Lokal sistoskopi öncesi görsel bilgilendirmenin, anksiyete ve ağrı üzerine etkisi

Yıl 2024, , 253 - 259, 23.09.2024

Arif Demirbas , Osman Gercek , Kutay Topal , Kemal Ulusoy , Burhan Baylan

https://doi.org/10.21673/anadoluklin.1354379

Öz

Amaç: Çalışmamızda işlem öncesi video tabanlı eğitimin, mesane kanseri takibi amacıyla lokal sistoskopi yapılacak hastalarımızda anksiyete ve ağrı üzerindeki etkisini değerlendirmeyi amaçladık.

Yöntemler: Görsel bilgilendirme yapılan 28 hasta (grup 1) ve görsel bilgilendirme yapılmayan 32 hasta (grup 2) olmak üzere toplam 60 hasta çalışmaya dâhil edildi. Grup 1’e preoperatif video temelli bilgi verildi. Grup 2’ye ise sadece sözel bilgilendirme yapıldı. Avrupa Üroloji Derneği (EAU) hasta bilgilendirme videosu kullanıldı. Amsterdam Ameliyat Öncesi Anksiyete ve Bilgi Ölçeği (APAIS) ve Durumluk-Süreklilik Kaygı Envanteri (STAI) ameliyat öncesi tüm hastalar tarafından dolduruldu. Postoperatif ağrı vizüel analog skala (VAS) kullanılarak ölçüldü. Her hasta VAS’ı ve isteklilik anketini operasyon sonrası 2. saatte doldurdu.

Bulgular: APAIS ve VAS ve STAI durumluk skoru, görsel bilgilendirme yapılan grupta istatistiksel olarak anlamlı olarak düşük hesaplandı (sırasıyla; p=0,021, p=0,016, p<0,001). İsteklilik skoru görsel bilgilendirme yapılan grupta anlamlı olarak daha yüksekti (p=0,002). Bireyin içinde bulunduğu durum ve koşullardan bağımsız olarak kendini nasıl hissettiğini belirleyen STAI süreklilik skorunda ise gruplar arasında istatistiksel olarak anlamlı fark saptanmadı (p=0,380).

Sonuç: İşlem öncesinde görselliğe dayalı ve çok daha anlaşılır olan video bilgilendirme uygulamaları, geleneksel yöntemler olan sözlü ve yazılı bilgilendirmeye kıyasla çok daha anlaşılır ve açıklayıcı olur. Operasyon öncesi video bilgilendirme hastanın operasyon öncesi kaygısını önemli ölçüde azaltır. Bunun yanı sıra postoperatif ağrı ve operasyon için isteklilik durumları üzerinde de olumlu etkileri olacaktır.

Anahtar Kelimeler

Ağrı, anksiyete, sistoskopi

The effect of visual information before local cystocopy on anxiety and pain

Öz

Aim: In our study, we aimed to evaluate the effect of pre-procedural video-based education on anxiety and pain in patients who will undergo local cystoscopy for bladder cancer follow-up.

Methods: A total of 60 patients were included in the study, with 28 patients receiving visual information (group 1) and 32 patients not receiving visual information (group 2). Group 1 received preoperative video-based information, while Group 2 received only verbal information. The European Association of Urology (EAU) patient information video was used. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) and the State-Trait Anxiety Inventory (STAI) were administered to all patients preoperatively. Postoperative pain was measured using the visual analog scale (VAS). Each patient completed the VAS and willingness questionnaire at 2 hours after the surgery.

Results: APAIS and VAS scores, as well as STAI state scores, were significantly lower in the group that received visual information (p=0.021, p=0.016, p<0.001, respectively). The willingness score was significantly higher in the group that received visual information (p=0.002). The STAI trait score, which determines how an individual feels regardless of their current circumstances, did not show a statistically significant difference between the groups (p=0.380).

Conclusion: Preoperative video-based education applications, which are visually more comprehensible, are more informative compared to traditional methods of verbal and written information. Preoperative video education significantly reduces the patient’s preoperative anxiety. In addition, it will have positive effects on postoperative pain and willingness for the operation.

