The Effect of Video-Guided information on Anxiety and Pain in Extracorporeal Shock Wave Therapy: A control group study

Abstract

Objective: In the present study, after adapting the Extracorporeal Shock Wave Lithotripsy (ESWL) video produced by the European Association of Urology (EAU) into the Turkish language and showing it to the participating patients, we evaluated the effect on their anxiety and pain levels using the State-Trait Anxiety Inventory (STAI-I) anxiety form and the Visual Analogue Scale (VAS). Methods: A total of 59 patients, who were assessed at three centers between July 1st and October 1st, 2020, were involved in the study. The patients were divided into two groups, the first of which was asked to fill out a consent form and was shown the video and provided with verbal and written information;. On the other hand, the second group was given a consent form and received verbal and written information exclusively. Each group completed the STAI-I Anxiety form after being given preoperative information, while the VAS was applied after the procedure. Results: The STAI-I anxiety form score was higher in Group 1 than in Group 2, and the difference was statistically significant (p=0.004), and the recorded fluoroscopy time and VAS scores were lower in favor of Group 1 (p=0.045 and p=0.021). Conclusion: While the provision of video-guided information prior to ESWL resulted in heightened anxiety among the patients, it led to improved compliance during the procedure, as well as reduced total fluoroscopy time and pain scores for the patients.