视频引导信息对体外冲击波治疗中焦虑和疼痛的影响:一项对照组研究

S. Ozcan, E. M. Yorulmaz, Yuksel Yilmaz, M. Hamarat, A. Demirbaş
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摘要

目的:在本研究中,将欧洲泌尿外科协会(EAU)制作的体外冲击波碎石术(ESWL)视频改编成土耳其语并向参与研究的患者播放后,我们使用状态-特质焦虑量表(STAI-I)焦虑量表和视觉模拟量表(VAS)评估其对焦虑和疼痛水平的影响。方法:共纳入59例患者,于2020年7月1日至10月1日在三个中心进行评估。患者被分为两组,第一组被要求填写一份同意书,观看视频,并提供口头和书面信息;另一方面,第二组得到了一份同意书,并只收到了口头和书面信息。各组术前资料填写sti - i焦虑量表,术后进行VAS评分。结果:1组患者的STAI-I焦虑形式评分高于2组,差异有统计学意义(p=0.004), 1组患者的记录透视时间和VAS评分低于2组(p=0.045和p=0.021)。结论:虽然在ESWL前提供视频引导信息会增加患者的焦虑,但它可以提高手术过程中的依从性,并减少患者的全透视时间和疼痛评分。
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The Effect of Video-Guided information on Anxiety and Pain in Extracorporeal Shock Wave Therapy: A control group study
Objective: In the present study, after adapting the Extracorporeal Shock Wave Lithotripsy (ESWL) video produced by the European Association of Urology (EAU) into the Turkish language and showing it to the participating patients, we evaluated the effect on their anxiety and pain levels using the State-Trait Anxiety Inventory (STAI-I) anxiety form and the Visual Analogue Scale (VAS). Methods: A total of 59 patients, who were assessed at three centers between July 1st and October 1st, 2020, were involved in the study. The patients were divided into two groups, the first of which was asked to fill out a consent form and was shown the video and provided with verbal and written information;. On the other hand, the second group was given a consent form and received verbal and written information exclusively. Each group completed the STAI-I Anxiety form after being given preoperative information, while the VAS was applied after the procedure. Results: The STAI-I anxiety form score was higher in Group 1 than in Group 2, and the difference was statistically significant (p=0.004), and the recorded fluoroscopy time and VAS scores were lower in favor of Group 1 (p=0.045 and p=0.021). Conclusion: While the provision of video-guided information prior to ESWL resulted in heightened anxiety among the patients, it led to improved compliance during the procedure, as well as reduced total fluoroscopy time and pain scores for the patients.
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