Introduction
Anxiety, anxiety, palpitations, tremors, irritability, shortness of breath
Anxiety is an organic reaction manifested by physical (palpitations, shortness of breath, tremors) and emotional (apprehension, irritability, restlessness) symptoms [Endoscopic procedures (gastroscopy, colonoscopy, Endoscopic retrograde cholangiopancreatography, Endoscopic ultrasound) are associated with an upstroke in anxiety levels due to the fear of diagnosis of a lifelong or potentially fatal medical condition [Özkan and Fındık conducted a randomized controlled trial (RCT) to see the effect of providing information about clonoscopy on patient’s anxiety level related to procedure and divided into experimental (written and oral information was provided) and control group. They reported that anxiety of patients in intervention group was reduced as compared to control group [Murugesan et al. conducted RCT to see the impact of video instruction on patient’s anxiety levels who underwent colonoscopy. Patients were divided into two groups; video or control (verbal) group. They concluded that patients who were shown information video before colonoscopy had low anxiety levels [Sogabe et al. conducted RCT to study the effects of audio-visual distraction in patients who underwent upper GI endoscopy. Patients were divided into four groups; control group, auditive group (listened to healing music), visual group (watched silent natural image) and combined audio-visual (watched natural image while listening to music) group. Results revealed that pulse rate at post-distraction and post-esophagogastroduodenoscopy were significantly lower in three intervention groups as compared to control group [A number of RCTs have been conducted who studied the efficacy of visual distraction [