Degirmentepe Recep Burak, Akca Yasir Muhammed, Akman Osman Sami, Cimen Haci Ibrahim, Gul Deniz, Bozkurt Muammer, Toprak Tuncay, Kose Osman
School of Medicine, Department of Urology, Sakarya University, Adapazari, Sakarya, P.C.: 54050, Turkey.
Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
Urolithiasis. 2025 Apr 26;53(1):81. doi: 10.1007/s00240-025-01757-6.
Extracorporeal Shock Wave Lithotripsy (ESWL) is a widely used non-invasive treatment for kidney stones, but it can cause significant patient anxiety due to procedural unfamiliarity and discomfort. This study aimed to evaluate the effects of video-animated information on anxiety levels, procedural satisfaction, willingness to undergo ESWL again, and perceived pain during the procedure. A prospective randomized controlled trial was conducted with 80 patients scheduled for ESWL. Patients were randomized into two groups: the video group (n = 40) received video-animated information in addition to standard verbal and written information, while the non-video group (n = 40) received only standard information. Anxiety levels were assessed using the State-Trait Anxiety Inventory (STAI), and pain perception, satisfaction, and willingness to repeat the procedure were evaluated using the Visual Analog Scale (VAS). The video group showed a significant reduction in situational anxiety (STAI-S scores: 40.1 ± 3.7 to 35.3 ± 2.7, p < 0.001) compared to the non-video group (39.7 ± 4.2 to 38.5 ± 4.5, p = 0.106). The video group also reported higher satisfaction scores (8.8 ± 1.3 vs. 7.2 ± 2.0, p < 0.01) and greater willingness to repeat the procedure (5.6 ± 2.0 vs. 3.6 ± 1.9, p < 0.01). No significant difference was observed in VAS pain scores between the groups (4.9 ± 1.3 vs. 5.4 ± 1.6, p = 0.298). Video-animated information significantly reduces situational anxiety and improves patient satisfaction and willingness to undergo ESWL again, without significantly affecting perceived pain levels. These findings support the use of multimedia tools in patient education to enhance the ESWL experience.
体外冲击波碎石术(ESWL)是一种广泛应用于肾结石治疗的非侵入性方法,但由于患者对该操作不熟悉且会产生不适,可能导致严重的焦虑情绪。本研究旨在评估视频动画信息对焦虑水平、操作满意度、再次接受ESWL的意愿以及术中疼痛感受的影响。对80例计划接受ESWL的患者进行了一项前瞻性随机对照试验。患者被随机分为两组:视频组(n = 40)除了接受标准的口头和书面信息外,还接收视频动画信息;非视频组(n = 40)仅接收标准信息。使用状态-特质焦虑量表(STAI)评估焦虑水平,使用视觉模拟量表(VAS)评估疼痛感知、满意度和再次接受该操作的意愿。与非视频组(39.7±4.2至38.5±4.5,p = 0.106)相比,视频组的情境焦虑显著降低(STAI-S评分:40.1±3.7至35.3±2.7,p < 0.001)。视频组的满意度评分也更高(8.8±1.3对7.2±2.0,p < 0.01),再次接受该操作的意愿更强(5.6±2.0对3.6±1.9,p < 0.01)。两组之间的VAS疼痛评分无显著差异(4.9±1.3对5.4±1.6,p = 0.298)。视频动画信息可显著降低情境焦虑,提高患者满意度和再次接受ESWL的意愿,且对疼痛感受无显著影响。这些发现支持在患者教育中使用多媒体工具来改善ESWL体验。