Ketelaars Pleun J W, Buskes M H M, Bosgraaf R P, van Hamont D, Prins Judith B, Massuger L F A G, Melchers Willem J G, Bekkers Ruud L M
a Department of Obstetrics and Gynaecology , Radboud University Medical Center , Nijmegen , The Netherlands.
b Department of Obstetrics and Gynaecology , Amphia Hospital , Breda , The Netherlands.
Acta Oncol. 2017 Dec;56(12):1728-1733. doi: 10.1080/0284186X.2017.1355108. Epub 2017 Aug 1.
The aim was to investigate whether additional information, in video form, reduces anxiety, depression and pain levels in women referred for colposcopy.
Between September 2012 and March 2015, 136 patients referred for colposcopy were randomized into two study arms. Group A received video information in addition to the regular information leaflet, and group B (control group) received only the regular information leaflet. The patients were requested to complete standardized online questionnaires. The first online questionnaire (T1) was pre-randomization, and was completed at home, 5 days prior to the appointment. The second online questionnaire (T2) was completed directly before the colposcopy appointment, and the last online questionnaire (T3) was completed directly following colposcopy at the out-patient clinic. The questionnaires included the Spielberger State-Trait Anxiety Inventory (STAI), the Hospital Anxiety and Depression Scale (HADS), and the Numeric Rating Scale (NRS) to assess pain.
The STAI state anxiety score was high (44.6), but there was no significant difference in STAI, HADS and NRS between the two groups at the three measuring points. A post hoc analysis showed that women with a generally higher baseline anxiety trait had significantly lower HADS anxiety levels following video information.
Additional information (video) before colposcopy did not significantly reduce anxiety, depression, and expected or experienced pain, as measured by the STAI, HADS and NRS in patients attending their first colposcopy appointment. However, most patients positively appreciated the video information, which may reduce the anxiety of extremely anxious patients.
旨在调查以视频形式提供的额外信息是否能降低接受阴道镜检查的女性的焦虑、抑郁和疼痛水平。
2012年9月至2015年3月期间，将136名接受阴道镜检查的患者随机分为两个研究组。A组除了收到常规信息手册外，还收到了视频信息，B组（对照组）仅收到常规信息手册。要求患者完成标准化的在线问卷。第一份在线问卷（T1）是在随机分组前在家中预约前5天完成的。第二份在线问卷（T2）在阴道镜检查预约前直接完成，最后一份在线问卷（T3）在门诊阴道镜检查后直接完成。问卷包括斯皮尔伯格状态-特质焦虑量表（STAI）、医院焦虑抑郁量表（HADS）和数字评定量表（NRS）以评估疼痛。
STAI状态焦虑得分较高（44.6），但在三个测量点两组之间的STAI、HADS和NRS没有显著差异。事后分析表明，基线焦虑特质总体较高的女性在收到视频信息后HADS焦虑水平显著降低。
对于首次接受阴道镜检查的患者，通过STAI、HADS和NRS测量，阴道镜检查前的额外信息（视频）并未显著降低焦虑、抑郁以及预期或经历的疼痛。然而，大多数患者对视频信息给予了积极评价，这可能会减轻极度焦虑患者的焦虑。
