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

Gülten Güvenç, Burçin Bektaş Pardes, Mehmet Ferdi Kıncı, Kazım Emre Karaşahin
In: Journal of Clinical Nursing · 2019 · vol. 29(9-10) , pp. 1653–1661 · doi:10.1111/jocn.15166 · PMID:31889350 · W2996880788
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A randomized controlled trial found that pre-procedure education and counseling significantly reduced pain and anxiety in women undergoing hysterosalpingography for infertility evaluation.

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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.

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infertility

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