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Prospective Randomized Controlled Trial to Evaluate the Effectiveness of Watching Movies to Decrease Anxiety During Extracorporeal Shock Wave Lithotripsy

Authors Ketsuwan C, Leenanupunth C, Phengsalae Y, Sangkum P, Kongchareonsombat W, Kaewjai N, Timjapoe P

Received 31 December 2020

Accepted for publication 19 February 2021

Published 25 February 2021 Volume 2021:13 Pages 97—104


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Jan Colli

Chinnakhet Ketsuwan, Charoen Leenanupunth, Yada Phengsalae, Premsant Sangkum, Wisoot Kongchareonsombat, Nongnart Kaewjai, Phanida Timjapoe

Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand

Correspondence: Phanida Timjapoe Tel +66-2-2011536
Fax +66-2-2794704
Email [email protected]

Background: Extracorporeal shock wave lithotripsy (ESWL) is the only non-invasive treatment for urolithiasis; however, it can cause anxiety and pain for patients. Several new nonpharmacological adjuvant approaches have been developed to reduce adverse events.
Objective: To analyze the efficacy of watching movies during ESWL to relieve anxiety and pain.
Methods: A total of 84 patients were randomly divided into two groups. The experimental group consisted of 42 patients who watched their own selected movies during the ESWL session, while the control group included 42 patients who did not watch movies. Basic characteristics, hemodynamic parameters, State-Trait Anxiety Inventory, Visual Analog Scale for pain, willingness to repeat the procedure, and patient satisfaction rates were collected and analyzed.
Results: After watching movies during ESWL, patients had a significantly lower anxiety level (p = 0.001) and a higher satisfaction rate (p = 0.021). No statistically significant differences were found in terms of demographic data, hemodynamic parameters, pain scores, or willingness to repeat the procedure.
Conclusion: Watching self-selected movies during an ESWL can effectively reduce anxiety and improve satisfaction.

Keywords: extracorporeal shock wave lithotripsy, movie, anxiety

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