title: Evaluation of factors that influence anxiety and satisfaction in patients undergoing bronchofiberoscopy with analgosedation.
abstract: BACKGROUND
  Bronchofiberoscopy (BF) is a key tool used in the management of patients with respiratory diseases. Describing factors that contribute to patient anxiety surrounding BF has the potential to influence patient management and willingness to undergo the procedure again in the future if needed.
  
  
  OBJECTIVE
  This study sought to understand what factors influence anxiety and satisfaction experienced by patients undergoing BF under conscious sedation.
  
  
  METHODS
  This study had a prospective observational character and evaluated 463 consecutive patients undergoing BF. Participants were divided into two groups, those undergoing BF for the first time and those who had undergone the procedure at least once in the past. Data were collected from three questionnaires prepared by the research team.
  
  
  RESULTS
  Patients who had undergone multiple bronchoscopies were more satisfied with their physician's explanation of the procedure (P < 0.0001), had a better understanding of the indications (P < 0.0001) and potential complications (P < 0.0001) of BF and knew what specific procedure was planned (P < 0.001). Patients undergoing BF for the first time experienced anxiety before the procedure more frequently (P < 0.001). No significant difference in satisfaction was observed between patient groups and 89% would agree to BF in the future.
  
  
  CONCLUSIONS
  Patients who had previously undergone BF were better prepared for their procedure; however, satisfaction levels after the procedure were similar in both groups. Results suggest that medical staff should target patients who have not undergone BF previously to relieve anxiety.
authors.affiliation: Department of Pulmonology, University Hospital in Krakow, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Andrychiewicz
authors.affiliation: Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Konarska
authors.affiliation: Department of Pulmonology, University Hospital in Krakow, Poland.|Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Karolina
authors.initials: K
authors.lastname: Gorka
authors.affiliation: Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Sylwia
authors.initials: S
authors.lastname: Bartyzel
authors.affiliation: Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Marta
authors.initials: M
authors.lastname: Salek
authors.affiliation: Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Biedron
authors.affiliation: Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Surowiec
authors.affiliation: Department of Pulmonology, University Hospital in Krakow, Poland.|Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Sladek
authors.affiliation: Department of Pulmonology, University Hospital in Krakow, Poland.|Jagiellonian University Medical College, Krakow, Poland.
authors.forename: Jerzy
authors.initials: J
authors.lastname: Soja
authors.affiliation: Jagiellonian University Medical College, Krakow, Poland.|Division of Anaesthesiology and Intensive Therapy, Department of Allergy and Immunology, University Hospital in Krakow, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Szczeklik
mesh_terms: D000368:Aged; D001007:Anxiety / Q000209:etiology / Q000523:psychology*; D001999:Bronchoscopy / Q000009:adverse effects / Q000379:methods* / Q000523:psychology; D016292:Procedural Sedation / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011044:Poland / Q000453:epidemiology; D011446:Prospective Studies; D012140:Respiratory Tract Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D011795:Surveys and Questionnaires
keywords: bronchoscopy - conscious sedation - observational study - patient satisfaction