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Prospective Randomized Controlled Trial to Evaluate the Effectiveness of Watching Movies to Decrease Anxiety During
Chinnakhet Ketsuwan1, Charoen Leenanupunth1, Yada Phengsalae1
1Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand.
Research and Reports in Urology
|March 4, 2021
Summary
Watching movies during extracorporeal shock wave lithotripsy (ESWL) significantly reduces patient anxiety and improves satisfaction. This non-pharmacological approach offers a comfortable alternative for urolithiasis treatment.
Area of Science:
- Urology
- Pain Management
- Medical Psychology
Background:
- Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive treatment for urolithiasis.
- ESWL can induce patient anxiety and pain.
- Non-pharmacological methods are being explored to mitigate ESWL's adverse effects.
Purpose of the Study:
- To evaluate the effectiveness of watching movies during ESWL.
- To assess the impact of movies on patient anxiety and pain levels.
Main Methods:
- 84 patients undergoing ESWL were randomized into two groups.
- The experimental group watched movies; the control group did not.
- Anxiety, pain, hemodynamics, and satisfaction were measured.
Main Results:
- Movie watching significantly decreased anxiety levels (p = 0.001).
- Patient satisfaction rates were significantly higher in the movie-watching group (p = 0.021).
- No significant differences in pain scores or hemodynamic parameters were observed.
Conclusions:
- Watching self-selected movies is an effective strategy to reduce anxiety during ESWL.
- This method enhances patient satisfaction with the urolithiasis procedure.
