Hand-Holding during Cystoscopy Decreases Patient Anxiety, Pain, and Dissatisfaction: A Pilot Randomized Controlled Trial
| Autor: | Ill Young Seo, Jae Whan Lee, Whi-An Kwon, Ho Kyung Seo, Hee Jong Jeong, Tae Hoon Oh, Seung Chol Park |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Lidocaine Visual analogue scale Urology Sedation 030232 urology & nephrology Pain Pilot Projects Anxiety law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Surveys and Questionnaires Republic of Korea Heart rate medicine Humans Pain Measurement medicine.diagnostic_test business.industry Physician-Nurse Relations Cystoscopy Middle Aged Hand Urethra medicine.anatomical_structure Patient Satisfaction Touch 030220 oncology & carcinogenesis Anesthesia medicine.symptom business medicine.drug |
| Zdroj: | Urologia Internationalis. 100:222-227 |
| ISSN: | 1423-0399 0042-1138 |
| DOI: | 10.1159/000485745 |
| Popis: | Objective: Often a sick or an anxious person can experience pain or anxiety relief if another person holds his or her hand. In this study, we conducted investigations to determine whether hand-holding during cystoscopy decreases patient anxiety, pain, and dissatisfaction while at the same time increasing patient comfort and tolerance during the procedure. Patients and Methods: Eighty-six male patients who underwent flexible cystoscopy between November 2015 and March 2017 were randomized as follows: hand-holding (group I, n = 43) or non-hand-holding (group II, n = 43) during the procedure. Before flexible cystoscopy, lidocaine gel was instilled in the urethra. Patients’ anxiety levels were quantified using the State-Trait Anxiety Inventory. A visual analog scale (0–10) was used for self-assessment of satisfaction, discomfort, and willingness to undergo repeat cystoscopy. Results: Demographic characteristics, mean age, procedure duration, procedure indications, and preprocedural analyses did not differ significantly between the 2 groups. In group I, the postprocedural mean anxiety level, pain score, heart rate, and systolic blood pressure were significantly lower compared with those in group II (p = 0.009, p = 0.003, p = 0.022, and p = 0.014, respectively). In group I, postprocedural mean satisfaction score were higher, and patients were more likely to undergo a repeat cystoscopy, compared with those in group II (p = 0.001 and p = 0.004, respectively). Conclusions: Hand-holding during cystoscopy significantly reduced patients’ feelings of anxiety, pain, discomfort, and dissatisfaction. Hand-holding served as a simple, inexpensive, and effective adjunct to sedation during cystoscopy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|