The Effect of Multimedia Education Given Before Gynecological Examination on the Anxiety, Fear and Pelvic Pain Levels of Patients: A Single‐Blind Prospective Randomized Controlled Study

In: Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi · 2025 · vol. 9(3) , pp. 368–382 · doi:10.46237/amusbfd.1552838 · W4414641488
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Multimedia education before gynecological exams significantly reduced patient anxiety, fear, and pelvic pain compared to standard care.

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This single-blind prospective randomized controlled study evaluated whether multimedia education delivered before a gynecological examination affects anxiety, fear, and pelvic pain in 80 women aged 18–50 recruited from a gynecology and obstetrics clinic. Participants were randomized to a multimedia training group (n=40) or a control group (n=40), and anxiety was measured with the State-Trait Anxiety Inventory (STAI-1-2) plus a Visual Analog Scale (VAS), while fear of the exam and pelvic pain were assessed with VAS; outcomes were measured both before and after the examination. Intragroup analyses showed statistically significant reductions in STAI-1, pelvic pain, anxiety (VAS), and fear (VAS) in the training group, and there was a significant between-group difference in anxiety level. This 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

Objective: This study was conducted to evaluate the effects of multimedia education given before gynecological examination on the anxiety, fear and plevic pain levels of patients. Method: This single-blind prospective randomized controlled study included 80 volunteer women aged 18-50 years who applied to the gynecology and obstetrics clinic. 80 women were randomized into two groups as study (n=40) and control group (n=40). The women in the study group were given information and training via multimedia before gynecological examination. The anxiety of the patients was assessed using State-Trait Anxiety Inventory (STAI-1-2) and Visual Analog Scale (VAS). Fear of gynecological examination and pelvic pain were assessed with VAS. All assessments were repeated before and after the examination. Results: In the training group, the intragroup change analysis showed a statistically significant improvement in the STAI-1, pelvic pain (VAS), anxiety (VAS) and fear (VAS) scores (p=0.002; p=0.001; p=0.001; p=0.001). There was a significant difference in the anxiety level between groups (p=0.005). The STAI-1, pelvic pain (VAS), anxiety (VAS) and fear (VAS) of the patients in the training group decreased in the course of time. Conclusion: Multimedia patient information training before the gynecologic examination is thought to be a very effective method to reduce the anxiety, fear and pelvic pain of patients.
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Abstract

Objective: This study was conducted to evaluate the effects of multimedia education given before gynecological examination on the anxiety, fear and plevic pain levels of patients.

Method

This single-blind prospective randomized controlled study included 80 volunteer women aged 18-50 years who applied to the gynecology and obstetrics clinic. 80 women were randomized into two groups as study (n=40) and control group (n=40). The women in the study group were given information and training via multimedia before gynecological examination. The anxiety of the patients was assessed using State-Trait Anxiety Inventory (STAI-1-2) and Visual Analog Scale (VAS). Fear of gynecological examination and pelvic pain were assessed with VAS. All assessments were repeated before and after the examination.

Results

In the training group, the intragroup change analysis showed a statistically significant improvement in the STAI-1, pelvic pain (VAS), anxiety (VAS) and fear (VAS) scores (p=0.002; p=0.001; p=0.001; p=0.001). There was a significant difference in the anxiety level between groups (p=0.005). The STAI-1, pelvic pain (VAS), anxiety (VAS) and fear (VAS) of the patients in the training group decreased in the course of time.

Conclusion

Multimedia patient information training before the gynecologic examination is thought to be a very effective method to reduce the anxiety, fear and pelvic pain of patients.

