Abstract
Amaç: Araştırma, hastaların ürodinami işlemine yönelik anksiyete, ağrı ve utanma düzeylerini belirlemek amacıyla planlandı.
Yöntem: Tanımlayıcı-kesitsel türde planlanan araştırmanın örneklemini, bir şehir hastanesinin Üroloji Polikliniği’ne, Mayıs 2022-Ağustos 2022 tarihleri arasında başvuran, ürodinami işlemi planlanan 90 hasta oluşturdu. Veriler, hasta bilgi formu, ağrı, anksiyete ve utanma düzeylerinin değerlendirildiği Visual Analog Scale (VAS) ve Durumluk Kaygı Ölçeği (DKÖ) ile toplandı. Verilerin analizinde tanımlayıcı istatistiksel yöntemler, ağrı, anksiyete, utanma düzeyleri ve DKÖ puan ortalamalarına göre demografik verilerin karşılaştırılmasında Bağımsız Örneklem t Testi, Kruskal-Wallis ve anlamlı sonuçların post-hoc analizi için Mann Whitney-U testi kullanıldı. Araştırmaya başlamadan önce etik kurul ve kurum izni alındı.
Bulgular: Hastaların anksiyete düzeyi puan ortalamasının 4.50±3.42 ağrı düzeyi puan ortalamasının 3.87±3.01, utanma düzeyi puan ortalamalarının 5.40±3.71 olduğu; DKÖ puan ortalamasının 49.80±6.70 olduğu saptandı. Hastaların cinsiyet, medeni durum, çalışma durumu, sigara kullanma durumu, tanı, daha önce ürolojik girişim uygulanma durumu ve ürodinami işlemi ile ilgili bilgi aldığı kaynak ile anksiyete, ağrı, utanma düzeyleri ve DKÖ puan ortalamaları arasında istatistiksel olarak anlamlı farklılık olduğu belirlendi (p<0.05).
Sonuç: Ürodinami işlemine yönelik hastaların anksiyete, utanma ve kaygı durumlarının orta düzeyde, ağrılarının düşük düzeyde olduğu görüldü.
Keywords
Supporting Institution
-
Project Number
-
Thanks
Çalışmaya destek veren tüm hastalara teşekkür ederiz.
References
- Abrams P, Eustice S, Gammie A, Harding C, Kearney R, Woodwar M. (2019). United kingdom continence society minimum standards for urodynamic studies, 2018. Neurourology and Urodynamics, 38(2), 838-856.
- Astram A, Rahardjo HE. (2018). Patient perception related to urodynamic testıng: a questionnaire based study. Indonesian Journal of Urology, 25(2), https://doi.org/10.32421/juri.v25i2.405
- Biardeau X, Lam O, Van Ba LC, Corcos J. (2017). Prospective evaluation of anxiety, pain, and embarrassment associated with cystoscopy and urodynamic testing in clinical practice. Canadian Urological Association Journal, 11(3-4), 104-110.
- Clement KD, Burden H, Warren K, Lapitan MCM, Omar MI, Drake MJ. (2015). Invasive urodynamic studies for the management of lower urinary tract symptoms (LUTS) in men with voiding dysfunction. Cochrane Database of Systematic Reviews, 28;(4):CD011179.
- Cho SW, Choi HJ. (2016). Effect of music on reducing anxiety for patients undergoing transrectal ultrasound-guided prostate biopsies: a randomized prospective trial. Urology Journal, 13(2), 2612e2614.
- Çelenay ŞT, Karaaslan Y, Oskay K, Küçükdurmaz F. (2018). Aşırı aktif mesaneli kadınlarda pelvik taban kas kuvveti ile mesane semptom ciddiyeti ve kaygı düzeyi arasındaki ilişkisi. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi, 1(2), 1-7.
- Finkelstein JB, Cahill D, Graber K, Tulley K, O'Connell B, Mednick L, et al. (2020). Anxiety, distress, and pain in pediatric urodynamics. Neurourology and Urodynamics, 39(4), 1178-1184.
- Greenstein A, Bar‐Yosef Y, Chen J, Matzkin H. (2005). Does information provided to men before a urodynamic study affect their expectation of pain?. British Journal of Urology International, 96(9), 1307-1309.
- Ku JH, Kim SW, Kim HH, Paick JS, Son H, Oh SJ. (2004). Patient experience with a urodynamic study: a prospective study in 208 patients. The Journal of Urology, 171(6), 2307-2310.
- Milosevic S, Joseph-Williams N, Pell B, Cain E, Hackett R, Murdoch F, ve ark. (2021). Conducting invasive urodynamics in primary care: qualitative interview study examining experiences of patients and healthcare professionals. Diagnostic and Prognostic Research, 5(1), 1-9.
