The Effect of Pre-Procedure Anxiety on Pain Perception During First Session of Shock Wave Lithotripsy

Yılmaz, Ömer; Saraçoğlu, Fırat; Şenkul, Temuçin; Zor, Murat; Soydan, Hasan; Malkoç, Ercan; Ateş, Ferhat

doi:10.4274/jus.244

Cited by 5 publications

(13 citation statements)

References 14 publications

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“…This is similar to (Ali et al, 2014) they concluded that high level of anxiety prior to surgical operation negatively influence postoperative pain control and increased consumption of analgesics postoperatively. In the same field (Yilmaz et al, 2016) conveyed that there was positive correlation between anxiety level and pain during SWL procedure. The increased anxiety level made the procedure more painful and this finding was statistically significant.…”

Section: Discussionmentioning

confidence: 91%

Untitled

2019

10.21522/TIJNR.2015

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Papers must be submitted with the understanding that they have not been published elsewhere (except in the form of an abstract or as part of a published lecture, review, or thesis) and are not currently under consideration by another journal published or any other publisher. The submitting (Corresponding) author is responsible for ensuring that the article's publication has been approved by all the other coauthors. It is also the authors' responsibility to ensure that the articles coming from a particular institution are submitted with the approval of the necessary institution. Only an acknowledgment from the editorial office officially establishes the date of receipt. It is a condition for submission of a paper that the authors permit editing of the paper for readability. All enquiries concerning the publication of accepted papers should be addressed to

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Section: Discussionmentioning

confidence: 91%

Untitled

2019

10.21522/TIJNR.2015

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“…[ 19 ] But the clinical impact of this relationship is yet to be conclusively established. [ 3 , 8 , 10 , 11 ]…”

Section: Discussionmentioning

confidence: 99%

“…Estimated correlation coefficient between HADS and pain score is 0.6, and with an effect size of 0.5 for reduction in this coefficient in the second session, each session required a minimum sample size of 69 participants. [ 1 , 3 ]…”

Section: Eswl Proceduresmentioning

confidence: 99%

“…Urolithiasis is a global burden with a lifetime risk of about 10% to 15% in the West and 20% to 25% in the Middle-East and South Asia [ 1 - 3 ] of developing urinary stone disease. The rising incidence of urolithiasis since 1980’s has encouraged improvements in principles and management of urolithiasis.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, these studies have not established an association between procedural anxiety and pain perception intensity in subsequent sessions of ESWL due to increase familiarity of the procedure. [ 3 , 8 , 10 , 11 ] Assessment of procedural anxiety during repeat ESWL sessions adds to the novelty of our study which may contribute significantly in modifying hospital protocol for measures taken to reduce anxiety and need for pain relief. We investigated in general, the confounding patient and stone factors influencing the relationship between these factors and pain perception.…”

Section: Introductionmentioning

confidence: 99%

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Reduction of pre-procedural anxiety for repeat sessions in extracorporeal shockwave lithotripsy (ESWL) reduces pain intensity: A prospective observational study

2022

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Pain control is a major determinant for successful stone clearance in extracorporeal shockwave lithotripsy (ESWL) for urolithiasis. Pain perception during ESWL may be influenced by patient factors like gender, age, body habitus and anxiety level, and stone related factors like size, laterality and location of stone. We investigated in general, the confounding patient and stone factors influencing pain perception during ESWL with importance given to procedural anxiety in first and the subsequent session of ESWL. This was a prospective observational study of all new consecutive patients who underwent ESWL for a period of 1 year at a tertiary Urological Centre. Demographic and stone anthropometry were analyzed. Pre-procedural anxiety was assessed prior to procedure using hospital anxiety and depression score (HADS) and pain was scored using numerical rating scale-11 at baseline, 30-minutes (i.e., during) and 24 hours after ESWL. Univariate and multivariate analysis for confounding factors included HADs were performed for pain perception. A P value < .05 was considered to be statistically significant. For the study duration, 119 patients were recruited and 72 of them returned for a second session. Procedural anxiety was the only independent factor affecting pain score in ESWL for the first session in multivariate analysis. A statistically significant reduction of mean procedural anxiety score from 6.7 ± 4.5 to 3.2 ± 2.7 ( P < .05) for the second ESWL session was observed (n = 72). This was in conjunction with statistical reduction of mean pain score 30 minutes after ESWL from 5.2 ± 2.1 to 4.2 ± 2.1 ( P < .05). Patients with HADS ≥ 8 had statistically significant higher mean pain score at all 3 intervals in the first ESWL session. This study has shown that pre-procedural anxiety mainly anticipatory, reduces and shows reduction in pain intensity among patients undergoing repeat ESWL. Hence, anxiety reducing methods should be explored in patients undergoing ESWL to avoid unnecessary analgesic use.

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Could a Certain Sitting Position Reduce the Pain Experienced by a Child? The Benefits of Parental Holding and an Upright Position

Rahyanti

Nurhaeni

Wanda

2017

Comprehensive Child and Adolescent Nursing

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Intravenous injection is the most feared medical procedure and gives rise to an experience of mild to severe pain in children. Unrestrained pain has a negative effect on the child. Pain management in the form of a convenient sitting position is needed by children who undergo intravenous injection procedures. This study aims to determine the effect of parental holding and an upright position on children's pain during intravenous injection procedures. The study used the Randomized Clinical Trial method involving 34 respondents, aged 1-4 years, who were included in the intervention and control group. The result of a Mann-Whitney U test analysis showed a significant difference in the pain score between the intervention and control groups (p value = .000; α = .05). The parental holding and upright position can be applied as a nonpharmacological pain management strategy for children who undergo intravenous injection procedures.

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The Effect of Pre-Procedure Anxiety on Pain Perception During First Session of Shock Wave Lithotripsy

Abstract: It is known that shock wave lithotripsy is a painful procedure for some patients as much that they cannot complete. We evaluated the effect of patient's anxiety on pain during shock wave lithotripsy and found that it is effective.

Cited by 5 publications

References 14 publications

Untitled

Untitled

Reduction of pre-procedural anxiety for repeat sessions in extracorporeal shockwave lithotripsy (ESWL) reduces pain intensity: A prospective observational study

Could a Certain Sitting Position Reduce the Pain Experienced by a Child? The Benefits of Parental Holding and an Upright Position

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