Effect of Remimazolam Tosilate on Early Cognitive Function in Elderly Patients undergoing Upper Gastrointestinal Endoscopy

The most common single cause of anemia worldwide is Iron deficiency. It resultsfrom other underlying diseases and to look for its cause is very crucial and is of far greaterimportance than restoring the iron stores and hemoglobin levels. Objectives: To determine thefrequency of common upper gastrointestinal endoscopic findings in elderly patients with irondeficiency anemia presenting with dyspepsia. Study Design: Cross sectional descriptive study.Setting: Department of Medicine, Khyber Teaching hospital, Peshawar. Period: March, 2011 toSeptember, 2011. Materials and Methods: 116 patients, all the patients with iron deficiencyanemia presenting with dyspepsia were subjected to upper gastrointestinal endoscopy todetect common findings as gastric erosions, peptic ulcer and gastric carcinoma. StatisticalAnalysis: Data was analyzed with SPSS 10.0. Results: On upper gastrointestinal endoscopy,normal findings were noted 30 (25.86%) patients and abnormal findings were noted in 86(74.14%) patients including 45 (38.79%) patients with gastric erosions, 30 (25.86%) patientswith peptic ulcer and 11 (9.48%) patients were found with gastric malignancy. Conclusions:Upper gastrointestinal lesions are common in elderly patients with iron deficiency anemiapresenting with dyspepsia and must be screened by gastrointestinal endoscopy.

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Effectiveness of nursing interventions on level of anxiety, stress, and depression of elderly patients undergoing upper gastrointestinal endoscopy

International Journal of Advanced Nursing Studies ◽

10.14419/ijans.v9i1.30560 ◽

2020 ◽

Vol 9 (1) ◽

pp. 20

Author(s):

Raefa Refaat Alam ◽

Neamit Ibrahim Elemam Elashri

Keyword(s):

Elderly Patients ◽

Gastrointestinal Endoscopy ◽

Gastrointestinal Surgery ◽

Nursing Intervention ◽

Structured Interview ◽

Upper Gastrointestinal Endoscopy ◽

Nursing Interventions ◽

Study Results ◽

Significant Difference ◽

Upper Gastrointestinal

Background: Gastrointestinal Endoscopy is a widely used procedure in medicine today. It is the diagnosis and treatment of choice among elderly patients with upper gastrointestinal disorders. Thus anxiety, stress, and depression of adverse out-come or side effect and discomfort regarding endoscopy reduce the patient’s acceptance ability. Effective procedure ex-planation and safety measures have positively impact on decrease level of anxiety, stress, and depression and improve elderly patient’s general health condition Aim: Evaluate effectiveness of nursing interventions on level of anxiety, stress and depression of elderly patients undergoing upper gastrointestinal endoscopy. Design: A quasi experimental study design with pre and post procedure was used.Setting: The study was conducted at Gastrointestinal Surgery Center (GISC) (Endoscopy Unit) Mansoura University Subjects: A convenient sample of 76 elderly patients undergoing GIT endoscopy. Data collected over a period of 9 months from first of May 2019 at the end of January 2020.Tools: Three tools were used: Socio Demographic Characteristics and Clinical Data Structured Interview Schedule, Depression, Anxiety and Stress scales (DASS-21), and Endoscopic Nursing interventions.Results: The study results revealed that statistically significant improvement in all aspects of elderly patient's anxiety score at pre and post nursing intervention (p<0.001). There were significant improvements of level of stress from pre and post implementation of nursing intervention to endoscopy (p<0.05). Also, there was a statistically significant difference in the pre, and posttest mean score of depression (p<0.05). Statistically significant differences regarding all sociodemographic characteristics within the studied subjects and their total mean score of anxiety, stress, and depression.Conclusion A clear and noticeable improvement in the mean score of anxiety, stress and depression of all studied subject after the implementation of the endoscopic nursing interventions than before.Recommendation: Replication of this study is highly recommended on a large representative probability sample to achieve generalizable results.

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