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Association Between Sleep Quality and Postcolonoscopy Pain
Haci Bolat1, Tugba Tolu2, Haluk Tarık Kani3
1Department of General Surgery, Niğde Ömer Halisdemir University Faculty of Medicine, Niğde, Türkiye.
Summary
Poor sleep quality is linked to increased abdominal pain after colonoscopy. Addressing sleep and psychosocial factors can improve patient comfort and care following endoscopic procedures.
Area of Science:
- Gastroenterology
- Sleep Medicine
- Pain Management
Background:
- Postcolonoscopy pain impacts patient satisfaction and repeat procedure willingness.
- Patient-related factors influencing pain are not fully understood.
- The role of sleep quality in postcolonoscopy pain is not well-elucidated.
Purpose of the Study:
- To investigate the association between sleep quality and postcolonoscopy abdominal pain.
- To identify patient-related factors affecting pain after colonoscopy.
Main Methods:
- Prospective observational cohort study of 103 adults (18-80 years) undergoing colonoscopy.
- Assessed sleep quality (Pittsburgh Sleep Quality Index) and psychological parameters.
- Measured pain intensity using Visual Analog Scale at multiple time points post-procedure.
Main Results:
- Poor sleep quality significantly correlated with higher pain intensity 6 hours post-colonoscopy (r = 0.239, P = .015).
- No association found between anxiety/depression scores and pain intensity.
- Prior depression diagnosis, incomplete procedures, and gastrointestinal symptoms were linked to higher pain.
Conclusions:
- Sleep quality is a significant patient-related factor influencing early postcolonoscopy pain.
- Integrating sleep and psychosocial assessments may enhance understanding of pain variability.
- Improved patient-centered care can be achieved by considering these factors.
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