Effect of visual distraction on pain in adults undergoing colonoscopy: A meta-analysis

Zhang, Yuan-Yuan and Vimala, Ramoo and Chui, Ping Lei and Hilmi, Ida Normiha (2023) Effect of visual distraction on pain in adults undergoing colonoscopy: A meta-analysis. Surgical Endoscopy and Other Interventional Techniques, 37 (4). pp. 2633-2643. ISSN 0930-2794, DOI https://doi.org/10.1007/s00464-022-09724-7.

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Background Pain is a contributing factor to the low compliance rate for performing a colonoscopy on screening for colorectal cancer. Purpose This meta-analysis aimed to evaluate the effect of visual distraction on adults undergoing colonoscopy. Methods We searched PubMed, EMBASE, Web of Science, and Cochrane Library Database from their inception to February 2022. Randomized controlled trials comparing visual distraction with non-visual distraction were considered for inclusion. The fixed-effects and random-effects models were used to pool the data from individual studies and the Cochrane risk of bias assessment tool was used to determine the methodology quality. Results This meta-analysis included four studies (N = 301) for pain level and total procedure time, three studies (N = 181) for satisfaction score, three studies (N = 196) for anxiety level, and four studie (N = 402) for willingness to repeat the procedure. The pooled analysis shown that significantly lower pain levels (SMD, - 0.25; 95% CI - 0.47 to - 0.02; P = 0.03), higher satisfaction score with the procedure (SMD, 0.63; 95% CI, 0.33 to 0.93; P < 0.0001), and higher willingness to repeat the procedure (OR, 2.66; 95% CI 1.70 to 4.17; P < 0.0001) in the visual distraction group than those in the non-visual distraction group, with no significant differences in total procedure time (SMD,- 0.07; 95% CI - 0.30 to 0.15; P = 0.53) or anxiety level (SMD,- 0.27; 95% CI - 0.55 to 0.01; P = 0.06). Conclusions Visual distraction improved the patient's pain, satisfaction, and willingness to repeat the procedure. Thus, visual stimulation is an effective way to reduce pain during colonoscopy and should be recommended.

Item Type: Article
Funders: None
Uncontrolled Keywords: Colonoscopy; Pain; Photic stimulation; Meta-analysis
Subjects: Q Science > QP Physiology
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Medicine Department
Faculty of Medicine > Nursing Science Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 17 Oct 2023 07:33
Last Modified: 17 Oct 2023 07:33
URI: http://eprints.um.edu.my/id/eprint/39336

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