Intervention group; counselling with no-visual aid
shock, variceal bleeding, esophageal or gastric varices, bleeding
SHOCK, BLEEDING GASTRIC, DUODENAL ULCERS, BLEEDING
Patients in the no-visual aid group, counselling was done exactly in the same way as of visual aid group. However, no video was shown to the patients of this group.Intervention was provided to all participants in a private room by a gastroenterologist with experience of 10 years. Post-intervention assessment using DASS-42 and VAS was done immediately after intervention, but prior to endoscopy procedure, by psychologist who was blinded to group allocation. Patients then prepared for the procedure and underwent endoscopy. Endoscopies were carried out by trained doctors (endoscopists) with a minimum experience of 1000 endoscopic procedures. All methods and procedures of gastroscopy and colonoscopy were performed in accordance with the relevant guidelines issued by American College of Gastroenterology. Findings were noted in respective areas after endoscopy. Post-endoscopy, eight patients were shifted to intensive care due to unstable hemodynamic condition (variceal bleeding from esophageal or gastric varices, bleeding gastric or duodenal ulcers) found during endoscopy. Patients were retained in the recovery room for 2 h after the procedure and vital signs were monitored along with any evidence of bleeding through the mouth, altered level of consciousness or signs of shock. Patients were discharged in stable condition.