Walsh Jane C, Curtis Ruth, Mylotte Michael
Department of Psychology, National University of Ireland Galway, Galway, Ireland.
Patient Educ Couns. 2004 Nov;55(2):247-51. doi: 10.1016/j.pec.2003.09.012.
A video colposcopy allows the real-time images viewed by the doctor performing the examination to be viewed by patients on a television monitor during the consultation. Eighty-one women (requiring either laser treatment or a normal recheck) were randomly assigned to either the video intervention group or the control group. A significant decrease in state anxiety was observed from one visit to the next in all patients (P = 0.000). This decrease in anxiety was significantly greater in the laser patients in the video colposcopy condition than patients in the control group for both groups of patients. Patients in the experimental groups also reported less pain than patients in the control conditions (P < 0.05). This benefit associated with video colposcopy was not observed on the second (treatment) visit. In conclusion, video colposcopy is a useful and time-efficient method that reduces patient anxiety and pain during examination visits, but not necessarily during visits where laser treatment is required.
阴道镜检查视频可让进行检查的医生所看到的实时图像在会诊期间通过电视监视器供患者观看。81名女性（需要激光治疗或正常复查）被随机分配到视频干预组或对照组。所有患者从一次就诊到下一次就诊时，状态焦虑均显著降低（P = 0.000）。对于两组患者，在视频阴道镜检查条件下接受激光治疗的患者焦虑的降低幅度显著大于对照组患者。实验组患者报告的疼痛也比对照组患者少（P < 0.05）。在第二次（治疗）就诊时未观察到与视频阴道镜检查相关的这种益处。总之，视频阴道镜检查是一种有用且省时的方法，可减少检查就诊期间患者的焦虑和疼痛，但在需要激光治疗的就诊期间不一定能减少。