Anahtar Kelimeler

Anxiety, cystoscopy, pain

Kaynakça

• Raheem OA, Mirheydar HS, Lee HJ, Patel ND, Godebu E, Sakamoto K. Does Listening to Music During Office-Based Flexible Cystoscopy Decrease Anxiety in Patients: A Prospective Randomized Trial. J Endourol. 2015;29(7):791-6.
• Lotan Y, Roehrborn CG. Cost-effectiveness of a modified care protocol substituting bladder tumor markers for cystoscopy for the followup of patients with transitional cell carcinoma of the bladder: a decision analytical approach. J Urol. 2002;167(1):75-9.
• Burke DM, Shackley DC, O’Reilly PH. The community-based morbidity of flexible cystoscopy. BJU Int. 2002;89(4):347-9.
• Grossfeld GD, Litwin MS, Wolf JS Jr, et al. Evaluation of asymptomatic microscopic hematuria in adults: the American Urological Association best practice policy--part II: patient evaluation, cytology, voided markers, imaging, cystoscopy, nephrology evaluation, and follow-up. Urology. 2001;57(4):604-10.
• Perks A, Chakravarti S, Manninen P. Preoperative anxiety in neurosurgical patients. J Neurosurg Anesthesiol. 2009;21(2):127-30.
• Gürsoy A, Candaş B, Güner Ş, Yılmaz S. Preoperative Stress: An Operating Room Nurse Intervention Assessment. J Perianesth Nurs. 2016;31(6):495-503.
• Tarhan H, Cakmak O, Unal E, et al. The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy. Can Urol Assoc J. 2014;8(11-12):E894-900.
• Lunger F, Frank F, Peros G, et al. Potential benefit in information providing and influence on patient anxiety and satisfaction by means of preoperative explanatory videos in total extraperitoneal inguinal hernioplasty: study protocol of a multicentre, double-blinded, randomised parallel-group controlled trial. BMJ Open. 2021;11(1):e043702.
• Bozkurt M, Erkoc M, Can O, Danıs E, Canat HL. The effect of an information video on preoperative anxiety level before percutaneous nephrolithotomy procedure: A prospective, randomized trial. Can Urol Assoc J. 2023;17(3):E86-9.
• Cystoscopy video. https://patients.uroweb.org/videos/cystoscopy-video/. Erişim Tarihi:01032022.
• Moerman N, van Dam FS, Muller MJ, Oosting H. The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Anesth Analg. 1996;82(3):445-51.
• Spielberger C. Manual for the State-trait Anxiety Inventory (Form Y). 121. Palo Alto, Calif: Consulting Psychologists Press; 1983.
• Abate SM, Chekol YA, Basu B. Global prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and meta-analysis. IJS Open. 2020;25:6-16.
• Ali A, Altun D, Oguz BH, Ilhan M, Demircan F, Koltka K. The effect of preoperative anxiety on postoperative analgesia and anesthesia recovery in patients undergoing laparascopic cholecystectomy. J Anesth. 2014;28(2):222-7.
• Lin SY, Huang HA, Lin SC, Huang YT, Wang KY, Shi HY. The effect of an anaesthetic patient information video on perioperative anxiety: A randomised study. Eur J Anaesthesiol. 2016;33(2):134-9.
• Jamshidi N, Abbaszadeh A, Kalyani MN. Effects of video information on anxiety, stress and depression of patients undergoing coronary angiography. Pak J Med Sci. 2009;25(6):901-5.
• Soydaş Yeşilyurt D, Yildiz Findik Ü. Effect of Preoperative Video Information on Anxiety and Satisfaction in Patients Undergoing Abdominal Surgery. Comput Inform Nurs. 2019;37(8):430-6.
• Karalar M, Demirbas A, Gercek O, Topal K, Keles I. Impact of Preoperative Video-Based Education on Anxiety Levels in Patients with Renal Stones Scheduled for Flexible Ureteroscopic Lithotripsy: A Comparative Study Using APAIS and STAI. Med Sci Monit. 2023;29:e941351.
• Esen CSB, Yazici G, Hurmuz P, Ozyigit G, Zorlu F. The Effect of Video-Based Education on Anxiety of Patients Receiving Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy. J Cancer Educ. 2023;38(2):426-30.
• Ha JF, Longnecker N. Doctor-patient communication: a review. Ochsner J. 2010;10(1):38-43.
• Yang B, Liu S, Mi Y, Wang J, Zhang Y, Wang J. The impact of watching real-time videos of flexible ureteroscopic lithotripsy on anxiety and depression in patients. Int Urol Nephrol. 2022;54(5):1009-15.
• González-Padilla DA, González-Díaz A, García-Gómez B, et al. Cystoscopy Real-Time Self-Visualization and Its Impact in Patient’s Pain Perception. J Endourol. 2019;33(4):309-13.
• Ketelaars PJW, Buskes MHM, Bosgraaf RP, et al. The effect of video information on anxiety levels in women attending colposcopy: a randomized controlled trial. Acta Oncol. 2017;56(12):1728-33.
• Hoffman HG, Chambers GT, Meyer WJ 3rd, et al. Virtual reality as an adjunctive non-pharmacologic analgesic for acute burn pain during medical procedures. Ann Behav Med. 2011;41(2):183-91.
• Hoffman HG, Seibel EJ, Richards TL, Furness TA, Patterson DR, Sharar SR. Virtual reality helmet display quality influences the magnitude of virtual reality analgesia. J Pain. 2006;7(11):843-50.
• Guo C, Deng H, Yang J. Effect of virtual reality distraction on pain among patients with hand injury undergoing dressing change. J Clin Nurs. 2015;24(1-2):115-20.
• Sander Wint S, Eshelman D, Steele J, Guzzetta CE. Effects of distraction using virtual reality glasses during lumbar punctures in adolescents with cancer. Oncol Nurs Forum. 2002;29(1):E8-15.
• Umezawa S, Higurashi T, Uchiyama S, et al. Visual distraction alone for the improvement of colonoscopy-related pain and satisfaction. World J Gastroenterol. 2015;21(15):4707-14.