The role of video-based multimedia information in reduction of anxiety before dilatation and curettage.

Autor: Yilmaz G; Department of Anesthesiology and Reanimation, University of Health Sciences Faculty of Medicine, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey., Akca A; Department of Obstetrics and Gynecology, University of Health Sciences Faculty of Medicine, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey., Ay N; Department of Anesthesiology and Reanimation, University of Health Sciences Faculty of Medicine, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey., Koroglu N; Department of Obstetrics and Gynecology, University of Health Sciences Faculty of Medicine, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey., Omaygenc DO; Department of Anesthesiology and Reanimation, University of Health Sciences Faculty of Medicine, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey., Ozdemir I; Department of Obstetrics and Gynecology, University of Health Sciences Faculty of Medicine, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey., Salihoglu Z; Department of Anesthesiology and Reanimation, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: Northern clinics of Istanbul [North Clin Istanb] 2020 Nov 23; Vol. 8 (1), pp. 76-81. Date of Electronic Publication: 2020 Nov 23 (Print Publication: 2021).
DOI: 10.14744/nci.2020.65707
Abstrakt: Objective: Considerable amount of women undergoing dilatation and curettage (D&C) are subject to preoperative anxiety. We hypothesized that the implementation of video-based multimedia information (MMI) before the D&C might facilitate patients' education and provide clear information regarding the procedure. This study aimed to compare the impact of video-based MMI and conventional written information on anxiety, pain severity, and satisfaction in patients undergoing D&C.
Methods: Seventy four women scheduled for D&C for abnormal uterine bleeding were enrolled in this prospective randomized study. Subjects were assigned to receive a video-based MMI or conventional written information (controls). The trait and state anxiety were assessed using the State and Trait Anxiety Inventory (STAI) before the MMI or written information. STAI-state (STAI-S) was repeated after the application of the MMI or written information. All patients underwent D&C by the same gynecologist. Following D&C, patient satisfaction and procedural pain were ranked using a Likert scale and Visual Analogue Scale.
Results: Post-informational STAI-S score was significantly lower than the pre-informational STAI-S score in the video group (p<0.001), whereas no significant change occurred in STAI-S score in the control group (p=0.210). The satisfaction rate of the patients receiving MMI before the D&C was significantly higher than the satisfaction rate of the controls (75% vs. 50%, p=0.027).
Conclusion: Implementation of MMI before the D&C procedure is associated with less anxiety, less severe postoperative pain and improved patients satisfaction, compared to the conventional written information.
Competing Interests: Conflict of Interest: No conflict of interest was declared by the authors.
(Copyright: © 2021 by Istanbul Northern Anatolian Association of Public Hospitals.)
Databáze: MEDLINE