Can a bronchoscopist reliably assess a patient's experience of bronchoscopy?

OBJECTIVES: Bronchoscopy is an essential investigative tool in many respiratory complaints. The procedure can be unpleasant for both bronchoscopists and patients. To the best of our knowledge, there are only a few studies that correlate the bronchoscopist's satisfaction with that of the patient...

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Main Authors:	Hasmoni, Mohamed Hadzri, Mohd Shah, Azarisman Shah, Abdul Rani, Mohammed Fauzi, Harun, Roslan, Abdul Manap, Roslina, Tajudin, Nor Adina, Mohd. Anshar, Fauzi
Format:	Article
Language:	English
Published:	Royal Society of Medicine Press 2010
Subjects:	RC Internal medicine
Online Access:	http://irep.iium.edu.my/3389/ http://irep.iium.edu.my/3389/ http://irep.iium.edu.my/3389/ http://irep.iium.edu.my/3389/2/Can_a_bronchoscopist_reliably_assess_a_patient%27s_experience_of_bronchoscopy.pdf

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spelling	iium-33892012-01-27T03:02:29Z http://irep.iium.edu.my/3389/ Can a bronchoscopist reliably assess a patient's experience of bronchoscopy? Hasmoni, Mohamed Hadzri Mohd Shah, Azarisman Shah Abdul Rani, Mohammed Fauzi Harun, Roslan Abdul Manap, Roslina Tajudin, Nor Adina Mohd. Anshar, Fauzi RC Internal medicine OBJECTIVES: Bronchoscopy is an essential investigative tool in many respiratory complaints. The procedure can be unpleasant for both bronchoscopists and patients. To the best of our knowledge, there are only a few studies that correlate the bronchoscopist's satisfaction with that of the patient's during bronchoscopy. The aim of our study is to assess whether or not a bronchoscopist could reliably assess a patient's satisfaction during bronchoscopy. DESIGN: Cross-sectional, observational study with convenience sampling. SETTING: Patients attending flexible fibreoptic bronchoscopy appointments at the bronchoscopy suite, Respiratory Unit, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Cheras, Kuala Lumpur, Malaysia between March and September 2006. PARTICIPANTS: Sixty patients undergoing bronchoscopy over a 6-month period completed a questionnaire after the procedure. All patients received standard pre-medication with intravenous midazolam. MAIN OUTCOME MEASURES: Bronchoscopists and patients rated the level of satisfaction of the procedure using a 10 cm visual analogue scale (VAS). Lower scores indicated better satisfaction or less discomfort. Patients and bronchoscopists also rated coughing, choking and vomiting perception using the same 10 cm VAS. Reliability analysis (intra-class correlation coefficient [ICC]) was used to analyse the correlation between patients' and bronchoscopists' VAS scores. RESULTS: All 60 patients answered the questionnaire. The median overall satisfaction scored by bronchoscopists was 2.2 (2.0) with a non-significant (p = 0.880) trend to a better median overall satisfaction of 1.9 (2.3) scored by patients. The VAS scores for cough sensation were 1.9 (2.7) and 1.5 (5.0), respectively. There was positive correlation between bronchoscopists' and patients' VAS scores for coughing sensation (p = 0.047, ICC = 0.233). No significant correlation for overall satisfaction, vomiting sensation and choking sensation was found. CONCLUSION: Positive correlation for cough perception suggested that the bronchoscopist could reliably assess the degree of cough discomfort patients experience during bronchoscopy. Royal Society of Medicine Press 2010-09-28 Article PeerReviewed application/pdf en http://irep.iium.edu.my/3389/2/Can_a_bronchoscopist_reliably_assess_a_patient%27s_experience_of_bronchoscopy.pdf Hasmoni, Mohamed Hadzri and Mohd Shah, Azarisman Shah and Abdul Rani, Mohammed Fauzi and Harun, Roslan and Abdul Manap, Roslina and Tajudin, Nor Adina and Mohd. Anshar, Fauzi (2010) Can a bronchoscopist reliably assess a patient's experience of bronchoscopy? Journal of the Royal Society of Medicine (JRSM) Short Reports, 1 (4). 35 (1)-(7). ISSN 2042-533 http://shortreports.rsmjournals.com/content/1/4/35.figures-only 21103127[PubMed]
