Warda Hussein, Hacker Michele R, Haviland Miriam J, Hota Lekha S
From the Department of Obstetrics and Gynecology, Mount Auburn Hospital, Cambridge, MA.
Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA.
Female Pelvic Med Reconstr Surg. 2019 Sep/Oct;25(5):378-382. doi: 10.1097/SPV.0000000000000568.
The aim of this study was to determine if a telephone call before undergoing urodynamic study (UDS) would decrease test-related anxiety compared with standard care.
We performed a randomized controlled trial at a single practice from April 2016 to June 2017. Patients at least 18 years old with lower urinary tract dysfunction and undergoing UDS for the first time were eligible. All participants received standard counseling; participants randomized to the intervention group also received a telephone call before their UDS appointment to answer any questions regarding their upcoming test. All participants completed surveys before and after testing to assess anxiety, preparedness, and satisfaction. The primary outcome was anxiety level immediately before UDS. Secondary outcomes included self-reported patient preparedness, pain, and satisfaction with counseling. Data were compared using χ, Fisher exact, and Wilcoxon rank sum tests.
One hundred two participants were included in this as-treated analysis: 52 in the intervention group and 50 in the standard care group. The 2 groups were similar in age, ethnicity, and the proportion seeking additional information before testing. There were no statistically significant differences between groups with respect to overall anxiety, anxiety regarding specific elements of the test, or anticipated pain (all P ≥ 0.19). Participant satisfaction with pre-UDS counseling was significantly higher in the intervention group (80.8%) compared with the standard care group (54.0%; P = 0.002).
Our study showed that a telephone call before undergoing UDS did not decrease anxiety compared with standard care; however, the telephone call was associated with higher satisfaction with pre-UDS counseling.
本研究旨在确定在进行尿动力学检查（UDS）前打一通电话与标准护理相比是否会降低与检查相关的焦虑。
2016年4月至2017年6月，我们在单一诊所进行了一项随机对照试验。纳入首次接受UDS检查且年龄至少18岁、存在下尿路功能障碍的患者。所有参与者均接受标准咨询；随机分配至干预组的参与者在UDS检查预约前还会接到一通电话，以解答他们对即将进行的检查的任何疑问。所有参与者在检查前后均完成调查问卷，以评估焦虑、准备情况和满意度。主要结局是UDS检查前即刻的焦虑水平。次要结局包括患者自我报告的准备情况、疼痛以及对咨询的满意度。使用卡方检验、Fisher精确检验和Wilcoxon秩和检验对数据进行比较。
本意向性分析纳入了102名参与者：干预组52名，标准护理组50名。两组在年龄、种族以及检查前寻求额外信息的比例方面相似。在总体焦虑、对检查特定项目的焦虑或预期疼痛方面，两组之间无统计学显著差异（所有P≥0.19）。与标准护理组（54.0%）相比，干预组对UDS检查前咨询的参与者满意度显著更高（80.8%；P = 0.002）。
我们的研究表明，与标准护理相比，在进行UDS检查前打一通电话并未降低焦虑；然而，这通电话与对UDS检查前咨询的更高满意度相关。
