The Effect of Comfort Program on Satisfaction, Anxiety, and Pain among Patients Receiving Colonoscopy

• Main Authors: Truong Thi Thuy Huong, วัลย์ลดา ฉันท์เรืองวณิชย์, Wallada Chanruangvanich, อรพรรณ โตสิงห์, Orapan Thosingha
• Other Authors: มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์
• Format: Article
• Language: English
• Published: 2019
• Subjects: anxiety; colonoscopy; comfort program; pain; satisfaction; การส่องกล้องตรวจลำไส้ใหญ่; ความปวด; ความพึงพอใจ; ความวิตกกังวล; โปรแกรมส่งเสริมความสุขสบาย; Journal of Nursing Science; วารสารพยาบาลศาสตร์
• Online Access: https://repository.li.mahidol.ac.th/handle/123456789/44102
• Institution: Mahidol University

Purpose: To evaluate the effect of comfort program on satisfaction, anxiety, and pain among patients receiving colonoscopy. Design: A quasi-experiment design. Methods: The sample was 152 patients both males and females with the age of 18 years and older who received colonoscopy at the Functional Examination Department of Bach Mai Hospital, Hanoi, Vietnam. The sample was divided into control and experimental groups. The comfort program was provided to the experimental group, and the control group received routine care. Data were collected with 3 questionnaires: 1) Hamilton Anxiety Rating Scale, 2) Numerical Rating Scale, and 3) Group Health Association of America-9 survey. ANCOVA, Mann-Whitney U, and Chi-square test were used to analyze the data. Main findings: There was significant difference of satisfaction and anxiety level between the control and experimental group after colonoscopy (p < .05). The majority of patients in the experimental group (75.9%) were satisfied with very good and 24.1% with excellent level. Pain levels increased to the mean score of 4.96 (SD = 2.02) in the experiment group and mean score of 6.41 (SD = 2.10) in the control group. However, there was no difference in pain perception between two groups. Conclusion and recommendations: The comfort program shows an effectiveness to increase patients’ satisfaction and reduce anxiety. Thus, nurses should sustain this program by training all nurses and health care personal to improve the quality of patient’s care.