Ebubekir ŞENATEŞ, Yaşar ÇOLAK, Süleyman COŞGUN, Mustafa Erhan ALTUNÖZ, Yusuf YILMAZ, Oğuzhan ÖZTÜRK, Ayşe Oya Kurdaş ÖVÜNÇ

Hastalar sedasyonsuz üst gastrointestinal endoskopiyi gerçekte olduğundan daha zor olarak zannetmektedir

Giriş ve amaç: Üst gastrointestinal sistem endoskopisi (gastroskopi), gastroenterolojide en sık kullanılan tanı yöntemlerinden birisidir. Hastalara sedasyonsuz gastroskopi önerildiğinde, sıklıkla zor olacağı düşüncesiyle reddedilmektedir. Amacımız, sedasyonsuz gastroskopi öncesi ve sonrası, hastanın verdiği skorların bir görsel ölçekle karşılaştırılmasıdır. Ayrıca hasta ve doktorun işlemin zorluğu hakkındaki skorları da karşılaştırılmıştır. Gereç ve Yöntem: Çalışmaya 175 hasta (87 kadın, 88 erkek) alındı. İşlemin zorluk derecesi 0 (ileri derecede kolay) ile 10 (dayanılmayacak kadar zor) arasında skorlandı. Hastaların yaşı, cinsiyeti, eğitim seviyesi, önceden gastroskopi yapılıp yapılmadığı, gastroskopi öncesi ve sonrası zorluk skoru, hekimin gastroskopi için zorluk skorlaması ve hastanın başkasına gastroskopi önerip önermeyeceği soruldu ve cevaplar kaydedildi. Bulgular: Hastaların yaş ortalaması 44±13 idi. Hastaların %67 (117)'si ilk defa gastroskopi yaptırmaktaydı. Eğitim seviyesi hastaların %18,3 (32)'sinde üniversite, %28 (49)'inde ortaöğretim, %46,3 (81)'üde ilköğretim seviyesinde iken, %7,4 (11) hasta ise eğitimsiz idi. Hastaların gastroskopi öncesi (5,9±2,6) ve sonrası (4,3±2,8) verdiği skorlar karşılaştırıldığında, önce verilen skor sonra verilen skordan anlamlı derecede daha yüksekti (p

Anahtar Kelimeler:

Gastroskopi, sedasyon, zorluk

Patients' erroneous perception regarding the difficulty of sedation-free upper gastrointestinal endoscopy

Background and Aims: Upper gastrointestinal endoscopy (gastroscopy) is widely used as a diagnostic method in gastroenterology. When we offer sedation-free gastroscopy to patients, it is frequently refused. Our aim was to compare the scores given by the patients regarding the difficulty of gastroscopy, as determined before and after the procedure using a visual scale. Furthermore, we compared the scores of the patients with those of the physicians. Materials and Methods: Totally, 175 patients (87 female, 88 male) were included. The difficulty ranged from 0 (overly easy) to 10 (unbearably difficult). The patients' age, gender and educational level were recorded. Gastroscopy history, difficulty score before and after the procedure, the physicians' scores, and whether or not patients offer-sedation-free gastroscopy to any other patient were determined, and the data were recorded. Results: The mean age of the patients was 44±13 years. It was the first procedure for 67% (117) of the patients. The educational level was none in 7.4% (11), primary/secondary school in 46.3% (81), high school in 28% (49), and university in 18.3% (32) of patients. The difficulty score before gastroscopy (5.9±2.6) was significantly higher than after gastroscopy (4.3±2.8) (p

Keywords:

Gastroscopy, sedation, difficulty,

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