The Effect of Pre-Procedure Anxiety on Pain Perception During First Session of Shock Wave Lithotripsy
Journal Title: JOURNAL OF UROLOGICAL SURGERY - Year 2016, Vol 3, Issue 1
Abstract
Introduction Although shock wave lithotripsy (SWL) is a common noninvasive procedure, it can be very painful and a serious source of anxiety which may affect pain perception. The aim of this study was to evaluate the association between patient’s anxiety and SWL-related pain. Materials and Methods A total of 54 patients, who underwent the first session of SWL treatment between January and April 2014 due to a single renal pelvic stone with a diameter less than 20 mm, were included in the study. All patients were particularly informed about the procedure and, then, the validated Hospital Anxiety and Depression scale was administered in order to identify the anxiety level before the procedure. All relevant data, such as age, sex, stone size, body mass index (BMI), anxiety score, visual analog scale (VAS) score, skin-to-stone distance, and total energy were recorded. Results The mean age of the study population was 41.11±16.35 years. The mean stone size, anxiety level before procedure, VAS score during SWL, BMI, skin-to-stone distance and energy level were 10.69±4.75 mm (5-20 mm), 5.2±3.87; 6.5±2.46; 25.77±4.16; 7.23±2.10 cm; 56.53±16.74 joule, respectively. Anxiety prior to procedure, energy level and the number of total shock wave had a significant effect on VAS score (p<0.05). Sex, stone size, BMI and skin-to-stone distance did not significantly affect the VAS scores (p>0.05). Conclusion According to our results, reducing patient anxiety, if any, can provide some additional pain control during SWL procedure and can improve patient compliance.
Authors and Affiliations
Ömer Yılmaz, Temuçin Şenkul, Murat Zor, Hasan Soydan, Ercan Malkoç, Ferhat Ateş
Keywords
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- EP ID EP229449
- DOI 10.4274/jus.244
- Views 109
- Downloads 0
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