Urology Department, Austin Health, Heidelberg, Australia.
Urology Department, Galway Hospital, Galway, Ireland.
World J Urol. 2018 Jun;36(6):883-887. doi: 10.1007/s00345-018-2233-7. Epub 2018 Feb 14.
This trial assessed if written information on procedural findings and subsequent treatment improved understanding and reduced anxiety among patients undergoing day case flexible cystoscopy (FC).
Participants completed pre- and post-procedure questionnaires self-rating anxiety and feeling well informed on 5-point Likert scales. Supplemental written information was provided after FC to half the patients on a standardized template, according to randomized allocation. Comparisons between the groups were undertaken using the Wilcoxon test.
Two hundred patients were recruited, with 171 evaluable questionnaires (83 from written group). The distribution of age, sex and prior FC, as well as the pre-procedure self-assessment of anxiety and understanding, was similar between the two groups. Patients receiving written information reported feeling better informed, with median (range) Likert score of 5 (4-5) compared to 4 (1-5) out of 5 (p < 0.0001) and less anxious (score 1 [1-4] compared to 2 [1-5] out of 5, p < 0.005), although all except four patients had an accurate understanding of the information provided (p = NS).
Written information at the time of FC leads to patients feeling better informed and less anxious, although verbal information alone appears to lead to an adequate understanding.
ACTRN12616000288426.
本试验评估了在日间门诊软性膀胱镜检查（FC）中提供关于手术发现和后续治疗的书面信息是否能提高患者的理解程度并减轻其焦虑。
参与者在术前和术后使用 5 分制的李克特量表自我评估焦虑和对信息的了解程度。根据随机分组，将补充的标准化模板书面信息提供给一半的患者。使用 Wilcoxon 检验对两组进行比较。
共招募了 200 名患者，其中 171 份有效问卷（书面组 83 份）。两组患者的年龄、性别和既往 FC 分布，以及术前自我评估的焦虑和理解程度相似。接受书面信息的患者报告感觉更有信息，中位数（范围）李克特评分 5（4-5）与 5 分制的 4（1-5）相比（p<0.0001），且焦虑程度较低（评分 1 [1-4]与 5 分制的 2 [1-5]相比，p<0.005），尽管除了四名患者外，所有患者都对提供的信息有准确的理解（p=NS）。
在 FC 时提供书面信息会使患者感觉更有信息且焦虑程度降低，尽管单独的口头信息似乎也能达到足够的理解程度。
ACTRN12616000288426。
