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Preparatory information reduces gastroscopy-related stress in children as confirmed by salivary cortisol

Burcu Volkan1, Nevzat Aykut Bayrak2, Cihat Ucar3

  • 1Department of Pediatric Gastroenterology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.

Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association
|May 3, 2019
PubMed

Insights

Providing detailed information about endoscopy significantly reduces procedural stress in children. This was measured by lower anxiety scores and salivary cortisol (s-cortisol) levels in children who received comprehensive explanations.

Area of Science:

  • Pediatric Gastroenterology
  • Medical Psychology

Background:

  • Pediatric endoscopy procedures can induce significant anxiety.
  • Measuring salivary cortisol (s-cortisol) is a biomarker for stress in children.

Purpose of the Study:

  • To evaluate the impact of detailed preparatory information on anxiety levels in pediatric patients undergoing endoscopy.
  • To assess changes in salivary cortisol (s-cortisol) as an objective measure of stress reduction.

Main Methods:

  • 184 pediatric patients undergoing gastroscopy were divided into two groups: detailed explanation (Group Explained) and brief explanation (Group Unexplained).
  • Anxiety was assessed using the modified Yale Preoperative Anxiety Scale and salivary cortisol (s-cortisol) levels were measured before and after the procedure.
  • Sedation and recovery parameters, including propofol dosage, were also monitored.

Main Results:

  • The Group Explained showed significantly lower anxiety scores and pre- and post-endoscopy s-cortisol levels compared to Group Unexplained.
  • Detailed explanations also correlated with reduced duration of sedation, endoscopy, and recovery.
  • No significant differences in propofol dosage were noted between groups.

Conclusions:

  • Comprehensive explanation of endoscopic procedures to pediatric patients effectively reduces procedural stress and anxiety.
  • Salivary cortisol (s-cortisol) levels serve as a reliable indicator of stress reduction in this population.
  • Physicians should prioritize detailed communication with children about upcoming endoscopic examinations to minimize patient distress.
Abstract

Keywords:
Endoscopypreparatory informationprocedural stresssalivary cortisol

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