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观看膀胱镜检查时的放松视频是否会影响女性患者的疼痛和焦虑水平?一项随机对照试验。

Does Watching a Relaxing Video During Cystoscopy Affect Pain and Anxiety Levels of Female Patients? A Randomized Controlled Trial.

机构信息

Department of Surgical Nursing, Hamidiye Faculty of Nursing, University of Health Sciences Turkey, Istanbul, Turkey.

Department of Urology, Gulhane Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey.

出版信息

Pain Manag Nurs. 2021 Apr;22(2):214-219. doi: 10.1016/j.pmn.2020.08.005. Epub 2020 Sep 29.

Abstract

BACKGROUND

Cystoscopy is noted to be more painful in men. Research has been done to support the use of video in men to reduce pain; it would follow that video would be useful in reducing pain in women as well.

AIMS

The aim of this study was to evaluate the effect of watching a relaxing video during cystoscopy on the pain and anxiety levels of female patients.

DESIGN

The study was a single-center, parallel, randomized, controlled, nonblinded trial.

SETTING

This study was carried out in the cystoscopy unit of a training and research hospital in Turkey.

PARTICIPANTS

Sixty female patients aged 18 years and older undergoing rigid cystoscopy for the first time and under local anesthesia.

METHODS

The participants were randomized into two equal groups: video and control. Data were collected with Visual Analog Scale, State-Trait Anxiety Scale, and hemodynamic parameters.

RESULTS

A statistically significant difference was found between the two groups in terms of pain levels during and after cystoscopy (p < .001). Pain levels were significantly lower in the video group during and after the procedure. A statistically significant difference was also found between the groups in terms of anxiety levels before and after cystoscopy (p < .05). Anxiety levels were significantly lower in the video group after the procedure. Satisfaction levels were higher in the video group (p < .001).

CONCLUSION

According to this study, watching a relaxing video during cystoscopy had a positive effect on pain, anxiety, satisfaction levels, and hemodynamic parameters of the patients.

摘要

背景

经观察,男性行膀胱镜检查时疼痛更明显。有研究支持在男性患者中使用视频来减轻疼痛;因此,可以推断视频也可用于减轻女性患者的疼痛。

目的

本研究旨在评估女性患者在行膀胱镜检查期间观看放松视频对其疼痛和焦虑水平的影响。

设计

这是一项单中心、平行、随机、对照、非盲法试验。

地点

该研究在土耳其一家培训和研究医院的膀胱镜检查室进行。

参与者

60 名年龄在 18 岁及以上、首次接受局部麻醉下硬性膀胱镜检查的女性患者。

方法

将参与者随机分为两组:视频组和对照组。使用视觉模拟评分法、状态-特质焦虑量表和血液动力学参数收集数据。

结果

两组患者在膀胱镜检查期间和检查后的疼痛水平方面存在统计学显著差异(p<0.001)。视频组患者在检查过程中和检查后疼痛水平显著降低。两组患者在膀胱镜检查前后的焦虑水平方面也存在统计学显著差异(p<0.05)。视频组患者在检查后焦虑水平显著降低。视频组患者的满意度更高(p<0.001)。

结论

根据本研究,在膀胱镜检查期间观看放松视频对患者的疼痛、焦虑、满意度和血液动力学参数有积极影响。

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