Dejchaiyasak Nuttamon, Lertrat Waranyu, Aimjirakul Komkrit, Chinthakanan Orawee, Vallibhakara Orawin
Department of Obstetrics & Gynaecology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynaecology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
BJOG. 2025 Nov;132(12):1753-1761. doi: 10.1111/1471-0528.18321. Epub 2025 Aug 4.
To determine the efficacy of an animated educational video combined with traditional counselling to reduce anxiety levels among pregnant women seeking outpatient medical abortion.
Randomised controlled trial with two parallel groups.
Single centre in Bangkok, Thailand.
60 pregnant women seeking outpatient medical abortion.
Participants received either an animated educational video combined with traditional counselling (n = 30) or traditional counselling alone (n = 30).
Postintervention anxiety levels were assessed by the Spielberger State-Trait Anxiety Inventory (STAI), and satisfaction levels were measured by a 5-point Likert-type scale.
There were no significant differences in demographic characteristics between groups. The postintervention STAI scores were significantly lower in the video group compared to the non-video group (32.70 ± 4.96 vs. 41.47 ± 8.57, p < 0.01). The odds of moderate to severe anxiety were significantly lower in the video group (OR 10.29, 95% CI 2.56-41.37). Patient satisfaction levels were similarly high in both groups (4.92 ± 0.27 vs. 4.85 ± 0.36, p = 0.42).
Incorporating an animated educational video into traditional counselling effectively reduced anxiety in pregnant women seeking outpatient medical abortion while maintaining high levels of satisfaction with the medical service provided.
确定动画教育视频结合传统咨询对降低寻求门诊药物流产的孕妇焦虑水平的疗效。
两组平行的随机对照试验。
泰国曼谷的单一中心。
60名寻求门诊药物流产的孕妇。
参与者接受动画教育视频结合传统咨询（n = 30）或仅接受传统咨询（n = 30）。
干预后焦虑水平通过斯皮尔伯格状态-特质焦虑量表（STAI）评估，满意度通过5点李克特量表测量。
两组之间的人口统计学特征无显著差异。与非视频组相比，视频组干预后的STAI评分显著更低（32.70±4.96对41.47±8.57，p < 0.01）。视频组中度至重度焦虑的几率显著更低（OR 10.29，95% CI 2.56 - 41.37）。两组患者的满意度同样较高（4.92±0.27对4.85±0.36，p = 0.42）。
将动画教育视频纳入传统咨询可有效降低寻求门诊药物流产的孕妇的焦虑，同时保持对所提供医疗服务的高度满意度。
