What is the current state of anxiety and its related factors in Chinese patients undergoing colonoscopy? A cross-sectional study
Abstract Background Anxiety in patients undergoing colonoscopy may also result in adverse effects, including altered vital signs such as elevated heart rate and blood pressure, exacerbation of symptoms like bloating and gastrointestinal discomfort, a decline in cooperation and satisfaction, and even...
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2025-02-01
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| author | Qian-Qian Yue Ge-Hui Feng Tong Peng Tian Tang Ying-Xue Sun Xin-Ru Meng Li-Li Huang Ke-Hao Zhao Hui-Lin Huang Ying Zeng |
| author_facet | Qian-Qian Yue Ge-Hui Feng Tong Peng Tian Tang Ying-Xue Sun Xin-Ru Meng Li-Li Huang Ke-Hao Zhao Hui-Lin Huang Ying Zeng |
| author_sort | Qian-Qian Yue |
| collection | DOAJ |
| description | Abstract Background Anxiety in patients undergoing colonoscopy may also result in adverse effects, including altered vital signs such as elevated heart rate and blood pressure, exacerbation of symptoms like bloating and gastrointestinal discomfort, a decline in cooperation and satisfaction, and even colonoscopy failure. However, limited studies have explored the level of anxiety, factors that influence it, and its specific causes. Methods A cross-sectional study was conducted, recruiting 825 patients undergoing colonoscopy in Hunan Province between January and July 2023 using stratified sampling. The Spielberger State-Trait Anxiety Inventory (STAI), a self-designed demographic characteristics questionnaire, and a colonoscopy patient anxiety influencing factor questionnaire were used. The data were analyzed in SPSS (version 26) using Mann–Whitney U, Kruskal–Wallis, and multiple regression analysis tests. Results The final study included 825 participants, of whom 19.8% exhibited mild anxiety, 37.0% exhibited moderate anxiety, and 43.2% exhibited severe anxiety. The results indicated that insomnia (β=-0.080, p = 0.013), no comorbidities (β=-0.147, p < 0.001), not smoking or drinking (β=-0.158, p < 0.001), and poor health (moderate: β=-0.183, p < 0.001; poor: β=-0.164, p < 0.001) were negatively associated with anxiety levels. In contrast, marital status (β = 0.177, p < 0.001), education level (β = 0.204, p < 0.001), age (β = 0.114, p = 0.007), medical insurance (Basic Medical Insurance for Urban Residents β = 0.204, p < 0.001; Commercial medical insurance: β = 0.112, p < 0.001), care provided by relatives (β = 0.102, p = 0.002), diarrhoea (β = 0.089, p = 0.005), occupation (farmers: β = 0.099, p = 0.009; self-employed: β = 0.082, p = 0.014), and paternal upbringing (β = 0.067, p = 0.034) were positively correlated with anxiety. Several factors had a greater impact on the anxiety level of the patients: education level (β = 0.204), health status (moderate: β=-0.183; not good: β=-0.164), and marital status (β = 0.177). It probably because higher education levels may increase awareness of potential risks associated with colonoscopy, contributing to greater anxiety. The five common reasons for anxiety included the presence of bloody faeces, enemas, need for further treatment, lack of timely feedback from the physician, lack of an accurate diagnosis. Conclusion The level of anxiety experienced by patients during the colonoscopy phase was more severe and should be alleviated with targeted interventions based on the cause of anxiety, such as pre-procedural counseling, patient education materials, and enhanced communication with healthcare providers. |
| format | Article |
| id | doaj-art-f2fd0afe4bca4b038ad36aa4e344d588 |
| institution | DOAJ |
| issn | 2050-7283 |
| language | English |
| publishDate | 2025-02-01 |
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| series | BMC Psychology |
| spelling | doaj-art-f2fd0afe4bca4b038ad36aa4e344d5882025-08-20T02:59:38ZengBMCBMC Psychology2050-72832025-02-0113111110.1186/s40359-025-02463-zWhat is the current state of anxiety and its related factors in Chinese patients undergoing colonoscopy? A cross-sectional studyQian-Qian Yue0Ge-Hui Feng1Tong Peng2Tian Tang3Ying-Xue Sun4Xin-Ru Meng5Li-Li Huang6Ke-Hao Zhao7Hui-Lin Huang8Ying Zeng9Department of International and Humanistic Nursing, Hunan Science Popularization Education Base, School of Nursing, Hengyang Medical School, University of South ChinaDepartment of International and Humanistic Nursing, Hunan Science Popularization Education Base, School of Nursing, Hengyang Medical School, University of South ChinaDepartment of International and Humanistic Nursing, Hunan Science Popularization Education Base, School of Nursing, Hengyang Medical School, University of South ChinaDepartment of International and Humanistic Nursing, Hunan Science Popularization Education Base, School of Nursing, Hengyang Medical School, University of South ChinaDepartment of International and Humanistic Nursing, Hunan Science Popularization Education Base, School of Nursing, Hengyang Medical School, University