Reducing the anxiety of patients undergoing an oral biopsy by means of graphic novels: an open-label randomized clinical trial.

M Bazzano, R Mauceri, G Marcon, G Campisi
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Abstract

Background: The use of graphic novels is a trending topic in health communication as a new form of visual storytelling which explores narratives of health care, cancer, healing, and disability. The objective of the present study was to evaluate - for the first time in the literature - the effect of graphic novels in reducing the anxiety of patients waiting for an incisional biopsy in an oral oncology setting.

Material and methods: This open-label randomized clinical trial comprised 50 patients with a clinical suspicion of oral potentially malignant disorders. Twenty-five patients were randomly allocated to the test group, and a colourful graphic novel was provided. Subsequently, the Beck Depression Inventory and the Depression Anxiety Stress Scales-21 were administered to all 50 recruited patients, after which a biopsy was performed on each patient.

Results: No statistically significant difference was observed between the test and control groups for the variables regarding the demographic data (p>0.2). There was a significant difference after the introduction of the graphic novel, regardless of which questionnaire was used. The graphic novel demonstrated an improvement in the ability of the test group to tolerate anxiety while waiting for an oral biopsy in both psychological tests (p<0.05).

Conclusions: In light of these initial positive results, the authors of this study would like to suggest the use of graphic novels in oral oncology, dentistry, and medicine with the aim of reducing patient anxiety.

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通过图文小说减少口腔活检患者的焦虑:一项开放标签随机临床试验。
背景:图文小说的使用是健康传播中的一个热门话题,作为一种新的视觉叙事形式,它探索了医疗保健、癌症、治愈和残疾的叙事。本研究的目的是在文献中首次评估图文小说在减少口腔肿瘤学环境中等待切口活检的患者焦虑方面的效果。材料和方法:这项开放标签随机临床试验包括50名临床怀疑口腔潜在恶性疾病的患者。25名患者被随机分配到测试组,并提供了一本色彩鲜艳的图画小说。随后,对所有50名招募的患者进行Beck抑郁量表和抑郁-焦虑-压力量表-21,之后对每位患者进行活检。结果:在人口统计数据方面,测试组和对照组之间没有观察到统计学上的显著差异(p>0.05)。在引入图形小说后,无论使用哪种问卷,都有显著差异。在两项心理测试中,这本图画小说都证明了测试组在等待口腔活检时耐受焦虑的能力有所提高(结论:鉴于这些最初的阳性结果,本研究的作者建议在口腔肿瘤学、牙科和医学中使用图画小说,以减少患者的焦虑。
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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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