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RC Internal medicine
spellingShingle	RC Internal medicine Hasmoni, Mohamed Hadzri Mohd Shah, Azarisman Shah Abdul Rani, Mohammed Fauzi Harun, Roslan Abdul Manap, Roslina Tajudin, Nor Adina Mohd. Anshar, Fauzi Can a bronchoscopist reliably assess a patient's experience of bronchoscopy?
description	OBJECTIVES: Bronchoscopy is an essential investigative tool in many respiratory complaints. The procedure can be unpleasant for both bronchoscopists and patients. To the best of our knowledge, there are only a few studies that correlate the bronchoscopist's satisfaction with that of the patient's during bronchoscopy. The aim of our study is to assess whether or not a bronchoscopist could reliably assess a patient's satisfaction during bronchoscopy. DESIGN: Cross-sectional, observational study with convenience sampling. SETTING: Patients attending flexible fibreoptic bronchoscopy appointments at the bronchoscopy suite, Respiratory Unit, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Cheras, Kuala Lumpur, Malaysia between March and September 2006. PARTICIPANTS: Sixty patients undergoing bronchoscopy over a 6-month period completed a questionnaire after the procedure. All patients received standard pre-medication with intravenous midazolam. MAIN OUTCOME MEASURES: Bronchoscopists and patients rated the level of satisfaction of the procedure using a 10 cm visual analogue scale (VAS). Lower scores indicated better satisfaction or less discomfort. Patients and bronchoscopists also rated coughing, choking and vomiting perception using the same 10 cm VAS. Reliability analysis (intra-class correlation coefficient [ICC]) was used to analyse the correlation between patients' and bronchoscopists' VAS scores. RESULTS: All 60 patients answered the questionnaire. The median overall satisfaction scored by bronchoscopists was 2.2 (2.0) with a non-significant (p = 0.880) trend to a better median overall satisfaction of 1.9 (2.3) scored by patients. The VAS scores for cough sensation were 1.9 (2.7) and 1.5 (5.0), respectively. There was positive correlation between bronchoscopists' and patients' VAS scores for coughing sensation (p = 0.047, ICC = 0.233). No significant correlation for overall satisfaction, vomiting sensation and choking sensation was found. CONCLUSION: Positive correlation for cough perception suggested that the bronchoscopist could reliably assess the degree of cough discomfort patients experience during bronchoscopy.
format	Article
author	Hasmoni, Mohamed Hadzri Mohd Shah, Azarisman Shah Abdul Rani, Mohammed Fauzi Harun, Roslan Abdul Manap, Roslina Tajudin, Nor Adina Mohd. Anshar, Fauzi
author_facet	Hasmoni, Mohamed Hadzri Mohd Shah, Azarisman Shah Abdul Rani, Mohammed Fauzi Harun, Roslan Abdul Manap, Roslina Tajudin, Nor Adina Mohd. Anshar, Fauzi
author_sort	Hasmoni, Mohamed Hadzri
title	Can a bronchoscopist reliably assess a patient's experience of bronchoscopy?
title_short	Can a bronchoscopist reliably assess a patient's experience of bronchoscopy?
title_full	Can a bronchoscopist reliably assess a patient's experience of bronchoscopy?
title_fullStr	Can a bronchoscopist reliably assess a patient's experience of bronchoscopy?
title_full_unstemmed	Can a bronchoscopist reliably assess a patient's experience of bronchoscopy?
title_sort	can a bronchoscopist reliably assess a patient's experience of bronchoscopy?
publisher	Royal Society of Medicine Press
publishDate	2010
url	http://irep.iium.edu.my/3389/ http://irep.iium.edu.my/3389/ http://irep.iium.edu.my/3389/ http://irep.iium.edu.my/3389/2/Can_a_bronchoscopist_reliably_assess_a_patient%27s_experience_of_bronchoscopy.pdf
first_indexed	2023-09-18T20:11:12Z
last_indexed	2023-09-18T20:11:12Z
_version_	1777407489904476160

Can a bronchoscopist reliably assess a patient's experience of bronchoscopy?

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