Comprehensive Education
Conditions
Brief summary
This clinical trial is being conducted to assess whether the comprehensive education before gastroscopy could reduce the adverse reactions, such as nausea, vomiting and improve patient satisfaction.
Interventions
OTHERComprehensive education group
The details of Comprehensive education are as follows: 1. introduce the purpose, method and function of breathing training and the whole process of gastroscopy; 2. instruct patients to take deep breath training, inhaling with his/her nose and exhaling with his/her mouth, 3. provide patients with a disposable dental biting device and repeat exercising deep breathing again until he/she is fully mastered, 4. inform patients to cooperate with the instructions issued by endoscopist and endoscopy nurse during the whole process of gastroscopy, 5. inform patients to inhale with nose and exhale with mouth when the gastroscope passes through the throat, then he/she should perform inhaling and exhaling with his/her nose until the end of the gastroscopy when the endoscopist ask to adjust the breathing method, 6. inform patients that there would be some normal physiological reaction when gastroscopy, such as throat discomfort and nausea/vomiting.
Sponsors
Ningbo No. 1 Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
DOUBLE (Caregiver, Investigator)
Masking description
The endoscopist and endoscopy nurse will not know to which treatment arm the patient belongs as only the research assistant will has taken down this information. This information does not travel with the patient to the endoscopy room. The patient is also instructed to not reveal to the endoscopist or endoscopy nurse if he or she has taken or not taken the comprehensive education.
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
1. Patients over the age of 18 years undergoing routine gastroscopy 2. Informed consent
Exclusion criteria
1. Serious coronary heart disease and myocardial injury with serious heart failure 2. Stenosis of the esophagus or cardia obstruction 3. Acute pharyngitis and tonsillitis 4. Acute upper gastrointestinal bleeding 5. Hemodynamically unstable 6. allergy to topical lidocaine 7. Patients did not cooperate or spirit was not normal 8. Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adverse reaction times in gastroscopy | 1 day | research assistant records nausea/vomiting/retching times in the whole process of gastroscopy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patients' tolerance scores | 1 day | At the end of the procedure, the patients were asked about the tolerance in the process of gastroscopy by using a 100-mm visual analogue scale. Tolerance includes the extent of pain and nausea. The endpoints were assigned no nausea or no pain to the left and worst possible nausea or worst pain imaginable to the right. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Endoscopists' assessment scores | 1 day | At the end of the procedure, Endoscopists scored the level of difficulty in introduction of the gastroscope on a 100-mm visual analogue scale. The endpoints were assigned easiest to the left and worst difficult to the right. Endoscopists' satisfaction was assessed with 100-mm VAS for the performances of the endoscopes. The endpoints were assigned worst dissatisfied to the left and Most satisfied to the right. |
| Systolic/diastolic blood pressure (SBP/DBP) | 1 day | Patients were monitored the Systolic/diastolic blood pressure (SBP/DBP) throughout using an electronic multifunctional patient monitor unit. The research assistant records Systolic/diastolic blood pressure (SBP/DBP) on 5 min prior to endoscopic intubation, during endoscopy and at time of entry into the stomach body |
| Pulse rate (PR) | 1 day | Patients were monitored the pulse rate (PR) throughout using an electronic multifunctional patient monitor unit. The research assistant records pulse rate (PR) on 5 min prior to endoscopic intubation, during endoscopy and at time of entry into the stomach body. |
| Oxygen saturation by pulse oximetry (SpO2) | 1 day | Patients were monitored the Oxygen saturation by pulse oximetry (SpO2) throughout using an electronic multifunctional patient monitor unit. The research assistant records oxygen saturation by pulse oximetry (SpO2) on 5 min prior to endoscopic intubation, during endoscopy and at time of entry into the stomach body. |
Countries
China
Outcome results
None listed