Ketsuwan C. et al., 2021: Prospective Randomized Controlled Trial to Evaluate the Effectiveness of Watching Movies to Decrease Anxiety During Extracorporeal Shock Wave Lithotripsy
Ketsuwan C, Leenanupunth C, Phengsalae Y, Sangkum P, Kongchareonsombat W, Kaewjai N, Timjapoe P.
Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand.
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.
Res Rep Urol. 2021 Feb 25;13:97-104. doi: 10.2147/RRU.S299358. eCollection 2021. PMID: 33659222. FREE ARTICLE
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This is the rationale behind the study presented in this paper: “The mechanism for this distraction is caused by stimulating sensory components, activation brain-related pleasure centers faster than nociceptor centers, increasing pain tolerance, and relieving distress.”
My problem would be that my pleasure centre is not well stimulated by watching Netflix movies used in the study.
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The study was carefully done:” The possible choices included romantic movies, kid/family movies, and musicals. Comedies and horror films were not selected for our study because of the necessity for constant patient positioning, and laughing or frightened reactions can lead to body movements that affect the precision of ESWL.”
Difficult to understand that despite the money and these efforts table 1 of this free access paper shows the type of movies seen by the non-movie group: