Callioglu Nihal, Yildirim Zeynep Kayaoglu, Tuna Guray
Department of Perinatology, Başakşehir Çam and Sakura City Hospital, Istanbul, Türkiye, Turkey.
Division of Perinatology, Department of Obstetrics and Gynecology, Gaziosmanpasa Training and Research Hospital, Istanbul, Turkey.
Sci Rep. 2025 Mar 5;15(1):7742. doi: 10.1038/s41598-025-90929-w.
Amniocentesis is the most commonly used invasive prenatal diagnostic test. This study aimed to investigate the effect of video-based multimedia information (MMI) on the anxiety and pain levels of patients undergoing amniocentesis. This randomized controlled study included all consecutive women aged 18-45 years scheduled for amniocentesis. Subjects were assigned to receive video-based MMI or standard written information. Anxiety levels were assessed pre-procedure and post-procedure using the State and Trait Anxiety Inventory-State (STAI-S). All patients underwent standard amniocentesis by the same perinatologists. After amniocentesis, Likert scale was used to evaluate the ease of the procedure and patient satisfaction, and a visual analog scale was used to evaluate pain. Pregnancy results and amniocentesis results were noted. Eighty-four patients were randomized to receive video-based MMI, and 76 were randomized to receive written information. The post-procedure STAI-S score was significantly lower in both the video group and the control group compared to the pre-procedure STAI-S score (47.8 ± 5.23 vs. 45.86 ± 5.02, 95% CI: [2.38-1.52], p < 0.001, and 46.75 ± 7.35 vs. 44.82 ± 6.85, 95% CI: [2.33-1.51], p < 0.001). The satisfaction rate of the video group was significantly higher than controls (69.05% vs. 48.68%, p = 0.01). Procedure pain, ease of procedure, and pregnancy outcomes were similar for both groups (p > 0.05). Performing video-based MMI before the amniocentesis procedure is associated with higher patient satisfaction than standard written information. Video-based MMI was not associated with reductions in pain and anxiety in patients undergoing amniocentesis.
羊膜穿刺术是最常用的侵入性产前诊断测试。本研究旨在调查基于视频的多媒体信息（MMI）对接受羊膜穿刺术患者焦虑和疼痛水平的影响。这项随机对照研究纳入了所有安排进行羊膜穿刺术的18至45岁连续女性。受试者被分配接受基于视频的MMI或标准书面信息。使用状态-特质焦虑量表-状态版（STAI-S）在操作前和操作后评估焦虑水平。所有患者均由同一位围产医学专家进行标准羊膜穿刺术。羊膜穿刺术后，使用李克特量表评估操作的难易程度和患者满意度，并使用视觉模拟量表评估疼痛程度。记录妊娠结果和羊膜穿刺术结果。84名患者被随机分配接受基于视频的MMI，76名患者被随机分配接受书面信息。与操作前STAI-S评分相比，视频组和对照组操作后的STAI-S评分均显著降低（47.8±5.23对45.86±5.02，95%CI：[2.38 - 1.52]，p<0.001；46.75±7.35对44.82±6.85，95%CI：[2.33 - 1.51]，p<0.001）。视频组的满意度显著高于对照组（69.05%对48.68%，p = 0.01）。两组的操作疼痛、操作难易程度和妊娠结局相似（p>0.05）。在羊膜穿刺术操作前进行基于视频的MMI与比标准书面信息更高的患者满意度相关。基于视频的MMI与接受羊膜穿刺术患者的疼痛和焦虑减轻无关。
