The effect of video information on anxiety levels in women attending colposcopy: a randomized controlled trial.

Autor: Ketelaars PJW; a Department of Obstetrics and Gynaecology , Radboud University Medical Center , Nijmegen , The Netherlands., Buskes MHM; a Department of Obstetrics and Gynaecology , Radboud University Medical Center , Nijmegen , The Netherlands., Bosgraaf RP; a Department of Obstetrics and Gynaecology , Radboud University Medical Center , Nijmegen , The Netherlands., van Hamont D; b Department of Obstetrics and Gynaecology , Amphia Hospital , Breda , The Netherlands., Prins JB; c Department of Medical Psychology , Radboud University Medical Center , Nijmegen , The Netherlands., Massuger LFAG; a Department of Obstetrics and Gynaecology , Radboud University Medical Center , Nijmegen , The Netherlands., Melchers WJG; d Department of Medical Microbiology , Radboud University Medical Center , Nijmegen , The Netherlands., Bekkers RLM; a Department of Obstetrics and Gynaecology , Radboud University Medical Center , Nijmegen , The Netherlands.
Jazyk: angličtina
Zdroj: Acta oncologica (Stockholm, Sweden) [Acta Oncol] 2017 Dec; Vol. 56 (12), pp. 1728-1733. Date of Electronic Publication: 2017 Aug 01.
DOI: 10.1080/0284186X.2017.1355108
Abstrakt: Objective: The aim was to investigate whether additional information, in video form, reduces anxiety, depression and pain levels in women referred for colposcopy.
Material and Methods: Between September 2012 and March 2015, 136 patients referred for colposcopy were randomized into two study arms. Group A received video information in addition to the regular information leaflet, and group B (control group) received only the regular information leaflet. The patients were requested to complete standardized online questionnaires. The first online questionnaire (T1) was pre-randomization, and was completed at home, 5 days prior to the appointment. The second online questionnaire (T2) was completed directly before the colposcopy appointment, and the last online questionnaire (T3) was completed directly following colposcopy at the out-patient clinic. The questionnaires included the Spielberger State-Trait Anxiety Inventory (STAI), the Hospital Anxiety and Depression Scale (HADS), and the Numeric Rating Scale (NRS) to assess pain.
Results: The STAI state anxiety score was high (44.6), but there was no significant difference in STAI, HADS and NRS between the two groups at the three measuring points. A post hoc analysis showed that women with a generally higher baseline anxiety trait had significantly lower HADS anxiety levels following video information.
Conclusions: Additional information (video) before colposcopy did not significantly reduce anxiety, depression, and expected or experienced pain, as measured by the STAI, HADS and NRS in patients attending their first colposcopy appointment. However, most patients positively appreciated the video information, which may reduce the anxiety of extremely anxious patients.
Databáze: MEDLINE
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