Çulha Yeliz, Ak Ezgi Seyhan, Çulha Mehmet Gökhan
Fundamentals of Nursing Department, Istanbul University-Cerrahpaşa Florence Nightingale Faculty of Nursing, Istanbul, Turkey.
Department of Surgical Nursing, Istanbul University-Cerrahpaşa Florence Nightingale Faculty of Nursing, Istanbul, Turkey.
Int Neurourol J. 2023 Sep;27(3):217-223. doi: 10.5213/inj.2346116.058. Epub 2023 Sep 30.
This study was conducted to determine the effect of listening to the sound of running water during urodynamics on the patient's anxiety and parameters in the pressure-flow study.
The population of the study, which was planned in the nonrandomized experimental study design, consisted of patients who will undergo urodynamics in the Urology Department of a city hospital in Istanbul between September 2022 and January 2023, and the sample consisted of 60 patients, 30 of which were in the experimental group and 30 in the control group. During the pressure-flow study, the patients in the experimental group listened to the sound of running water from a smartphone, while the patients in the control group did not undergo any intervention during urodynamics. The level of anxiety in both groups before, during and after urodynamics was evaluated with the visual analogue scale. During the pressure-flow study, it was evaluated whether the patients emptied on command, and the maximum flow rate (Qmax) and the detrusor pressure at the maximum flow rate (PdetQmax) were measured. Bladder outlet obstruction index (PdetQmax-2Qmax) and bladder contractility index (Pdetqmax+5Qmax) were calculated using these values.
During the pressure-flow study, in the experimental group patients who listened to the sound of running water from a smartphone; anxiety level mean scores during and after urodynamics were found to be statistically significantly lower than the control group patients (P < 0.001). The mean bladder contractility index score in the experimental group patients was statistically significantly higher than the control group patients (P < 0.001), and the cases of urinating with a catheter during the pressure-flow study were statistically significantly higher than the control group patients (P < 0.001).
Listening to the sound of running water during urodynamics had a positive effect on reducing anxiety in patients and micturating during pressure-flow study.
本研究旨在确定尿动力学检查期间听流水声对患者焦虑情绪及压力 - 流率研究参数的影响。
本研究采用非随机实验性研究设计，研究对象为2022年9月至2023年1月在伊斯坦布尔一家城市医院泌尿外科接受尿动力学检查的患者，样本包括60例患者，其中30例为实验组，30例为对照组。在压力 - 流率研究期间，实验组患者通过智能手机听流水声，而对照组患者在尿动力学检查期间未接受任何干预。使用视觉模拟量表评估两组患者在尿动力学检查前、检查期间和检查后的焦虑水平。在压力 - 流率研究期间，评估患者是否能按指令排尿，并测量最大尿流率（Qmax）和最大尿流率时的逼尿肌压力（PdetQmax）。使用这些值计算膀胱出口梗阻指数（PdetQmax - 2Qmax）和膀胱收缩力指数（Pdetqmax + 5Qmax）。
在压力 - 流率研究期间，实验组中通过智能手机听流水声的患者；尿动力学检查期间及检查后的焦虑水平平均得分在统计学上显著低于对照组患者（P < 0.001）。实验组患者的平均膀胱收缩力指数得分在统计学上显著高于对照组患者（P < 0.001），并且在压力 - 流率研究期间使用导尿管排尿的病例在统计学上显著高于对照组患者（P < 0.001）。
尿动力学检查期间听流水声对减轻患者焦虑以及在压力 - 流率研究期间排尿有积极作用。