of South ChinaDepartment of International and Humanistic Nursing, Hunan Science Popularization Education Base, School of Nursing, Hengyang Medical School, University of South ChinaDepartment of International and Humanistic Nursing, Hunan Science Popularization Education Base, School of Nursing, Hengyang Medical School, University of South ChinaDepartment of International and Humanistic Nursing, Hunan Science Popularization Education Base, School of Nursing, Hengyang Medical School, University of South ChinaDepartment of International and Humanistic Nursing, Hunan Science Popularization Education Base, School of Nursing, Hengyang Medical School, University of South ChinaDepartment of International and Humanistic Nursing, Hunan Science Popularization Education Base, School of Nursing, Hengyang Medical School, University of South ChinaAbstract Background Anxiety in patients undergoing colonoscopy may also result in adverse effects, including altered vital signs such as elevated heart rate and blood pressure, exacerbation of symptoms like bloating and gastrointestinal discomfort, a decline in cooperation and satisfaction, and even colonoscopy failure. However, limited studies have explored the level of anxiety, factors that influence it, and its specific causes. Methods A cross-sectional study was conducted, recruiting 825 patients undergoing colonoscopy in Hunan Province between January and July 2023 using stratified sampling. The Spielberger State-Trait Anxiety Inventory (STAI), a self-designed demographic characteristics questionnaire, and a colonoscopy patient anxiety influencing factor questionnaire were used. The data were analyzed in SPSS (version 26) using Mann–Whitney U, Kruskal–Wallis, and multiple regression analysis tests. Results The final study included 825 participants, of whom 19.8% exhibited mild anxiety, 37.0% exhibited moderate anxiety, and 43.2% exhibited severe anxiety. The results indicated that insomnia (β=-0.080, p = 0.013), no comorbidities (β=-0.147, p < 0.001), not smoking or drinking (β=-0.158, p < 0.001), and poor health (moderate: β=-0.183, p < 0.001; poor: β=-0.164, p < 0.001) were negatively associated with anxiety levels. In contrast, marital status (β = 0.177, p < 0.001), education level (β = 0.204, p < 0.001), age (β = 0.114, p = 0.007), medical insurance (Basic Medical Insurance for Urban Residents β = 0.204, p < 0.001; Commercial medical insurance: β = 0.112, p < 0.001), care provided by relatives (β = 0.102, p = 0.002), diarrhoea (β = 0.089, p = 0.005), occupation (farmers: β = 0.099, p = 0.009; self-employed: β = 0.082, p = 0.014), and paternal upbringing (β = 0.067, p = 0.034) were positively correlated with anxiety. Several factors had a greater impact on the anxiety level of the patients: education level (β = 0.204), health status (moderate: β=-0.183; not good: β=-0.164), and marital status (β = 0.177). It probably because higher education levels may increase awareness of potential risks associated with colonoscopy, contributing to greater anxiety. The five common reasons for anxiety included the presence of bloody faeces, enemas, need for further treatment, lack of timely feedback from the physician, lack of an accurate diagnosis. Conclusion The level of anxiety experienced by patients during the colonoscopy phase was more severe and should be alleviated with targeted interventions based on the cause of anxiety, such as pre-procedural counseling, patient education materials, and enhanced communication with healthcare providers.https://doi.org/10.1186/s40359-025-02463-zColonoscopyAnxietyInfluencing factorsMental health |
| spellingShingle | Qian-Qian Yue Ge-Hui Feng Tong Peng Tian Tang Ying-Xue Sun Xin-Ru Meng Li-Li Huang Ke-Hao Zhao Hui-Lin Huang Ying Zeng What is the current state of anxiety and its related factors in Chinese patients undergoing colonoscopy? A cross-sectional study BMC Psychology Colonoscopy Anxiety Influencing factors Mental health |
| title | What is the current state of anxiety and its related factors in Chinese patients undergoing colonoscopy? A cross-sectional study |
| title_full | What is the current state of anxiety and its related factors in Chinese patients undergoing colonoscopy? A cross-sectional study |
| title_fullStr | What is the current state of anxiety and its related factors in Chinese patients undergoing colonoscopy? A cross-sectional study |
| title_full_unstemmed | What is the current state of anxiety and its related factors in Chinese patients undergoing colonoscopy? A cross-sectional study |
| title_short | What is the current state of anxiety and its related factors in Chinese patients undergoing colonoscopy? A cross-sectional study |
| title_sort | what is the current state of anxiety and its related factors in chinese patients undergoing colonoscopy a cross sectional study |
| topic | Colonoscopy Anxiety Influencing factors Mental health |
| url | https://doi.org/10.1186/s40359-025-02463-z |
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