- Oral SE, Özer N. (2020). Bir kolonoskopi gerçeği: utanma duygusu ve yönetimi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 9(2), 216-221.
- Öztaş B, Kara B, Zengin H, Güçlü A, Bahar ON. (2022). Simülasyon laboratuvarında verilen eğitimin hemşirelik öğrencilerinin intravenöz kateterizasyon becerisine etkisi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 9(1), 17-23.
- Scarpero HM, Padmanabhan P, Xue X, Nitti VW. (2005). Patient perception of videourodynamic testing: a questionnaire based study. The Journal of Urology, 173, 555–559.
- Selman LE, Ochieng CA, Lewis AL, Drake MJ, Horwood J. (2019). Recommendations for conducting invasive urodynamics for men with lower urinary tract symptoms: qualitative interview findings from a large randomized controlled trial (Upstream). Neurourology and Urodynamics, 38(1), 320-329.
- Shaw C, Williams K, Assassa PR, Jackson C. (2000). Patient satisfaction with urodynamics: a qualitative study. Journal of Advanced Nursing, 32(6), 1356- 1363. 14.
- Shim JS, Chae JY, Kang SG, Park JY, Bae JH, Kang SH, ve ark. (2017). Can listening to music decrease pain, anxiety, and stress during a urodynamic study? A randomized prospective trial focusing on gender differences. Urology, 104, 59-63.
- Suskind AM, Clemens JQ, Kaufman SR, Stoffel JT, Oldendorf A, Malaeb BS, ve ark. (2015). Patient perceptions of physical and emotional discomfort related to urodynamic testing: a questionnaire-based study in men and women with and without neurologic conditions. Urology, 85(3), 547- 551.
- Wewers, M.E., Lowe, N.K. (1990). A critical review of visual analogue scales in the measurement of clinical phenomena. Research in Nursing & Health, 13, 227-236.
- Yeung JY, Eschenbacher MA, Pauls RN. (2014). Pain and embarrassment associated with urodynamic testing in women. International Urogynecology Journal, 25(5), 645-650.
- Yiou R, Audureau E, Loche CM, Dussaud M, Lingombet O, Binhas M. (2015). Comprehensive evaluation of embarrassment and pain associated with invasive urodynamics. Neurourology and Urodynamics, 34(2), 156-160.
- Yokoyama T, Nozaki K, Nose H, Inoue M, Nishiyama Y, Kumon H. (2005). Tolerability and morbidity of urodynamic testing: a questionnaire-based study. Urology, 66(1), 74-76.
Abstract
Objective: The study was planned to determine the anxiety, pain and embarrassment levels of the patients for the urodynamic procedure.
Methods: The sample of the study, which was planned as a descriptive-cross-sectional study, consisted of 90 patients who applied to the Urology Outpatient Clinic of a city hospital between May 2022 and August 2022 and were scheduled for urodynamics. Data were collected with the patient information form, Visual Analogue Scale (VAS) and State Anxiety Scale (SAS), in which pain, anxiety, and embarrassment levels were evaluated. In the analysis of the data, the Independent Sample t-Test, Kruskal-Wallis, and Mann Whitney-U test were used for the post-hoc analysis of significant results, for the comparison of demographic data according to descriptive statistical methods, pain, anxiety, embarrassment levels, and State Anxiety Scale mean scores. Ethics committee and institutional permission were obtained before starting the study.
Results: The patients' mean anxiety level score was 4.50±3.42, pain level mean score was 3.87±3.01, and embarrassment level mean score was 5.40±3.71, the mean state anxiety scale score was found to be 49.80±6.70. It was determined that there was a statistically significant difference between the patients' gender, marital status, work status, smoking status, diagnosis, previous urological intervention status and the source from which they received information about the urodynamic procedure, and anxiety, pain, embarrassment levels and state anxiety scale mean scores (p<0.05).
Conclusion: It was observed that the anxiety, embarrassment and anxiety levels of the patients for the urodynamic procedure were moderate, and their pain was low.
Keywords
Project Number
-
References
- Abrams P, Eustice S, Gammie A, Harding C, Kearney R, Woodwar M. (2019). United kingdom continence society minimum standards for urodynamic studies, 2018. Neurourology and Urodynamics, 38(2), 838-856.
- Astram A, Rahardjo HE. (2018). Patient perception related to urodynamic testıng: a questionnaire based study. Indonesian Journal of Urology, 25(2), https://doi.org/10.32421/juri.v25i2.405
- Biardeau X, Lam O, Van Ba LC, Corcos J. (2017). Prospective evaluation of anxiety, pain, and embarrassment associated with cystoscopy and urodynamic testing in clinical practice. Canadian Urological Association Journal, 11(3-4), 104-110.
- Clement KD, Burden H, Warren K, Lapitan MCM, Omar MI, Drake MJ. (2015). Invasive urodynamic studies for the management of lower urinary tract symptoms (LUTS) in men with voiding dysfunction. Cochrane Database of Systematic Reviews, 28;(4):CD011179.
- Cho SW, Choi HJ. (2016). Effect of music on reducing anxiety for patients undergoing transrectal ultrasound-guided prostate biopsies: a randomized prospective trial. Urology Journal, 13(2), 2612e2614.
- Çelenay ŞT, Karaaslan Y, Oskay K, Küçükdurmaz F. (2018). Aşırı aktif mesaneli kadınlarda pelvik taban kas kuvveti ile mesane semptom ciddiyeti ve kaygı düzeyi arasındaki ilişkisi. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi, 1(2), 1-7.
- Finkelstein JB, Cahill D, Graber K, Tulley K, O'Connell B, Mednick L, et al. (2020). Anxiety, distress, and pain in pediatric urodynamics. Neurourology and Urodynamics, 39(4), 1178-1184.
- Greenstein A, Bar‐Yosef Y, Chen J, Matzkin H. (2005). Does information provided to men before a urodynamic study affect their expectation of pain?. British Journal of Urology International, 96(9), 1307-1309.
- Ku JH, Kim SW, Kim HH, Paick JS, Son H, Oh SJ. (2004). Patient experience with a urodynamic study: a prospective study in 208 patients. The Journal of Urology, 171(6), 2307-2310.
- Milosevic S, Joseph-Williams N, Pell B, Cain E, Hackett R, Murdoch F, ve ark. (2021). Conducting invasive urodynamics in primary care: qualitative interview study examining experiences of patients and healthcare professionals. Diagnostic and Prognostic Research, 5(1), 1-9.
- Oral SE, Özer N. (2020). Bir kolonoskopi gerçeği: utanma duygusu ve yönetimi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 9(2), 216-221.
- Öztaş B, Kara B, Zengin H, Güçlü A, Bahar ON. (2022). Simülasyon laboratuvarında verilen eğitimin hemşirelik öğrencilerinin intravenöz kateterizasyon becerisine etkisi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 9(1), 17-23.
- Scarpero HM, Padmanabhan P, Xue X, Nitti VW. (2005). Patient perception of videourodynamic testing: a questionnaire based study. The Journal of Urology, 173, 555–559.
- Selman LE, Ochieng CA, Lewis AL, Drake MJ, Horwood J. (2019). Recommendations for conducting invasive urodynamics for men with lower urinary tract symptoms: qualitative interview findings from a large randomized controlled trial (Upstream). Neurourology and Urodynamics, 38(1), 320-329.
- Shaw C, Williams K, Assassa PR, Jackson C. (2000). Patient satisfaction with urodynamics: a qualitative study. Journal of Advanced Nursing, 32(6), 1356- 1363. 14.
- Shim JS, Chae JY, Kang SG, Park JY, Bae JH, Kang SH, ve ark. (2017). Can listening to music decrease pain, anxiety, and stress during a urodynamic study? A randomized prospective trial focusing on gender differences. Urology, 104, 59-63.
- Suskind AM, Clemens JQ, Kaufman SR, Stoffel JT, Oldendorf A, Malaeb BS, ve ark. (2015). Patient perceptions of physical and emotional discomfort related to urodynamic testing: a questionnaire-based study in men and women with and without neurologic conditions. Urology, 85(3), 547- 551.
- Wewers, M.E., Lowe, N.K. (1990). A critical review of visual analogue scales in the measurement of clinical phenomena. Research in Nursing & Health, 13, 227-236.
- Yeung JY, Eschenbacher MA, Pauls RN. (2014). Pain and embarrassment associated with urodynamic testing in women. International Urogynecology Journal, 25(5), 645-650.
- Yiou R, Audureau E, Loche CM, Dussaud M, Lingombet O, Binhas M. (2015). Comprehensive evaluation of embarrassment and pain associated with invasive urodynamics. Neurourology and Urodynamics, 34(2), 156-160.
- Yokoyama T, Nozaki K, Nose H, Inoue M, Nishiyama Y, Kumon H. (2005). Tolerability and morbidity of urodynamic testing: a questionnaire-based study. Urology, 66(1), 74-76.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Nursing |
| Journal Section | Araştırma |
| Authors | |
| Project Number | - |
| Early Pub Date | October 15, 2023 |
| Publication Date | October 15, 2023 |
| Submission Date | September 14, 2022 |
| Published in Issue | Year 2023 Volume: 6 Issue: 3 |
