The Effect of Visualized Meditation on Anxiety, Pain, and Comfort in Patients Undergoing Colonoscopy

University of Gaziantep

Status: Completed

Conditions: Randomised Controlled Trial; Pain Management; Colonoscopy; Comfort

Treatments: Other: Visualized meditation group

Study type: Interventional

Funder types: Other

Identifiers

NCT07255417

2024/489

Details and patient eligibility

About

Colonoscopy is one of the most frequently performed procedures for the early diagnosis and treatment of intestinal diseases and plays a crucial role in the diagnosis and treatment of lower gastrointestinal disorders. However, for many patients, colonoscopy is considered an invasive, highly painful, and extremely uncomfortable procedure. Furthermore, the anxiety and fear felt before the procedure can affect patients in many ways. These negative feelings can disrupt patient comfort and cause the pain to become even more severe.

Full description

Meditation and visualization exercises have been found to alter an individual's mood and perception. Recent neuroscience literature suggests that meditation practices alter brain chemistry, structure, and function more permanently. Meditation facilitates increased selective attention, which increases the ability to silence unwanted outcomes while focusing on a specific outcome, and reduces activity in the amygdala, which is associated with the production of fear and anxiety. Guided meditation with background music is effective in increasing attention, reducing stress, and therefore improving mental health. Visualization is the conscious control of mental imagery. Imagery often plays a fundamental role not only in experiencing reality but also in creating it. In this context, it can be argued that visualized meditation may also allow for the reshaping of perceived reality, such as anxiety and pain, and reduce their negative effects on the patient. This study was conducted to determine the effects of visualized meditation on anxiety, pain, and comfort in patients undergoing colonoscopy.

Enrollment: 72 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients over the age of 18, with no hearing impairment,
• Submitting a colonoscopy for the first time,
• Not diagnosed with a psychiatric disorder and therefore not taking medication,
• Willing to participate in the study

Exclusion criteria

• Patients who refused to participate in the study, underwent a colonoscopy for biopsy, or underwent deep sedation.
• Patients who volunteered to participate and then wished to withdraw from the study at any stage.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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72 participants in 2 patient groups

Visualized meditation group

Active Comparator group

Description:

In the study, the experimental group will listen to visualized meditation sessions daily, morning and evening, for three days before the colonoscopy. On the morning of the colonoscopy, patients will be administered a personal information form, STAI1-2, pain scale, and comfort scale. After the procedure, the patients will be taken to the recovery area and will be administered the STAI1-2, pain scale, and comfort scale again.

Treatment:

Other: Visualized meditation group

Control group

No Intervention group

Description:

In the study, the control group will be administered a personal information form, STAI1-2, pain scale, and comfort scale on the morning of the colonoscopy. After the procedure, the patients will be taken to the recovery area and the STAI1-2, pain scale, and comfort scale will be administered again. The control group will receive standard clinical care procedures.