2008 Volume 50 Issue 12 Pages 3068-3073
Objectives : Usefulness of clinical pathway for patients at initial examination of transnasal esophagogastroduodenoscopy (EGD) was assessed with respect to comprehension and anxiety. Patients and Methods : 83 patients who had the initial transnasal EGD were informed with clinical pathway. Difference of comprehension and anxiety between patients with or without peroral EGD experience (with experience 69, without experience 14) was investigated. Results : Good comprehension and moderate anxiety were the most observed categories. In patients with and without peroral EGD experience, good comprehension was obsesved in 71.0% and 78.6%, while moderate anxiety was observed in 44.9% and 50.0%, respectively. Transnasal EGD was well understood with clinical pathway. There was no difference of comprehension and anxiety between patients with or without peroral EGD experience. Relationship between comprehension and anxiety was not consistent, suggesting that its final evaluation needs further study of additional patients without peroral EGD experience. Conclusions : Clinical pathway was evaluated to be useful for explanation to patients at initial examination of transnasal EGD.
