Flannigan G M, Gelister J S, Noble J G, Milroy E J
Department of Urology, Middlesex Hospital, London.
Br J Urol. 1988 Dec;62(6):537-40. doi: 10.1111/j.1464-410x.1988.tb04421.x.
The cost-efficiency and time-saving associated with out-patient flexible cystoscopy have propagated its use nationwide. However, only minimal attention has been paid to the feelings of patients exposed to this physically and emotionally invasive technique. We studied 53 consecutive patients attending for check cystoscopy at the time of their first flexible cystoscopy. Acting as their own historical controls, their feelings about rigid cystoscopy under general anaesthesia and subsequent flexible cystoscopy under local anaesthesia were assessed: 6/53 (11%) preferred rigid cystoscopy under general anaesthesia. The only significant association with their dislike of flexible cystoscopy, was their desire to stay in hospital overnight. It was concluded that with careful counselling and attention to individual needs, the preference for flexible cystoscopy over rigid cystoscopy under general anaesthesia can approach 100%.
门诊灵活膀胱镜检查所具有的成本效益和省时特性，已促使其在全国范围内得到广泛应用。然而，对于接受这种对身体和情感均有侵入性的检查技术的患者感受，人们却极少关注。我们对53例连续接受首次灵活膀胱镜检查的患者进行了研究。以他们自身作为历史对照，评估他们对全身麻醉下硬式膀胱镜检查以及随后局部麻醉下灵活膀胱镜检查的感受：53例中有6例（11%）更倾向于全身麻醉下的硬式膀胱镜检查。与他们不喜欢灵活膀胱镜检查唯一显著相关的因素，是他们希望能在医院过夜。研究得出结论，通过仔细的咨询并关注个体需求，相比于全身麻醉下的硬式膀胱镜检查，患者对灵活膀胱镜检查的偏好度可接近100%。
