The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy

Authors

  • Huseyin Tarhan Tepecik Training and Research Hospital, Urology Department, Izmir-TURKEY
  • Ozgur Cakmak Tepecik Training and Research Hospital, Urology Department, Izmir-TURKEY
  • Elif Unal Tepecik Training and Research Hospital, Psychiatry Department, Izmir-TURKEY
  • Ilker Akarken Tepecik Training and Research Hospital, Urology Department, Izmir-TURKEY
  • Sitki Un Katip Celebi University, Ataturk Training and Research Hospital, Urology Department, Izmir-TURKEY
  • Rahmi Gokhan Ekin Tepecik Training and Research Hospital, Urology Department, Izmir-TURKEY
  • Ersin Konyalioglu Milas State Hospital, Urology Department, Mugla-TURKEY
  • Cemal Selcuk Isoglu Tepecik Training and Research Hospital, Urology Department, Izmir-TURKEY
  • Ferruh Zorlu Tepecik Training and Research Hospital, Urology Department, Izmir-TURKEY

DOI:

https://doi.org/10.5489/cuaj.2208

Keywords:

anxiety, prostate biopsy, video-based education

Abstract

Introduction: We assess the effect of video-based education on patient anxiety during transrectal prostate biopsy.

Methods: A total of 246 patients who underwent transrectal prostate biopsy were prospectively enrolled in the study. Group 1 included 123 patients who received both written and video-based education, while Group 2 included 123 patients who received only written instructions regarding prostate biopsies. State-Trait Anxiety Inventory (STAI) was used to assess state and trait anxiety (STAI-S/T). After completing the STAI-S and STAI-T questionnaires, all patients in Group 1 received written information and video-based education and they again completed STAI-S before the biopsy. On the contrary, after completing the STAI-S and STAI-T questionnaires, the patients in Group 2 received only written information and then they completed the STAI-S before the biopsy. Moreover, a visual analog scale (VAS) was used to assess pain scores during digital rectal examination, probe insertion, periprostatic local anesthesic infiltration, and biopsy.

Results: No difference was noted between 2 groups regarding VAS scores. Comparing the 2 groups on baseline anxiety, we found that trait anxiety scores (STAI-T) were similar (p = 0.238). Preinformation STAI-S scores were similar in both groups (p = 0.889) and they both indicated high anxiety levels (score ≥42). While post-information STAI-S scores remained high in Group 2, post-information STAI-S scores significantly decreased in Group 1 (p = 0.01).

Conclusions: Undergoing a prostate biopsy is stressful and may cause anxiety for patients. Video-based education about the procedure can diminish patient anxiety.

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Published

2014-12-15

How to Cite

Tarhan, H., Cakmak, O., Unal, E., Akarken, I., Un, S., Ekin, R. G., Konyalioglu, E., Isoglu, C. S., & Zorlu, F. (2014). The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy. Canadian Urological Association Journal, 8(11-12), e894–900. https://doi.org/10.5489/cuaj.2208

Issue

Section

Original Research