Keywords

References - 1. Hilden, M., Sidenius, K., Langhoff‐Roos, J., Wijma, B., & Schei, B. (2003). Women's experiences of the gynecologic examination: factors associated with discomfort. Acta Obstetricia et Gynecologica Scandinavica, 82(11), 1030-1036. https://doi.org/10.1034/j.1600-0412.2003.00253.x. - 2. Seymore, C., DuRant, R.H., Jay, M.S., Freeman, D., Gomez, L., Sharp, C., et al. (1986). Influence of position during examination, and sex of examiner on patient anxiety during pelvic examination. The Journal of Pediatrics, 108(2), 312-317. https://doi.org/10.1016/s0022-3476(86)81011-3. - 3. O'Laughlin, D.J., Strelow, B., Fellows, N., Kelsey, E., Peters, S., Stevens, J., et al. (2021). Addressing Anxiety and Fear during the Female Pelvic Examination. Journal of Primary Care & Community Health, 12, 2150132721992195. https://doi.org/10.1177/2150132721992195. - 4. Marcus, C. (2014). Strategies for improving the quality of verbal patient and family education: a review of the literature and creation of the EDUCATE model. Health Journal of Behavioral Medicine, 2(1), 482-495. https://doi.org/10.1080/21642850.2014.900450. - 5. Diefenbach, M.A., & Butz, B.P. (2004). A multimedia interactive education system for prostate cancer patients: development and preliminary evaluation. Journal of Medical Internet Research, 6(1), e3. https://doi.org/10.2196/jmir.6.1.e3. - 6. Johansson, K., Nuutila, L., Virtanen, H., Katajisto, J., & Salanterä, S. (2005). Preoperative education for orthopaedic patients: systematic review. Journal of Advanced Nursing, 50(2), 212-223. https://doi.org/10.1111/ j.1365-2648.2005.03381.x. - 7. Howard, F. M. (2003). Chronic pelvic pain. Obstetrics & Gynecology, 101(3), 594-611. https://doi.org/10.1016/s0029-7844(02)02723-0. - 8. Kawaguchi, R., Matsumoto, K., Akira, S., Ishitani, K., Iwasaku, K., Ueda, Y., et al. (2019). Guidelines for office gynecology in Japan: Japan Society of Obstetrics and Gynecology (JSOG) and Japan Association of Obstetricians and Gynecologists (JAOG) 2017 edition. The Journal of Obstetrics and Gynaecology Research,. 45(4), 766-786. https:// doi.org/10.1111/jog.13831. Details Primary Language English Subjects Rehabilitation Journal Section Research Article Publication Date September 30, 2025 Submission Date September 19, 2024 Acceptance Date April 5, 2025 Published in Issue Year 2025 Volume: 9 Number: 3 APA Temel Aksu, N., Büyük, A., Gunes Gencer, G. Y., & Sakıncı, M. (2025). The Effect of Multimedia Education Given Before Gynecological Examination on the Anxiety, Fear and Pelvic Pain Levels of Patients: A Single‐Blind Prospective Randomized Controlled Study. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(3), 368-382. https://doi.org/10.46237/amusbfd.1552838 AMA 1.Temel Aksu N, Büyük A, Gunes Gencer GY, Sakıncı M. The Effect of Multimedia Education Given Before Gynecological Examination on the Anxiety, Fear and Pelvic Pain Levels of Patients: A Single‐Blind Prospective Randomized Controlled Study. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2025;9(3):368-382. doi:10.46237/amusbfd.1552838 Chicago Temel Aksu, Neriman, Alime Büyük, Gokce Yagmur Gunes Gencer, and Mehmet Sakıncı. 2025. “The Effect of Multimedia Education Given Before Gynecological Examination on the Anxiety, Fear and Pelvic Pain Levels of Patients: A Single‐Blind Prospective Randomized Controlled Study”. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 9 (3): 368-82. https://doi.org/10.46237/amusbfd.1552838. EndNote Temel Aksu N, Büyük A, Gunes Gencer GY, Sakıncı M (September 1, 2025) The Effect of Multimedia Education Given Before Gynecological Examination on the Anxiety, Fear and Pelvic Pain Levels of Patients: A Single‐Blind Prospective Randomized Controlled Study. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 9 3 368–382. IEEE [1]N. Temel Aksu, A. Büyük, G. Y. Gunes Gencer, and M. Sakıncı, “The Effect of Multimedia Education Given Before Gynecological Examination on the Anxiety, Fear and Pelvic Pain Levels of Patients: A Single‐Blind Prospective Randomized Controlled Study”, Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol. 9, no. 3, pp. 368–382, Sept. 2025, doi: 10.46237/amusbfd.1552838. ISNAD Temel Aksu, Neriman - Büyük, Alime - Gunes Gencer, Gokce Yagmur - Sakıncı, Mehmet. “The Effect of Multimedia Education Given Before Gynecological Examination on the Anxiety, Fear and Pelvic Pain Levels of Patients: A Single‐Blind Prospective Randomized Controlled Study”. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 9/3 (September 1, 2025): 368-382. https://doi.org/10.46237/amusbfd.1552838. JAMA 1.Temel Aksu N, Büyük A, Gunes Gencer GY, Sakıncı M. The Effect of Multimedia Education Given Before Gynecological Examination on the Anxiety, Fear and Pelvic Pain Levels of Patients: A Single‐Blind Prospective Randomized Controlled Study. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2025;9:368–382. MLA Temel Aksu, Neriman, et al. “The Effect of Multimedia Education Given Before Gynecological Examination on the Anxiety, Fear and Pelvic Pain Levels of Patients: A Single‐Blind Prospective Randomized Controlled Study”. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol. 9, no. 3, Sept. 2025, pp. 368-82, doi:10.46237/amusbfd.1552838. Vancouver 1.Neriman Temel Aksu, Alime Büyük, Gokce Yagmur Gunes Gencer, Mehmet Sakıncı. The Effect of Multimedia Education Given Before Gynecological Examination on the Anxiety, Fear and Pelvic Pain Levels of Patients: A Single‐Blind Prospective Randomized Controlled Study. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2025 Sep. 1;9(3):368-82. doi:10.46237/amusbfd.1552838

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