Effectiveness of the Distraction Methods During Cystoscopy

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi120 enrolled

Overview

Cystoscopy is a pain procedure and patients may experience anxiety and dissatisfaction before and during the procedure. Especially male patients feel more pain than females during cystoscopy. The aim of this study is to compare effectiveness of three different distraction methods on pain, anxiety and satisfaction of the male patients during cystoscopy.

Cystoscopy is a reliable and effective method used commonly to investigate tumors and pathological or suspicious views related to bladder and urethra. The patients may feel pain, anxiety and dissatisfaction when cystoscope is inserted into the bladder. Thus nonpharmacological and pharmacological methods are used to decrease pain, anxiety and dissatisfaction levels of the patients during the procedure. Music is the most commonly used distraction method during cystoscopy, but there are few studies in this issue (only music) on literature. In additon, there isn't any study related to stress ball use during cystoscopy and there isn't any study which comparatives effectiveness of the multiple distraction methods to reduce pain, anxiety and dissatisfaction levels during this procedure. Therefore the investigators aimed to compare effectiveness of three different distraction methods (music, stress ball and DVD) on pain, anxiety and satisfaction of the patients during cystoscopy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

120

Conditions

Pain Anxiety Satisfaction

Interventions

Music GroupOTHER

Music group was listened to a music of their choise with a headset. The music intervention was started about 10-15 minutes before cystoscopy and continued during the whole procedure. Types of music were Turkish folk music, Turkish art music, Turkish arabesque music, Turkish pop music, foreign pop music, rock music, and classical music.

Stress Ball GroupOTHER

Music group was given stress ball into both their palms about 10-15 minutes before cystoscopy. Participants were instructed to "squeeze the balls twice after counting up to five" and "repeat it until the end of the procedure".

DVD GroupOTHER

DVD group was started to be watched a DVD of their choise about 10-15 minutes before cystoscopy and continued during the whole procedure.

Eligibility

Sex: MALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * to be male and over 18 years old * to be first csytoscopy * to be rigid csytoscopy Exclusion Criteria: * to have a contradiction for csystoscopy (lidocaine allergies, urinary tract infection, no anatomical problems with the urethra etc.) * to be used any analgesic drug at least 24 hours prior to cystoscopy * to be made manipulations such as double j stent placement or removal, and bladder biopsy

Outcomes

Primary Outcomes

Pain Measure

The average score change on pain intensity as measured by VAS scale.

Time frame: "5-10 minutes before", "during" and "5 minutes after" cytoscopy

Secondary Outcomes

Anxiety Measure

The average score change on anxiety level as measured by STAI-State Anxiety scale.

Time frame: "5-10 minutes before" and "5 minutes after" cytoscopy

Satisfaction Measure

The average score change on satisfaction level as measured by STAI-State Anxiety scale.

Time frame: "5 minutes after" cytoscopy

Data from ClinicalTrials.gov

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