以情感为中心的与以事实为中心的医疗信息,以缓解前列腺活检中的疼痛和焦虑:一个随机试验
Philipp Krausewitz1, Helene Schmeller1, Carsten Spitzer2
1Department of Urology and Pediatric Urology, University Hospital Bonn, Bonn, Germany.
The Prostate
|December 20, 2023
概括
以事实为中心 (FC) 的信息比以情感为中心 (EC) 的信息更能减少前列腺活检后最严重的疼痛. FC还改善了患者报告的压力,疼痛和焦虑,这表明EC可能对一些男性来说是反作用的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医学心理学 医学心理学
- 卫生沟通健康沟通
背景情况:
- 前列腺活检程序可能会引起严重的疼痛和焦虑.
- 书面医疗信息旨在为患者做好准备,但其情感内容各不相同.
- 以情感为中心 (EC) 和以事实为中心 (FC) 的方法提供了不同的信息策略.
研究的目的:
- 为了比较EC与FC的疗效,在前列腺活检期间管理疼痛和焦虑的书面信息.
- 评估患者报告的与疼痛,焦虑和压力相关的结果.
主要方法:
- 进行了一个单中心,单盲随机对照试验 (RCT).
- 在前列腺活检之前,参与者接受了FC或EC的书面信息.
- 使用适应的简短疼痛清单来评估疼痛;焦虑通过状态特征焦虑清单来测量焦虑.
主要成果:
- 与EC组相比,FC组的最严重疼痛从手术前到手术后的增加明显较小 (p < 0.004).
- 在焦虑的过程中没有发现任何显著的群体差异.
- 对于管理压力,疼痛和焦虑,FC信息被评为显著更有帮助.
结论:
- 以事实为中心的书面信息似乎更有利于减少前列腺活检后最严重的疼痛.
- 在书面材料中纳入压力和应对等情绪方面的内容可能对某些患者群体,尤其是不熟悉这些话题的男性来说是不利的.
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