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How to convince a patient refusing colonoscopy – a qualitative study


Authors: Jan Brož 1;  Timea Debnárová 1;  Svatava Krejčová 2;  Alexandra Romanová 1;  Jana Urbanová 3;  Lucie Samková 1;  Barbora Pelechová 1;  Barbora Prýmková 1;  Ondřej Hloch 1;  Pavlína Krollová 1;  Ludmila Brunerová 3;  Veronika Vejtasová 4;  Anna Frühaufová 5;  Juraj Michalec 1;  Iva Hoffmanová 1;  Dita Pichlerová 1;  Jan Šťovíček 1;  Radan Keil 1
Authors‘ workplace: Interní klinika 2. LF UK a FN v Motole, Praha 1;  Oddělení klinické psychologie FN v Motole, Praha 2;  Interní klinika 3. LF UK a FNKV, Praha 3;  Kardiologická klinika 2. LF UK a FN v Motole, Praha 4;  Odd. primární péče FN v Motole, Praha 5
Published in: Vnitř Lék 2022; 68(E-8): 12-17
Category: Original Contributions
doi: https://doi.org/10.36290/vnl.2022.116

Overview

The available literature suggests that the most significant barriers to undergoing colonoscopy in general include “fear of pain and discomfort”, “fear of bowel preparation”, as well as directly unrelated influences such as “lack of support from family and friends”, “busy family and work schedules”, “other health problems” and the current “fear of getting COVID-19 in hospital”. A marital union may play a positive role, previous cancer a negative one. Another important factor is that patients are not used to talking about their barriers spontaneously; a guided conversation is a useful tool. Respondents in this qualitative study addressed these barriers as significant in their answers.

Keywords:

screening – colonoscopy – colorectal cancer – Pain – Fear


Sources

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Labels
Diabetology Endocrinology Internal medicine
Topics Journals
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