Use of video-based multimedia information to reduce anxiety before office hysteroscopy.

In: Videosurgery and Other Miniinvasive Techniques · 2019 · vol. 15(2) , pp. 329–336 · doi:10.5114/wiitm.2019.89378 · PMID:32489494 · W2990889447
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This randomized study found that video-based multimedia information significantly reduced pre-procedure anxiety and increased patient satisfaction compared to written information before office hysteroscopy.

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This prospective randomized study evaluated whether video-based multimedia information (MMI) reduces anxiety compared with conventional written information in all consecutive women aged 18–65 scheduled for diagnostic office hysteroscopy. Trait and state anxiety were measured with the State and Trait Anxiety Inventory (STAI) before receiving either format, and STAI state anxiety was reassessed afterward; procedural satisfaction and pain (Likert scale and VAS) were also recorded after hysteroscopy using a standardized procedure by the same gynecologist. The key findings were that post-information STAI-S scores were significantly lower with video-based MMI than with written information, and satisfaction was higher, while procedural pain scores were similar between groups. The paper’s limitation is that it reports a relatively narrow pre-procedural intervention and outcomes around anxiety, satisfaction, and pain without detailing longer-term endpoints. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

INTRODUCTION: Use of multimedia tools has been shown to improve patient comprehension, reduce pre-procedural anxiety, and increase patient satisfaction in various surgical settings. AIM: To investigate the impact of video-based multimedia information (MMI) on the anxiety levels of patients undergoing office hysteroscopy (OH). MATERIAL AND METHODS: All consecutive women aged 18-65 years and scheduled for diagnostic OH were enrolled in this prospective randomized study. Subjects were assigned to receive 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 application of the MMI or written information. All patients underwent a standardized transvaginal hysteroscopy procedure by the same gynecologist. Following the hysteroscopy, patient satisfaction and procedural pain were ranked using a Likert scale and visual analogue scale. RESULTS: Fifty-two patients were randomized to receive a video-based MMI, and 52 patients were randomized to receive written information. Post-information STAI-S score was significantly lower in the MMI group than that of the written information group (45.0 ±8.0 vs. 49.4 ±8.4, p < 0.001, 95% CI for the difference: 1.36-7.79). Moreover, the satisfaction rate of the video group was significantly higher than the satisfaction rate of the controls (92.3% vs. 63.5%, p < 0.001). VAS score of procedural pain was similar for the two groups. CONCLUSIONS: A video-based MMI before OH might be preferred to conventional information methods in order to reduce the pre-procedural anxiety and to increase patients' satisfaction.
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Full-text article available only as a pdf file for download Published online: October 28, 2019 Use of multimedia tools has been shown to improve patient comprehension, reduce pre-procedural anxiety, and increase patient satisfaction in various surgical settings. To investigate the impact of video-based multimedia information (MMI) on the anxiety levels of patients undergoing office hysteroscopy (OH). All consecutive women aged 18-65 years and scheduled for diagnostic OH were enrolled in this prospective randomized study. Subjects were assigned to receive 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 application of the MMI or written information. All patients underwent a standardized transvaginal hysteroscopy procedure by the same gynecologist. Following the hysteroscopy, patient satisfaction and procedural pain were ranked using a Likert scale and visual analogue scale. Fifty-two patients were randomized to receive a video-based MMI, and 52 patients were randomized to receive written information. Post-information STAI-S score was significantly lower in the MMI group than that of the written information group (45.0 ±8.0 vs. 49.4 ±8.4, p < 0.001, 95% CI for the difference: 1.36-7.79). Moreover, the satisfaction rate of the video group was significantly higher than the satisfaction rate of the controls (92.3% vs. 63.5%, p < 0.001). VAS score of procedural pain was similar for the two groups. A video-based MMI before OH might be preferred to conventional information methods in order to reduce the pre-procedural anxiety and to increase patients' satisfaction. Full-text article available only as a pdf file for download

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