The effect of position change and abdominal massage on anxiety, pain and distension after colonoscopy: A randomized clinical trial.

CONTEXT: Pain, abdominal distention, and anxiety are major risk factors encountered after colonoscopy. Complementary and alternative treatments, such as abdominal massage and position change, are used to reduce the associated risk factors. OBJECTIVE: To determine the effect of position change and abdominal massage on anxiety, pain, and distension after colonoscopy. DESIGN: A randomized three-group experimental trial. SETTING AND PARTICIPANTS: This study was conducted with 123 patients who underwent colonoscopy at the endoscopy unit of a hospital located in western Turkey. METHODS: Three groups were formed: two interventional (abdominal massage and position change) and one control, each including 41 patients. Data were gathered using a personal information form, pre- and post-colonoscopy measurement form, the Visual Analog Scale (VAS), and the Spielberger State-Trait Anxiety Inventory. Pain and comfort levels, abdominal circumference values, and vital signs of the patients were measured at four evaluation times. RESULTS: In the abdominal massage group, the VAS pain scores and abdominal circumference measurements decreased the most and the VAS comfort scores increased the most 15 min after the patients were taken to the recovery room (p<0.05). Furthermore, bowel sounds were heard, and bloating was relieved in all patients in both intervention groups 15 min after they were taken to the recovery room. CONCLUSIONS: Abdominal massage and position change can be considered effective interventions for relieving bloating and facilitating flatulence after colonoscopy. Moreover, abdominal massage can be a powerful method for reducing pain and abdominal circumference and increasing patient comfort.

A rare case liver hydatid cyst containing multiple calculi.

The hydatic cyst disease, caused by Echinococcus granulosus, is a potentially lethal, which can be found anywhere in the world, but especially in endemic areas such as the Mediterranean Basin, North Africa, Eastern Europe, the Balkans and Middle East. This parasite is mainly found in the liver (3/4 of the cases), being asymptomatic in most cases and discovered accidentally on a routine abdominal ultrasound or an ultrasound done for diagnosing other pathologies. Liver hydatid cyst threatment is multimodal, which includes medical, surgical, and interventional radiologic techniques. KEY WORDS: Complication, Echinococcus Granulosus, Lithiasis, Liver Hydatid Cyst.

The effect of music therapy during colonoscopy on pain, anxiety and patient comfort: A randomized controlled trial.

BACKGROUND: and purpose: This study aimed to determine the effect of music therapy on pain, anxiety, and patient comfort during colonoscopy. MATERIALS AND METHODS: This is a randomized, controlled, intervention study, which included 112 patients that underwent colonoscopy. The patients were randomized into the intervention group (n = 56) that was given 30-minute music therapy during the colonoscopy and the control group (n = 56) without any intervention other than routine nursing care. The data were collected using an information and observation form, the Visual Analog Scale (VAS) and the Spielberger State-Trait Anxiety Inventory. RESULTS: The pain and anxiety scores were lower in the intervention group whereas comfort score was higher than control group (p < 0.05). The pain and anxiety levels of the patients in the intervention group decreased after the colonoscopy and their comfort levels increased. CONCLUSIONS: The music therapy reduced pain and anxiety, increased comfort during colonoscopy.