徳島大学 教育・研究者情報データベース(EDB)

1. 曽我部 正弘([徳島大学.キャンパスライフ健康支援センター])

   役割	任意
   貢献度	任意
   学籍番号	推奨

2. 岡久 稔也([徳島大学.大学院医歯薬学研究部.医学域.連携研究部門(医学域).寄附講座系(医学域).地域総合医療学]/[徳島大学.病院.診療科.内科.消化器内科])

   役割	任意
   貢献度	任意
   学籍番号	推奨

3. (英) Fukuya Akira / (日) 福家 慧 / (読) ふくや あきら

   役割	任意
   貢献度	任意
   学籍番号	推奨	****

4. (英) Kagemoto Kaizoh / (日) 影本 開三 / (読) かげもと かいぞう

   役割	任意
   貢献度	任意
   学籍番号	推奨	****

5. (英) Okada Yasuyuki / (日) 岡田 泰行 / (読) おかだ やすゆき

   役割	任意
   貢献度	任意
   学籍番号	推奨	****

6. (英) Adachi Yuka

   役割	任意
   貢献度	任意
   学籍番号	推奨

7. (英) Kurihara Takeshi / (日) 栗原 健士 / (読) くりはら たけし

   役割	任意
   貢献度	任意
   学籍番号	推奨	****

8. (英) Nii Toru

   役割	任意
   貢献度	任意
   学籍番号	推奨

9. 寺前 智史

   役割	任意
   貢献度	任意
   学籍番号	推奨	****

10. 田中 宏典([徳島大学.病院.先端医科医療開発研究プロジェクト]/[徳島大学.病院.診療科.内科.消化器内科])

    役割	任意
    貢献度	任意
    学籍番号	推奨	****

11. 友成 哲

    役割	任意
    貢献度	任意
    学籍番号	推奨	****

12. 岡本 耕一([徳島大学.病院.診療科.内科.消化器内科])

    役割	任意
    貢献度	任意
    学籍番号	推奨

13. 宮本 弘志([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.内科系.消化器内科学]/[徳島大学.病院.診療科.内科.消化器内科])

    役割	任意
    貢献度	任意
    学籍番号	推奨

14. (英) Nakasono Masahiko

    役割	任意
    貢献度	任意
    学籍番号	推奨

15. 高山 哲治([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.内科系.消化器内科学])

    役割	任意
    貢献度	任意
    学籍番号	推奨

(英) Effects of audio and visual distraction on patients' vital signs and tolerance during esophagogastroduodenoscopy: a randomized controlled trial.

(英) Esophagogastroduodenoscopy (EGD) provides an indispensable and unambiguous inspection allowing the discovery upper gastrointestinal lesions. However, many patients are anxious about undergoing EGD. Few studies have investigated the influence on patients' vital signs and tolerance during EGD using subjective and objective assessments. This study was a prospective randomized controlled study that investigated the influence of audio and visual distraction on EGD. We randomly divided 289 subjects who underwent EGD into 4 groups (control group, audio group, visual group, combination group) and examined their vital signs, heart rate variability (HRV), psychological items, and acceptance of distraction. Pulse rate (PR) at post-distraction and post-EGD in the 3 distraction groups were significantly lower than those of control group (p < 0.001 and p < 0.01, respectively). Blood pressure (BP) during and post-EGD was significantly higher than that at pre-EGD in control group (p < 0.05), but no significant elevation of BP was observed during the latter half of EGD and post-EGD in the 3 distraction groups. BP at post-distraction improved significantly compared to pre-distraction in the 3 distraction groups (p < 0.05). There was a significant difference in the low-frequency (LF) power/ high-frequency (HF) power at post-distraction and post-EGD among the 4 groups (p < 0.001 and p < 0.001, respectively). The LF power/HF power at post-distraction and post-EGD in the 3 distraction groups was significantly lower than that in control group (p < 0.05). Several items of profile of mood states (POMS) and the impression of EGD at post-distraction improved significantly compared to those at pre-distraction among the 3 distraction groups (p < 0.05). Visual analog scale (VAS) of willingness for the next use of distraction in the 3 distraction groups was excellent because VAS was more than 70. Distractions effectively improved psychological factors, vital signs and some of HRV at pre and post-EGD. Distractions may suppress BP elevation during the latter half of EGD and lead to stability of HRV on EGD. This prospective trial was registered in the University Hospital Medical Information Network (UMIN) Clinical Trials Registry as UMIN000029637. Registered on 20 October 2017.

1. (英) Article.ELocationID: 10.1186/s12876-020-01274-3

2. (英) Article.PublicationTypeList.PublicationType: Journal Article

3. (英) KeywordList.Keyword: Distraction

4. (英) KeywordList.Keyword: Esophagogastroduodenoscopy

5. (英) KeywordList.Keyword: Heart rate variability

6. (英) KeywordList.Keyword: Subjective and objective assessment

7. (英) KeywordList.Keyword: Vital signs