1
|
Marom O, Weiner E, Gindes L, Mor L, Gury M, Toledano E, Alon AS, Miremberg H, Shalev J, Levy M. The effect of watching an informational video prior amniocentesis on maternal anxiety: a randomized controlled trail. Arch Gynecol Obstet 2024; 310:1001-1008. [PMID: 38060016 DOI: 10.1007/s00404-023-07288-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 10/22/2023] [Indexed: 12/08/2023]
Abstract
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).
Collapse
Affiliation(s)
- Or Marom
- Department of Obstetrics and Gynecology, The Edith Wolfson Medical Center, P.O Box 5, 58100, Holon, Israel.
- Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
| | - Eran Weiner
- Department of Obstetrics and Gynecology, The Edith Wolfson Medical Center, P.O Box 5, 58100, Holon, Israel
- Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
| | - Liat Gindes
- Department of Obstetrics and Gynecology, The Edith Wolfson Medical Center, P.O Box 5, 58100, Holon, Israel
- Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
| | - Liat Mor
- Department of Obstetrics and Gynecology, The Edith Wolfson Medical Center, P.O Box 5, 58100, Holon, Israel
- Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
| | - May Gury
- Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
| | - Ella Toledano
- Department of Obstetrics and Gynecology, The Edith Wolfson Medical Center, P.O Box 5, 58100, Holon, Israel
- Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
| | - Ayala Shevach Alon
- Department of Obstetrics and Gynecology, The Edith Wolfson Medical Center, P.O Box 5, 58100, Holon, Israel
- Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
| | - Hadas Miremberg
- Department of Obstetrics and Gynecology, The Edith Wolfson Medical Center, P.O Box 5, 58100, Holon, Israel
- Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
| | - Josef Shalev
- Department of Obstetrics and Gynecology, The Edith Wolfson Medical Center, P.O Box 5, 58100, Holon, Israel
- Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
| | - Michal Levy
- Department of Obstetrics and Gynecology, The Edith Wolfson Medical Center, P.O Box 5, 58100, Holon, Israel
- Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
| |
Collapse
|
2
|
Bal S, Kulakaç Ö. Effect of comfort theory-based nursing care on pain and comfort in women undergoing hysterosalpingography: a randomized controlled trial. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2023; 69:e20230798. [PMID: 37909532 PMCID: PMC10615222 DOI: 10.1590/1806-9282.20230798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 08/15/2023] [Indexed: 11/03/2023]
Abstract
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.
Collapse
Affiliation(s)
- Sümeyye Bal
- Ondokuz Mayis University, Faculty of Health Sciences, Department of Midwifery – Samsun, Turkey
| | - Özen Kulakaç
- Ondokuz Mayis University, Faculty of Health Sciences, Department of Maternity and Gyneological Nursing – Samsun, Turkey
| |
Collapse
|
3
|
Bilkay Hİ, Orak OS. Impact of a video or photography-assisted adaptation program on the concerns and social stigmatization-related perceptions of first-time psychiatric inpatients. Perspect Psychiatr Care 2021; 57:1390-1398. [PMID: 33285007 DOI: 10.1111/ppc.12704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 11/18/2020] [Accepted: 11/21/2020] [Indexed: 11/30/2022] Open
Abstract
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.
Collapse
Affiliation(s)
- Halil İbrahim Bilkay
- Nursing Department, Institute of Health Sciences, Ondokuz Mayıs University, Samsun, Turkey
| | - Oya Sevcan Orak
- Psychiatric Nursing Department, Faculty of Health Sciences, Ondokuz Mayıs University, Samsun, Turkey
| |
Collapse
|
4
|
Guvenc G, Bektas Pardes B, Kinci MF, Karasahin KE. Effect of education and counselling on reducing pain and anxiety in women undergoing hysterosalpingography: A randomised controlled trial. J Clin Nurs 2020; 29:1653-1661. [PMID: 31889350 DOI: 10.1111/jocn.15166] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Revised: 10/31/2019] [Accepted: 12/20/2019] [Indexed: 11/29/2022]
Abstract
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.
Collapse
Affiliation(s)
- Gulten Guvenc
- Gulhane Faculty of Nursing, University of Health Sciences, Ankara, Turkey
| | - Burcin Bektas Pardes
- Department of Nursing, University of Health Sciences, Gulhane Education and Research Hospital, Ankara, Turkey
| | - Mehmet Ferdi Kinci
- Obstetrics and Gynecology Ankara, University of Health Sciences, Gulhane Education and Research Hospital, Ankara, Turkey
| | - Kazım Emre Karasahin
- Obstetrics and Gynecology Ankara, University of Health Sciences, Gulhane Education and Research Hospital, Ankara, Turkey
| |
Collapse
|
5
|
Kıncı MF, Yeşilçınar İ, Acavut G, Karaşahin KE. The opinions and thoughts of women who underwent hysterosalpingography for the first time: Letter to the editor. J Turk Ger Gynecol Assoc 2018; 19:169-170. [PMID: 29755028 PMCID: PMC6085533 DOI: 10.4274/jtgga.2018.0047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Affiliation(s)
- Mehmet Ferdi Kıncı
- Clinic of Obstetrics and Gynecology, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey
| | | | - Gamze Acavut
- Clinic of Obstetrics and Gynecology, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Kazım Emre Karaşahin
- Clinic of Obstetrics and Gynecology, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey
| |
Collapse
|