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Watching Videos of Colonoscopies and Receiving Interpretations Reduce Pain and Anxiety While Increasing the Satisfaction of Patients

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Abstract

Background

Pain associated with colonoscopies is a major barrier to patients participating in colorectal cancer screenings. While sedation and analgesia are used to reduce pain during the procedure, they are associated with increased complications and costs. Thus, it is necessary to identity novel techniques to relieve pain in a safe and cost-effective way.

Aims

To test whether watching real-time videos of colonoscopies while receiving detailed interpretations of the procedures reduces pain and anxiety and increases a patient’s satisfaction.

Methods

Patients were randomized into three groups including a group who watched real-time videos of their colonoscopies (Group A), a group who watched real-time videos of their colonoscopies while receiving detailed interpretations of the procedures from the endoscopists (Group B), and a group who did not receive either method (Group C).

Results

Pain and anxiety scores were significantly (Group A vs. Group C, \(p < 0.001\); Group B vs. Group C, \(p < 0.001\)) lower in Groups A and B compared to Group C. Additionally, significantly (Group A vs. Group C, \(p = 0.008\); Group B vs. Group C, \(p < 0.001\)) increased satisfaction was observed in Groups A and B compared to Group C. There were no statistically significant differences observed in the pain and anxiety scores when comparing Groups A and B. However, the overall satisfaction score was significantly (\(p = 0.02\)) higher in Group B compared to Group A.

Conclusions

Real-time videos of colonoscopies as well as videos along with detailed interpretations of the procedures decrease pain and anxiety while improving satisfaction in patients undergoing colonoscopies without sedation. Videos combined with interpretations lead to a greater increase in patient satisfaction.

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Acknowledgments

We thank the staff and patients of the Wuhan Union Hospital endoscopy unit for their cooperation in this study. This study was supported in part by the Ministry of Science and Technology of the People’s Republic of China (No. 2017YFC0113603).

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Authors and Affiliations

  1. Department of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China

    Li-Ping Sheng, Chao-Qun Han, Chi Nie, Tao Xu, Kun Zhang, Xuan-Ji Li, Xin-Ru Xie, Rong Lin & Zhen Ding

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  1. Li-Ping Sheng
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  2. Chao-Qun Han
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  4. Tao Xu
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  7. Xin-Ru Xie
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Correspondence to Zhen Ding.

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Sheng, LP., Han, CQ., Nie, C. et al. Watching Videos of Colonoscopies and Receiving Interpretations Reduce Pain and Anxiety While Increasing the Satisfaction of Patients. Dig Dis Sci 66, 541–546 (2021). https://doi.org/10.1007/s10620-020-06186-6

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  • DOI: https://doi.org/10.1007/s10620-020-06186-6

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