Effects of non-pharmacological interventions on anxiety in patients undergoing colonoscopy: A network meta-analysis of randomized controlled trials

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-02-19 DOI:10.1016/j.jpsychores.2025.112065

Yun-shan Chen , Ge-hui Feng , Qian-qian Yue , Yi-Fei Wang , Min Liu , Ke-hao Zhao , Tian Tang , Mao-ting Huang , Wen-ting Yi , Hui-ling Yan , Jia-hui Yan , Ying Zeng

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引用次数: 0

Abstract

Background

Anxiety is a common and significant problem in patients who need to undergo colonoscopy. However, the question of which non-pharmacological intervention is the best strategy to reduce anxiety in patients undergoing colonoscopy remains unanswered.

Objectives

To evaluate and rank the effectiveness of various non-pharmacological interventions for reducing anxiety in patients undergoing colonoscopy in order to identify the most effective strategies.

Methods

We searched PubMed, Cochrane Library, Embase, Web of Science, and Medline for randomized controlled trials published from the database construction to March 2024. The primary outcome was the difference between pre- and post-intervention anxiety means. A network meta-analysis was conducted utilizing the “gemtc” package based on R4.3.0.

Results

The analysis encompassed 24 randomized controlled trials, incorporating 2525 participants and evaluating 9 non-pharmacological interventions. All non-pharmacological interventions reduced anxiety in patients undergoing colonoscopy compared to standard care, with music intervention (SMD = -0.52, 95 %CI (−0.84,-0.20)), audiovisual distraction (SMD = -0.54, 95 %CI(−0.96,-0.12)), video information (SMD = -1.47, 95 %CI(−2.03,-0.90)), individual education (SMD = -1.72, 95 %CI(−2.76,-0.70)), and electroacupuncture (SMD = -1.12, 95 %CI(−2.10,-0.13)) having statistically significant effects. SUCRA ranking identified the priority of individual education (SUCRA: 92.5 %) and video information (SUCRA: 87.7 %). Meta-regression and sensitivity analysis further demonstrated the stability of the evidence. The certainty of the evidence was mostly rated as medium to low.

Conclusion

This review highlights the superior effects of individual education and video information in reducing anxiety in patients undergoing colonoscopy. The findings of our review could provide clinical decision-makers and healthcare practitioners, such as doctors and nurses, with evidence-based practices for selecting interventions to reduce anxiety in patients undergoing colonoscopy.

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非药物干预对结肠镜检查患者焦虑的影响：随机对照试验的网络荟萃分析

背景焦虑是需要接受结肠镜检查的患者常见且重要的问题。然而，在接受结肠镜检查的患者中，哪种非药物干预是减少焦虑的最佳策略的问题仍然没有答案。目的评价各种非药物干预措施对减轻结肠镜检查患者焦虑的效果并对其进行排序，以确定最有效的策略。方法检索PubMed、Cochrane Library、Embase、Web of Science和Medline数据库，检索自数据库建设至2024年3月已发表的随机对照试验。主要结果是干预前和干预后焦虑指标的差异。使用基于R4.3.0的“gemtc”软件包进行网络元分析。结果该分析包括24项随机对照试验，纳入2525名受试者，评估了9项非药物干预措施。与标准治疗相比，所有非药物干预均可减少结肠镜检查患者的焦虑，其中音乐干预（SMD = -0.52, 95% CI(- 0.84,-0.20)）、视听分散（SMD = -0.54, 95% CI(- 0.96,-0.12)）、视频信息（SMD = -1.47, 95% CI(- 2.03,-0.90)）、个人教育（SMD = -1.72, 95% CI(- 2.76,-0.70)）和电针(SMD = -1.12, 95% CI（- 2.10,-0.13）具有统计学显著效果。supra排名确定了个人教育（supra: 92.5%）和视频信息（supra: 87.7%）的优先级。meta回归和敏感性分析进一步证明了证据的稳定性。证据的确定性大多被评为中低。结论个体化教育和视频信息在减轻结肠镜检查患者焦虑方面效果显著。我们的研究结果可以为临床决策者和医疗保健从业人员（如医生和护士）提供循证实践，以选择干预措施来减少结肠镜检查患者的焦虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.