Patient comfort score at bronchoscopy

Le résumé fourni par la source

The aim of this study was to assess the patient comfort score immediately after bronchoscopy (by nursing staff and patient) and later on at follow up (by patient) in a teaching hospital. Subjects and methods: One hundred and four consecutive patients (62 male, mean (SD) age 63.2 (15.6)) were included and complete data was analysed for 96. The indication for bronchoscopy was radiological suspicion of lung cancer (39), haemoptysis (25), slowly resolving pneumonia (18), radiological picture of interstitial lung disease (16), cough (4) and mediastinal lymphadenopaty (2). The nurses used a patient comfort score (1- mild to 4-severe) and a sedation score (1-awake, 2-sedated). While in recovery and then again at follow up appointment (7-14 days later) the patients were asked to describe their comfort score (1-mild to 4-severe). Patients received Midazolam for sedation (1-7 mg i.v.) and local anaesthetic Lignocaine 2%. Data was analysed in Spss and corelation coefficients; Chi square Kruskal Wallis used. Results: The comfort score by nurses correlated with the score by patient in recovery (p= 0.006) and at follow up (p=0.03). The two patient scores correlated (p0.001, Pearson's 0.51). No difference in the comfort scores was found when the grade of the operator, dose of Midazolam, type of local anaesthetic, specimens taken, patient's position or the recovery sedation score were taken into account. To conclude, the patient comfort score assessed by nursing staff is a good indicator of the patient's own perception of their discomfort at bronchoscopy. The patient perceived comfort score is not different after the sedation effect of Midazolam wares off compared to the score assessed immediately after the bronchoscopy.

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