Urology Department, Department of Urology, Ankara Dr. Abdurrahman Yurtaslan Training and Research Hospital, Vatan Street No:91, Yenimahalle, 06200, Ankara, Turkey.
Urology Department, Department of Urology, Denizli Egekent Hospital, Denizli, Turkey.
Int Urol Nephrol. 2023 Jan;55(1):37-41. doi: 10.1007/s11255-022-03364-5. Epub 2022 Sep 20.
Office-based flexible cystoscopy is a common outpatient procedure in daily urology practice. Sometimes, cystoscopy procedures are performed on the initial day or scheduled on the following days. We designed this study to compare immediate versus scheduled cystoscopy in terms of anxiety and pain.
In this study, 160 patients were prospectively randomized to undergo office-based flexible cystoscopy by the same urologist between November 2017 and January 2018. Participants were grouped as scheduled for a cystoscopy on the third day of their application (group 1) and immediate cystoscopy on the same day of the application (group 2). A visual analog scale (VAS), State-Trait Anxiety Inventory (STAI) and Beck Anxiety Inventory (BAI) were completed by the patients.
Among men, immediate cystoscopy group experienced an increased state anxiety score compared to scheduled group (51.21 ± 8.108 vs 35.29 ± 10.553; p < 0.001). BAI scores were 16.51 ± 8.078 for group1 vs 31.92 ± 8.403 for group2 (p < 0.001). The mean VAS score was 3 ± 1.183 and 4.55 ± 1.155 in group1 and group2, respectively (p < 0.001). Among women, both the trait anxiety score and state anxiety score were found significantly low in scheduled group (mean trait anxiety scores 44.71 ± 6.051 and 49.3 ± 6.670, mean state anxiety scores were 33.71 ± 8.776 and 44.15 ± 7 in group1 and 2, respectively; p < 0.0001). BAI scores were also low in scheduled group (19.02 ± 7.786 vs 34.13 ± 8.367). Additionally, the mean VAS score was significantly high in immediate cystoscopy group compared to scheduled cystoscopy group (3.50 ± 0.784 vs 2.61 ± 0.919; p < 0.001).
To reduce anxiety and pain, informing patients properly about the cystoscopy and scheduling the procedure would be helpful for a better cooperation of the patient.
门诊软性膀胱镜检查是日常泌尿科实践中的常见门诊程序。有时，膀胱镜检查程序在初始日进行或安排在后续几天进行。我们设计了这项研究，以比较即时和预约膀胱镜检查在焦虑和疼痛方面的差异。
在这项研究中，160 名患者于 2017 年 11 月至 2018 年 1 月间由同一位泌尿科医生前瞻性随机分配至门诊软性膀胱镜检查。将参与者分为在申请后的第三天预约膀胱镜检查（第 1 组）和当天立即进行膀胱镜检查（第 2 组）。患者完成了视觉模拟量表（VAS）、状态特质焦虑量表（STAI）和贝克焦虑量表（BAI）。
在男性中，与预约组相比，即时膀胱镜检查组的状态焦虑评分增加（51.21±8.108 与 35.29±10.553；p<0.001）。BAI 评分为 16.51±8.078 分的第 1 组与 31.92±8.403 分的第 2 组（p<0.001）。第 1 组和第 2 组的平均 VAS 评分分别为 3±1.183 和 4.55±1.155（p<0.001）。在女性中，预约组的特质焦虑评分和状态焦虑评分均明显较低（第 1 组的特质焦虑评分分别为 44.71±6.051 和 49.3±6.670，状态焦虑评分为 33.71±8.776 和 44.15±7；第 2 组的特质焦虑评分分别为 44.71±6.051 和 49.3±6.670，状态焦虑评分为 33.71±8.776 和 44.15±7；p<0.0001）。预约组的 BAI 评分也较低（19.02±7.786 与 34.13±8.367）。此外，与预约膀胱镜检查组相比，即时膀胱镜检查组的平均 VAS 评分显著升高（3.50±0.784 与 2.61±0.919；p<0.001）。
为了减轻焦虑和疼痛，适当告知患者膀胱镜检查的情况并安排手术将有助于患者更好地配合。
