Jinekolojik Muayene Öncesi Multimedya Eğitiminin Hastaların Kaygı, Korku ve Pelvik Ağrı Düzeyleri Üzerine Etkisi: Tek Kör Prospektif Randomize Kontrollü Çalışma

Öz

Amaç: Bu çalışma jinekolojik muayene öncesinde verilen multimedya eğitiminin hastaların kaygı, korku ve pelvik ağrıdüzeyleri üzerine etkisinin değerlendirilmesi amacıyla yapılmıştır. Yöntem: Bu tek kör prospektif randomize kontrollü çalışmaya jinekoloji ve obstetrik kliniğine başvuran 18-50 yaş aralığındaki 80 gönüllü kadın dahil edildi. 80 kadın çalışma (n=40) ve kontrol grubu (n=40) olmak üzere iki gruba randomize edildi. Çalışma grubundaki kadınlara jinekolojik muayene öncesinde multimedya ile bilgi verilerek eğitim verildi. Hastaların kaygısı Durum-Özellik Kaygı Envanteri (STAI-1-2) ve Görsel Analog Skala (VAS) kullanılarak değerlendirilmiştir. Jinekolojik muayene korkusu ve pelvik ağrısı VAS ile değerlendirilmiştir. Tüm değerlendirme muayene öncesi ve sonrasında tekrarlanmıştır. Bulgular: Eğitim grubunda, grup içi değişim analizi STAI-1, pelvik ağrı (VAS), anksiyete (VAS) ve korku (VAS) puanlarında istatistiksel olarak anlamlı bir iyileşme gösterdi (p=0,002; p=0,001; p=0,001; p=0,001). Gruplar arasında anksiyete düzeyinde anlamlı bir fark vardı (p=0,005). Eğitim grubundaki hastaların STAI-1, pelvik ağrı (VAS), anksiyete (VAS) ve korku (VAS) düzeyleri zamanla azaldı. Sonuç: Jinekolojik muayeneden önce multimedya hasta bilgilendirme eğitiminin hastaların anksiyetesini azaltmada çok etkili bir yöntem olduğu düşünülmektedir.

Anahtar Kelimeler

• Anksiyete
• Jinekolojik muayene
• Kadın
• Korku
• Multimedya eğitim

The Effect of Multimedia Education Given Before Gynecological Examination on the Anxiety, Fear and Pelvic Pain Levels of Patients: A Single‐Blind Prospective Randomized Controlled Study

Öz

Objective: This study was conducted to evaluate the effects of multimedia education given before gynecological examination on the anxiety, fear and plevic pain levels of patients. Method: This single-blind prospective randomized controlled study included 80 volunteer women aged 18-50 years who applied to the gynecology and obstetrics clinic. 80 women were randomized into two groups as study (n=40) and control group (n=40). The women in the study group were given information and training via multimedia before gynecological examination. The anxiety of the patients was assessed using State-Trait Anxiety Inventory (STAI-1-2) and Visual Analog Scale (VAS). Fear of gynecological examination and pelvic pain were assessed with VAS. All assessments were repeated before and after the examination. Results: In the training group, the intragroup change analysis showed a statistically significant improvement in the STAI-1, pelvic pain (VAS), anxiety (VAS) and fear (VAS) scores (p=0.002; p=0.001; p=0.001; p=0.001). There was a significant difference in the anxiety level between groups (p=0.005). The STAI-1, pelvic pain (VAS), anxiety (VAS) and fear (VAS) of the patients in the training group decreased in the course of time. Conclusion: Multimedia patient information training before the gynecologic examination is thought to be a very effective method to reduce the anxiety, fear and pelvic pain of patients.

Anahtar Kelimeler

• Anxiety
• Fear
• Gynecological examination
• Multimedia education
• Women

Kaynakça

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