Khảo sát tình hình và một số yếu tố liên quan đến nội soi đại – trực tràng gây mê tại Bệnh viện Lê Văn Thịnh

Colonoscopy remains the gold standard for diagnosing and monitoring various gastrointestinal diseases, including colorectal cancer. However, patient apprehension stemming from potential pain, discomfort, and pre-procedural anxiety often deters individuals from undergoing this critical examination. The advent of sedated endoscopy has emerged as a significant advancement, aiming to enhance patient comfort, cooperation, and overall experience during the procedure. Understanding the factors influencing the choice of sedated colonoscopy and its impact on patient satisfaction is crucial for optimizing healthcare delivery and addressing evolving patient expectations. This study investigates the current status and related factors of sedated colonoscopy to provide insights for improving procedural outcomes.

Medical professionals, gastroenterologists, endoscopists, hospital administrators, healthcare policy makers, and researchers in the field of gastrointestinal health and patient care.

This cross-sectional descriptive study aimed to assess the selection rate of sedated colonoscopy, identify influencing factors, and evaluate patient anxiety and satisfaction levels at Le Van Thinh Hospital in 2025. Conducted on 218 patients aged 18 and older, the research collected data on demographics, clinical characteristics, sedation choice, pre-procedural anxiety (using the STAI scale), and post-procedural satisfaction (using the mGHAA-9 scale). Logistic regression analysis was employed to pinpoint factors associated with the preference for sedation. The findings revealed a strong preference for sedated colonoscopy, with 71.6% of patients opting for it. Two key influencing factors significantly associated with this choice were older age (OR = 1.03; p = 0.028) and a history of previous gastrointestinal endoscopy (OR = 2.52; p = 0.017). Notably, the sedated group exhibited significantly lower pre-procedural anxiety (p < 0.01) and remarkably higher post-procedural satisfaction (p < 0.0001) compared to the non-sedated group. While aspects like staff politeness and waiting times were rated highly by both groups, the sedated group reported substantially greater satisfaction concerning overall procedural experience and facility comfort. This highlights the growing demand for comfort-oriented procedures and the significant role of prior negative experiences in driving the choice for sedation. The study underscores that while sedated endoscopy effectively reduces anxiety and improves satisfaction, a comprehensive approach to quality improvement, encompassing both clinical expertise and facility environment, is essential for optimal patient care.