ABSTRACT

Objectives

Effective use of technology can provide advantages for both patients and physicians in skin biopsy practice. We aimed to investigate the effects of video-based information on the anxiety, pain and satisfaction levels of patients undergoing biopsy.

Methods

Patients were randomized and divided into two groups as video-informed and verbally informed. The anxiety levels were evaluated using the State-Trait Anxiety Inventory (STAI) and measuring the physiological parameters, systolic and diastolic blood pressure, heart rate, and respiratory rate. After the informing process, the STAI’s state form was reevaluated, and physiological parameters were measured again. After the biopsy, the level of pain was evaluated using the visual analog scale (VAS), and patient satisfaction was assessed with the satisfaction scale.

Results

Fifty-two in the video-informed group and 50 in the verbally informed group completed the study. Compared to the baseline values, the STAI and STAI-state scores, systolic blood pressure, heart rate and respiratory rate of the patients in the video-informed group decreased (p < 0.0001, p < 0.0001, p = 0.003, p = 0.007, and p < 0.0001, respectively), and the systolic blood pressure, diastolic blood pressure, heart rate and respiratory rate values decreased in the verbally informed group (p < 0.0001, p = 0.014, p = 0.005, and p < 0.0001, respectively). According to VAS, 98.1% of the patients in the video-informed group and 86% of those in the verbally informed group described no or mild pain, and pain levels were lower in the video-informed group (p = 0.030).

Conclusions

Video-based information prior to skin biopsy may be more useful in managing anxiety and pain in patients than traditional verbal information.

中文翻译：

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基于视频的患者信息对皮肤活检前患者焦虑和疼痛水平的影响：一项随机对照研究

摘要

目标

技术的有效使用可以为患者和医生在皮肤活检实践中提供优势。我们旨在调查基于视频的信息对接受活检的患者的焦虑、疼痛和满意度水平的影响。

方法

患者被随机分为两组，分别是视频通知组和口头通知组。使用状态-特质焦虑量表 (STAI) 评估焦虑水平，并测量生理参数、收缩压和舒张压、心率和呼吸频率。在通知过程之后，重新评估STAI的状态形式，并再次测量生理参数。活检后，使用视觉模拟量表（VAS）评估疼痛程度，并使用满意度量表评估患者满意度。

结果

视频通知组中的 52 名和口头通知组中的 50 名完成了研究。与基线值相比，视频告知组患者的 STAI 和 STAI 状态评分、收缩压、心率和呼吸频率均下降（p < 0.0001，p < 0.0001，p = 0.003，p = 0.007，和 p < 0.0001），而口头告知组的收缩压、舒张压、心率和呼吸频率值降低（分别为 p < 0.0001、p = 0.014、p = 0.005 和 p < 0.0001） . 根据 VAS，视频通知组 98.1% 的患者和口头通知组 86% 的患者描述没有或轻度疼痛，视频通知组的疼痛水平较低（p = 0.030）。

结论

皮肤活检前基于视频的信息可能比传统的口头信息更有助于管理患者的焦虑和疼痛。