Kaulfuss Julia Carola, Hertzsprung Nicolas, Plage Henning, Gerdes Benedikt, Weinberger Sarah, Schlomm Thorsten, Reimann Maximilian
Department of Urology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Hindenburgdamm 30, 12203 Berlin, Germany.
Cancers (Basel). 2025 Mar 12;17(6):959. doi: 10.3390/cancers17060959.
Audio and audiovisual distraction can be effective additive tools to reduce anxiety and pain in patients receiving outpatient procedures (OP). Audiovisual distraction tools already showed positive effects on pain perception in some urological procedures. To identify the effects of audio and audiovisual distraction on pain and anxiety in patients receiving perineal prostate biopsy (PPB), we performed a prospective randomized controlled study. : We recruited 168 male patients undergoing PPB which were randomized into three groups: a control group (CG), an audio distraction group (ADG) and an audiovisual distraction group (AVDG). The CG received no intervention, while the ADG received audio distraction and the AVDG received audiovisual distraction while PPB was performed. The primary endpoint was pain perception, measured in the Numeric Rating Scale (NRS) and Visual Analogue Scale (VAS). Secondary endpoints were subjective and objective procedure time (SPT/OPT), heart rate, blood pressure, cortisol blood levels and scores in the State-Trait Anxiety Inventory (STAI) questionnaire. : Demographics of each group were similar (CG = mean age (a) = 69.5; ADG a = 67 years; AVDG a = 67). We did not find any significant difference regarding our primary endpoint, pain perception ( = 0.384). In contrast, we examined a highly significant difference between SPT and OPT, comparing AVDG to CG ( < 0.001) and AVDG to ADG ( < 0.001), but not for ADG to CG ( = 0.348). There was no significant difference in the secondary endpoints, heart rate, blood pressure, STAI scores and willingness to repeat the procedure. : Our study shows that audiovisual distraction can significantly shorten SPT for patients receiving PPB, which may represent their comfort throughout the procedure. To accelerate the wider implementation of audiovisual distraction as a cost-efficient tool in outpatient urological procedures, further studies should examine its effect on different OPs with a more heterogeneous patient group.
音频和视听分散注意力法可以成为有效的辅助工具，用于减轻接受门诊手术（OP）患者的焦虑和疼痛。视听分散注意力工具在一些泌尿外科手术中已显示出对疼痛感知有积极影响。为了确定音频和视听分散注意力法对接受会阴前列腺活检（PPB）患者的疼痛和焦虑的影响，我们进行了一项前瞻性随机对照研究。我们招募了168名接受PPB的男性患者，将他们随机分为三组：对照组（CG）、音频分散注意力组（ADG）和视听分散注意力组（AVDG）。CG组不接受干预，而ADG组在进行PPB时接受音频分散注意力，AVDG组在进行PPB时接受视听分散注意力。主要终点是疼痛感知，采用数字评分量表（NRS）和视觉模拟量表（VAS）进行测量。次要终点是主观和客观手术时间（SPT/OPT）、心率、血压、皮质醇血药浓度以及状态-特质焦虑量表（STAI）问卷得分。每组的人口统计学特征相似（CG组 = 平均年龄（a）= 69.5岁；ADG组a = 67岁；AVDG组a = 67岁）。我们在主要终点疼痛感知方面未发现任何显著差异（P = 0.384）。相比之下，我们在比较AVDG组与CG组（P < 0.001）以及AVDG组与ADG组（P < 0.001）时，发现SPT和OPT之间存在高度显著差异，但ADG组与CG组之间无显著差异（P = 0.348）。在次要终点心率、血压、STAI得分以及重复手术的意愿方面没有显著差异。我们的研究表明，视听分散注意力法可以显著缩短接受PPB患者的SPT，这可能代表了他们在整个手术过程中的舒适度。为了加速将视听分散注意力法作为一种经济高效的工具更广泛地应用于门诊泌尿外科手术，进一步的研究应在更具异质性的患者群体中研究其对不同OP的影响。
