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Gezginci E et al, 2017: Comparison of Two Different Distraction Methods Affecting the Level of Pain and Anxiety during Extracorporeal Shock Wave Lithotripsy: A Randomized Controlled Trial.

Gezginci E, Iyigun E, Yalcin S, Bedir S, Ozgok IY.
University of Health Sciences, Gulhane Training and Research Hospital, Department of Urology, Ankara, Turkey.
University of Health Sciences, Gulhane School of Nursing, Ankara, Turkey.
University of Turkish Aeronautical Association, Board of Trustees, Ankara, Turkey.

Abstract

Extracorporeal shock wave lithotripsy can cause pain and anxiety for patients. Despite the use of many distraction methods to reduce pain and anxiety, there is no study on the use of stress balls during lithotripsy. The aim of the study was to investigate the efficacy of use of stress balls and music therapy to reduce pain and anxiety during lithotripsy. This was a single-center, parallel randomized controlled trial. The study involved the lithotripsy unit in a training and research hospital in Turkey. The study included 120 patients who had kidney or ureter stones. The patients were randomly divided into three groups. The control group (group 1) received no interference, whereas experimental groups received stress ball (group 2) and music (group 3) interventions during lithotripsy, respectively. Data were collected using the Patient Information Form, visual analog scale, and State-Trait Anxiety Inventory. There was no statistically significant difference among the three groups in regard to anxiety and pain mean scores (p > .05). No statistically significant difference was found between anxiety scores before and after lithotripsy in each group (p > .05), whereas there was a statistically significant difference between pain scores during and after lithotripsy (p < .05).Based on the present study, no statistically significant difference was found between the use of stress balls and music in reducing pain and anxiety during lithotripsy. Further studies are needed to evaluate the effectiveness of stress balls used during lithotripsy.

Pain Manag Nurs. 2017 Dec 13. pii: S1524-9042(17)30556-8. doi: 10.1016/j.pmn.2017.09.005. [Epub ahead of print]

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Commenti 1

Peter Alken il Mercoledì, 14 Marzo 2018 09:34

In this study “no patients were administered any type of analgesic drug before and during ESWL”. No surprise that the mean (SD) pain values during ESWL were not different in the three groups: VAS values of 61.50 (26.07) without medication, 69.00 (27.53) without medication plus stress ball and 54.50 (27.63) without medication plus music. Obviously the therapy was painful! The VAS scale lists values of 40-60 as moderate pain, significantly interfering with ADLs (Activities of daily living) and 70-100 as severe pain (disabling; unable to perform ADLs). A little bit of medication plus ball or music would probably have done better.

In this study “no patients were administered any type of analgesic drug before and during ESWL”. No surprise that the mean (SD) pain values during ESWL were not different in the three groups: VAS values of 61.50 (26.07) without medication, 69.00 (27.53) without medication plus stress ball and 54.50 (27.63) without medication plus music. Obviously the therapy was painful! The VAS scale lists values of 40-60 as moderate pain, significantly interfering with ADLs (Activities of daily living) and 70-100 as severe pain (disabling; unable to perform ADLs). A little bit of medication plus ball or music would probably have done better.
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