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Chiu LP, Tung HH, Lin KC, Lai YW, Chiu YC, Chen SSS, Chiu AW. Effectiveness of stress management in patients undergoing transrectal ultrasound-guided biopsy of the prostate. Patient Prefer Adherence 2016; 10:147-52. [PMID: 26929606 PMCID: PMC4755430 DOI: 10.2147/ppa.s96991] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND To assess the utilization of stress management in relieving anxiety and pain among patients who undergo transrectal ultrasound (TRUS)-guided biopsy of the prostate. METHODS Eighty-two patients admitted to a community hospital for a TRUS biopsy of the prostate participated in this case-controlled study. They were divided into an experimental group that was provided with stress management and a control group that received only routine nursing care. Stress management included music therapy and one-on-one simulation education. Before and after the TRUS biopsy, the patients' state-anxiety inventory score, pain visual analogue scale (VAS), respiratory rate, heart rate, and blood pressure were obtained. RESULTS There were no differences in baseline and disease characteristics between the two groups. The VAS in both groups increased after the TRUS biopsy, but the difference in pre- and postbiopsy VAS scores was significantly lower in the experimental group (P=0.03). Patients in both groups experienced mild anxiety before and after the biopsy, but those in the experimental group displayed a significantly greater decrease in postbiopsy state-anxiety inventory score compared to the control group (P=0.02). CONCLUSION Stress management can alleviate anxiety and pain in patients who received a TRUS biopsy of the prostate under local anesthesia.
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Affiliation(s)
- Li-Pin Chiu
- Division of Urology, Taipei City Hospital, National Taipei University of Nursing and Health Science, Taipei, Taiwan, Republic of China
- University of Taipei, General Education Center, National Taipei University of Nursing and Health Science, Taipei, Taiwan, Republic of China
| | - Heng-Hsin Tung
- School of Nursing, Department of Care Management, National Taipei University of Nursing and Health Science, Taipei, Taiwan, Republic of China
| | - Kuan-Chia Lin
- School of Nursing, Department of Care Management, National Taipei University of Nursing and Health Science, Taipei, Taiwan, Republic of China
| | - Yu-Wei Lai
- Division of Urology, Taipei City Hospital, National Taipei University of Nursing and Health Science, Taipei, Taiwan, Republic of China
- Department of Urology, National Yang-Ming University School of Medicine, Taipei, Taiwan, Republic of China
| | - Yi-Chun Chiu
- Division of Urology, Taipei City Hospital, National Taipei University of Nursing and Health Science, Taipei, Taiwan, Republic of China
- Department of Urology, National Yang-Ming University School of Medicine, Taipei, Taiwan, Republic of China
| | - Saint Shiou-Sheng Chen
- Division of Urology, Taipei City Hospital, National Taipei University of Nursing and Health Science, Taipei, Taiwan, Republic of China
- Department of Urology, National Yang-Ming University School of Medicine, Taipei, Taiwan, Republic of China
- Correspondence: Saint Shiou-Sheng Chen, Division of Urology, Taipei City Hospital, Renai Branch, National Yang-Ming University, School of Medicine, #10, Renai Street, Section 4, Taipei 106, Taiwan, Republic of China, Tel +886 2 2709 3600 ext 3615, Fax +886 2 2704 5064, Email
| | - Allen W Chiu
- Division of Urology, Taipei City Hospital, National Taipei University of Nursing and Health Science, Taipei, Taiwan, Republic of China
- Department of Urology, National Yang-Ming University School of Medicine, Taipei, Taiwan, Republic of China
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