Effectiveness of the Distraction Methods During Cystoscopy

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Status: Completed

Conditions: Satisfaction; Anxiety; Pain

Treatments: Other: Stress Ball Group; Other: DVD Group; Other: Music Group

Study type: Interventional

Funder types: Other

Identifiers

NCT02764294

50687469-1491-263-16/1648-736

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 120 patients

Sex: Male

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 4 patient groups

Music Group

Active Comparator group

Description:

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.

Treatment:

Other: Music Group

Stress Ball Group

Active Comparator group

Description:

Stress ball 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".

Treatment:

Other: Stress Ball Group

DVD Group

Active Comparator group

Description:

DVD group was watched a DVD of their choice (documentaries, interesting and amazing videos, comedies) on a ceiling-mounted monitor positioned at a comfortable distance to the participant.

Treatment:

Other: DVD Group

Control Group

No Intervention group

Description:

Participants received usual care from health professionals. They didn't receive any intervention.