Effect of informing video process ın bronchoscopy on informed concent and anxiety

Feeling themselves healthy is the most crucial factor for individuals in having a happy life. A disease is a source of stress for people, especially in Western societies, even though the definitions and the meanings attributed to it display great differences among cultures. On the other hand, due to the reasons, such as the alienage and the loneliness of the hospital environment, the obligation for setting up communication with unacquainted people, the medical language of the doctors which is difficult to understand, the lack of personal experience in the same matter, lack of knowledge, lacked and/or incorrect over-hearings, and more than these, the worry about the disturbance to the body completeness, The anxiety levels of the patients who are planned to be applied an interventional operation are high before the operation. Undoubtedly, these high anxiety levels affect their motivation, their will to decide the operation and/or treatment freely, and their compliance with the operation and/or treatment.As it is known, the ethical principles of the profession of medicine are ?not to give harm to the patient?, to be helpful?, ?to be fair?, and ?the respect for the autonomy of the patient?. Health professionals inform patients in a number of various ways about the interventions to the patients in health service concern so that they can make a decision freely. This study was done as randomized double-blind controlled, based on prospective observation, towards the need for the resolution of the lack in medical literature because of the nonexistence of a study searching for the effect of a video informing about bronchoscope operation, which is highly frequently used on patients as an invasive operation in the field of chest diseases in both Turkish and English literature, and which causes significant degrees of anxiety.Patients accepting to participate in the study were randomized into three groups according to the ?envelope pulling? method, as ?the Written and Orally Informed Group?, ?Orally and Video Informed Group?, and ?Video Informed Group?. The data were made by piling up the socio-demographic information of the patients, the bronchoscope information surveys done both before and after informing, State Anxiety Scale (Indicator)(STAI) before and after informing, vital findings before and during the bronchoscope operation, and doctor and patient evaluation forms after the bronchoscope operation.In the analysis done, it was determined that the bronchoscope operation caused anxieties and fears in patients, that the video informing method decreased these anxieties and fears far more than informing orally and written method, that it was significantly more successful than the other method in respect for eliminating the wrong perceptions and fears developing in the patients especially in pain matter. Similarly, it was also determined that the video informing method decreased the anxiety points of the patients, rescued them from worry and excitement, and for this reason, protected them from undesired effects such as tachycardia, tachypnea and hypertension, which autonomous nerve system might cause during and after the bronchoscope operation, and that it directed the patients towards asking questions and inquiring more. On the other hand, it was determined that patients informed by video overlapped what was told before the operation with what was lived after at a higher rate than only the written-oral group, that patients informed by video found the informing done more sufficient than the written-oral group, and that patients informed by video evaluated the bronchoscope operation thoroughly with more significantly higher positive points than the written-oral group.Key WordsBronchoscope, İnformed consent, İnfırmation, Anxiety, Patient satisfaction