parents related to initial gastrointestinal endoscopy. Methods. Patients aged <19 years undergoing initial gastrointestinal (GI) endoscopy and their parents were invited to complete a self-administered questionnaire related to endosc...

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Main Authors: Shin-ichiro Hagiwara, Yoshiko Nakayama, Manabu Tagawa, Katsuhiro Arai, Takashi Ishige, Takatsugu Murakoshi, Hiroko Sekine, Daiki Abukawa, Hiroyuki Yamada, Mikihiro Inoue, Takeshi Saito, Takahiro Kudo, Yoshitaka Seki
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Scientifica
Online Access:http://dx.doi.org/10.1155/2015/797564
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author Shin-ichiro Hagiwara
Yoshiko Nakayama
Manabu Tagawa
Katsuhiro Arai
Takashi Ishige
Takatsugu Murakoshi
Hiroko Sekine
Daiki Abukawa
Hiroyuki Yamada
Mikihiro Inoue
Takeshi Saito
Takahiro Kudo
Yoshitaka Seki
author_facet Shin-ichiro Hagiwara
Yoshiko Nakayama
Manabu Tagawa
Katsuhiro Arai
Takashi Ishige
Takatsugu Murakoshi
Hiroko Sekine
Daiki Abukawa
Hiroyuki Yamada
Mikihiro Inoue
Takeshi Saito
Takahiro Kudo
Yoshitaka Seki
author_sort Shin-ichiro Hagiwara
collection DOAJ
description Objective. To assess anxiety among pediatric patients and their parents related to initial gastrointestinal endoscopy. Methods. Patients aged <19 years undergoing initial gastrointestinal (GI) endoscopy and their parents were invited to complete a self-administered questionnaire related to endoscopy in 13 institutions in Japan. Results. The subjects were 128 children, aged 1 month to 17 years. Forty-eight patients (37.5%) underwent esophagogastroduodenoscopy (EGD), 32 (25%) underwent colonoscopy (CS), 39 (30.5%) underwent both EGD and CS, 3 (2.3%) underwent balloon enteroscopy (BE), 3 (2.3%) underwent capsule endoscopy (CE), and 3 (2.3%) underwent CE and other endoscopic procedures. In the preendoscopy questionnaire, the most common concerns of the patients and parents before undergoing the procedure were “Pain” (45% of the patients underwent EGD or BE via the oral approach, and 52% of the patients underwent CS or BE via the anal approach) and “Procedural accidents related to the endoscopy” (63% of parents). In the postendoscopy questionnaire, the most common difficulty that patients and parents actually experienced before and after undergoing the procedure was “Hunger.” Conclusion. A preparatory intervention including an explanation regarding specific concerns before initial GI endoscopy, which this study revealed, could reduce anxiety experienced by both pediatric patients and parents.
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spelling doaj-art-a401190e55ed47aa992835f7df4fcb482025-02-03T07:25:57ZengWileyScientifica2090-908X2015-01-01201510.1155/2015/797564797564Pediatric Patient and Parental Anxiety and Impressions Related to Initial Gastrointestinal Endoscopy: A Japanese Multicenter Questionnaire StudyShin-ichiro Hagiwara0Yoshiko Nakayama1Manabu Tagawa2Katsuhiro Arai3Takashi Ishige4Takatsugu Murakoshi5Hiroko Sekine6Daiki Abukawa7Hiroyuki Yamada8Mikihiro Inoue9Takeshi Saito10Takahiro Kudo11Yoshitaka Seki12Division of General Pediatrics, Saitama Children’s Medical Center, 2100 Magome, Iwatsuki-ku, Saitama 339-8551, JapanDepartment of Pediatrics, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Pediatrics, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, JapanDivision of Gastroenterology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya, Tokyo 157-8535, JapanDepartment of Pediatrics, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma 371-0034, JapanDepartment of Gastroenterology, Tokyo Metropolitan Children’s Medical Center, 2-8-29 Musashidai, Fuchu City, Tokyo 183-8561, JapanChildren’s Center for Health and Development, Saiseikai Yokohama Tobu Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama City, Kanagawa 230-0012, JapanDepartment of General Pediatrics, Miyagi Children’s Hospital, 4-3-17 Ochiai, Aoba-ku, Sendai, Miyagi 989-3126, JapanDepartment of Pediatric Gastroenterology, Nutrition and Endocrinology, Osaka Medical Center and Research Institute for Maternal and Child Health, Murodo-cho 840, Izumi-C, Osaka 594-1101, JapanDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, JapanDepartment of Pediatric Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba 260-8677, JapanDepartment of Pediatrics, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanThe Department of Pediatrics and Child Health, Kurume University School of Medicine, 67 Asahimachi, Kurume City, Fukuoka 830-0011, JapanObjective. To assess anxiety among pediatric patients and their parents related to initial gastrointestinal endoscopy. Methods. Patients aged <19 years undergoing initial gastrointestinal (GI) endoscopy and their parents were invited to complete a self-administered questionnaire related to endoscopy in 13 institutions in Japan. Results. The subjects were 128 children, aged 1 month to 17 years. Forty-eight patients (37.5%) underwent esophagogastroduodenoscopy (EGD), 32 (25%) underwent colonoscopy (CS), 39 (30.5%) underwent both EGD and CS, 3 (2.3%) underwent balloon enteroscopy (BE), 3 (2.3%) underwent capsule endoscopy (CE), and 3 (2.3%) underwent CE and other endoscopic procedures. In the preendoscopy questionnaire, the most common concerns of the patients and parents before undergoing the procedure were “Pain” (45% of the patients underwent EGD or BE via the oral approach, and 52% of the patients underwent CS or BE via the anal approach) and “Procedural accidents related to the endoscopy” (63% of parents). In the postendoscopy questionnaire, the most common difficulty that patients and parents actually experienced before and after undergoing the procedure was “Hunger.” Conclusion. A preparatory intervention including an explanation regarding specific concerns before initial GI endoscopy, which this study revealed, could reduce anxiety experienced by both pediatric patients and parents.http://dx.doi.org/10.1155/2015/797564
spellingShingle Shin-ichiro Hagiwara
Yoshiko Nakayama
Manabu Tagawa
Katsuhiro Arai
Takashi Ishige
Takatsugu Murakoshi
Hiroko Sekine
Daiki Abukawa
Hiroyuki Yamada
Mikihiro Inoue
Takeshi Saito
Takahiro Kudo
Yoshitaka Seki
Pediatric Patient and Parental Anxiety and Impressions Related to Initial Gastrointestinal Endoscopy: A Japanese Multicenter Questionnaire Study
Scientifica
title Pediatric Patient and Parental Anxiety and Impressions Related to Initial Gastrointestinal Endoscopy: A Japanese Multicenter Questionnaire Study
title_full Pediatric Patient and Parental Anxiety and Impressions Related to Initial Gastrointestinal Endoscopy: A Japanese Multicenter Questionnaire Study
title_fullStr Pediatric Patient and Parental Anxiety and Impressions Related to Initial Gastrointestinal Endoscopy: A Japanese Multicenter Questionnaire Study
title_full_unstemmed Pediatric Patient and Parental Anxiety and Impressions Related to Initial Gastrointestinal Endoscopy: A Japanese Multicenter Questionnaire Study
title_short Pediatric Patient and Parental Anxiety and Impressions Related to Initial Gastrointestinal Endoscopy: A Japanese Multicenter Questionnaire Study
title_sort pediatric patient and parental anxiety and impressions related to initial gastrointestinal endoscopy a japanese multicenter questionnaire study
url http://dx.doi.org/10.1155/2015/797564
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