The effect of a pre-procedure information video on anxiety levels in patients undergoing hysterosalpingography: A prospective case-control study

The effect of watching an informational video prior amniocentesis on maternal anxiety: a randomized controlled trail

PURPOSE

This randomized controlled trial aimed to ascertain the effect of a pre-procedure informational video on anxiety, pain perception, and satisfaction levels in patients undergoing amniocentesis.

METHODS

Patients were randomized into two groups: a video group who watched an informational video prior to the procedure, and a control group who received standard care. Anxiety was gauged both pre- and post-procedure via the State-Trait Anxiety Inventory (STAI) score. Post-procedure, patients' perceived pain, anxiety, and satisfaction levels were evaluated using the Visual Analog Scale questionnaire (VAS).

RESULTS

Of 110 randomized patients, 100 completed the study and were included in the final analysis. No significant difference was noted in overall anxiety levels between the study and control groups. However, in-procedure anxiety was significantly lower in the video group compared to the control group (p = 0.04). Among patients undergoing amniocentesis for the first time, the subgroup analysis revealed reduced levels of anxiety during the procedure and diminished pain 10 min after the procedure in the video group compared to the control group. (p = 0.041 and p = 0.025, respectively).

CONCLUSION

A pre-procedural informational video could help in alleviating anxiety and mitigating pain during amniocentesis.

CLINICAL TRIAL REGISTRATION

The study was registered at 27.3.2022 in clinical-trials.gov (identifier NCT05463549).

Effect of comfort theory-based nursing care on pain and comfort in women undergoing hysterosalpingography: a randomized controlled trial

OBJECTIVE

This study aims to examine the effect of comfort theory-based nursing care on pain and comfort in women undergoing hysterosalpingography.

METHODS

This randomized control trial was conducted on 126 women (42 in each intervention and control group). Virtual reality glasses group (n=42), mobile-assisted education group (n=42), and control group (n=42). The control group received only routine care. Comfort levels were evaluated at the beginning and end of the study using the General Comfort Scale and pain levels evaluated at the beginning and end of the study using the Visual Analog Scale.

RESULTS

The comfort theory-based nursing care (virtual reality glasses and mobile-assisted education group) was effective in increasing women's comfort with painful invasive procedures such as hysterosalpingography and reducing pain.

CONCLUSION

It is recommended that a nurse be present in the hysterosalpingography process, providing nursing care services continuously and introducing this program to working nurses.Clinical Trial Registration Number: NCT04676932.

Impact of a video or photography-assisted adaptation program on the concerns and social stigmatization-related perceptions of first-time psychiatric inpatients

PURPOSE

This study aimed to determine the impact of a video or photography-assisted adaptation program on the concerns and social stigmatization-related perceptions of patients upon their first admission to a psychiatric clinic DESIGN AND METHODS: This study was a non-randomized trial model with pretest-posttest measurements and a control group. No procedure was performed on the control group. However, a video or photography-assisted adaptation program was conducted on the experimental group.

FINDINGS

No significant decrease was found in the state-trait anxiety and stigmatization for receiving psychologic help levels in the control group (p > .05), but a significant decrease was found in the experimental group (p < .05).

PRACTICAL IMPLICATIONS

Video or photography-assisted adaptation program is effective in mitigating the concerns and social stigmatization-related perceptions of patients upon their first admission to a psychiatric clinic.

Effect of education and counselling on reducing pain and anxiety in women undergoing hysterosalpingography: A randomised controlled trial

AIMS AND OBJECTIVES

To investigate the effects of education and counselling on anxiety and pain in women undergoing hysterosalpingography (HSG) as part of infertility treatment.

BACKGROUND

The hysterosalpingography has an important diagnostic role in finding the cause of infertility and making a decision on management of treatment. In addition, it is considered a feared procedure in the infertility process and the one about which very little is known. Women often experience anxiety and pain during the HSG procedure.

DESIGN

A randomised controlled trial.

METHODS

The CONSORT guidelines have been used to describe the methods. Women who were diagnosed with infertility between February-October 2016 were included in the study. The participants were randomised and divided into intervention (52) and control (53) groups. The sociodemographic and obstetric data collection form, the State-Trait Anxiety Inventory and a visual analogue scale were used before the procedure. After the questionnaires were applied to the intervention group, individual learning and counselling sessions were given about the hysterosalpingography process. Brochures were also distributed to the patients for their reference after the learning session. The control group received standard care.

RESULTS

When the intervention and control groups were compared, it was found that the education and counselling given before the HSG procedure significantly decreased the level of pain and anxiety felt by women. In addition, a significant positive correlation was found between pain and anxiety after the training in the intervention group.

CONCLUSIONS

This study indicates that the education and counselling given to women before the HSG procedure are effective interventions for reducing pain and anxiety in women undergoing HSG.

RELEVANCE TO CLINICAL PRACTICE

With the application of HSG education and counselling, and the distribution of brochures to each patient, pain and anxiety can be reduced during the HSG procedure.