Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure frequently accompanied by preprocedural anxiety, which has been associated with altered physiological parameters, reduced procedural tolerance, higher sedation requirements and lower patient satisfaction. Nurses are in a position to deliver structured preprocedural information and thereby strengthen patients' sense of control.
This randomized controlled trial will evaluate whether a structured, nurse-led, one-to-one educational intervention delivered before ERCP reduces state anxiety and improves procedure-related knowledge compared with routine institutional information. Sixty adult patients scheduled for ERCP will be randomly allocated to the intervention or control group. State anxiety will be assessed with the Spielberger State-Trait Anxiety Inventory (state subscale) and procedure-related knowledge with a 17-item multiple-choice questionnaire, both at baseline and immediately before the procedure.
Inclusion Criteria
- Aged 18 years or older
- Scheduled to undergo elective ERCP
- Able to read and understand Turkish
- Willing to participate and able to provide written informed consent
Exclusion Criteria
- Current use of anxiolytic medication
- Known cognitive impairment or any condition preventing reliable completion of the questionnaires
- Need for emergency or urgent endoscopy