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Endoscopy I
PMO-220 Patient anticipation of some pain goes along way when predicting overall satisfaction with a colonoscopy procedure
  1. F-U-R Ali
  1. Gastroenterology, Walsall Manor Hospital, Walsall, UK

Abstract

Introduction Providing a quality patient experience is a key facet of the Global Rating Score (GRS). Patient surveys are considered an integral means of assessing satisfaction. Meeting the patient's expectations is likely to influence their assessment of the procedure.

Methods We examined the factors that might potentially influence patient satisfaction with their colonoscopic procedure using a pre test questionnaire [self reported apprehension, the reason for any concerns, expectations of pain (represented as a visual analogue scale of 0–10, 0=no pain and 10=maximum pain) and previous experience of colonoscopy]. Data collected during the test itself (patient self reported pain scores collected immediately post procedure and sedation doses used) were compared with a post test questionnaire of overall satisfaction and willingness to undergo the test again in the future if required.

Results 448 patients participated (287 females and 201 males). Age range 18–88 years and mean age was 58 years. The mean anticipation of pain on the visual analogue scale was 2.61. The most common causes of anxiety were “fear of cancer?” (n=70) followed by “pain” (n=35), “tear/perforation” (n=14) and “previous adverse endoscopic experiences” (n=9). The mean actual patient reported pain scores were 3.14. 63 patients (43 females and 19 males) was very worried before test and their average anticipated pain score (AtPS) was 4.19 (total average 2.61) and the actual pain score (AcPS) 3.48 (average 3.14). 225 patients were worried before test and their AtPS 2.95 and AcPS 3.37. The patients who were not worried, their AtPS were 1.74 and AcPS 2.8. Patients (n=32) whose expected pre test pain scores were between 7 and 10 on visual analogue scale expressed higher levels of satisfaction with their procedures than those with lower anticipated pain scores (0–6) [93.7% vs 73.8%]. Patients who had a pre test apprehension score >7 were more agreeable to undergo the test again than those with score <6.

Conclusion Patient satisfaction is strongly correlated with patient comfort. Patients' appreciating that colonoscopy is a potentially painful procedure report a higher level of satisfaction and acceptance of the sedation offered. The importance appropriate preparation of the patient should not be underestimated.

Abstract PMO-220 Table 1

Competing interests None declared.

Reference 1. Global Rating Scale.

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