干预措施的可行性和结果,以减少囊镜的不适:一个多站点的试点研究
Avani P Desai1, Ram Sankar Basak1, Yair Lotan2
1Department of Urology, University of North Carolina, Chapel Hill, NC, USA.
BJU international
|May 24, 2025
概括
实时囊镜可视化和音乐显著减少了手术期间的疼痛和焦虑. 这些简单的干预措施对于首次接受囊镜检查的患者来说尤其有益.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 疼痛管理 疼痛管理
- 患者体验 患者体验
背景情况:
- 囊镜可以引起显著的疼痛和焦虑.
- 需要进行干预措施,以改善患者在囊镜检查期间的舒适度.
研究的目的:
- 评估干预措施的可行性和有效性,以减少灵活的办公室囊镜期间的疼痛和焦虑.
- 评估患者接受不同舒适度的情况.
主要方法:
- 一项前性研究涉及190名接受灵活办公室囊镜的成年患者.
- 患者提供了尿道内利多卡因与不同的停留时间,音乐通过耳机,或实时囊镜可视化.
- 测量了疼痛 (视觉模拟尺度) 和焦虑水平.
主要成果:
- 35%的患者拒绝了他们分配的干预;视觉化被拒绝的频率低于音乐.
- 与音乐相比,可视化与报告的疼痛和焦虑程度较低有关.
- 接受音乐和可视化治疗的患者报告疼痛最少.
结论:
- 实时可视化和音乐是有效的,可访问的方法来减少囊镜期间的疼痛和焦虑.
- 这些干预措施对新手术的患者尤其有帮助.
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