A prospective comparative study of the effect of video education on pain and anxiety in patients undergoing TRUS-guided prostate biopsy Un estudio comparativo prospectivo del efecto de la educación en video sobre el dolor y la ansiedad en pacientes que se someten a una biopsia de próstata guiada por TRUS
Revista Internacional de Andrologia, cilt.24, sa.1, ss.49-54, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 24 Sayı: 1
- Basım Tarihi: 2026
- Doi Numarası: 10.22514/j.androl.2026.008
- Dergi Adı: Revista Internacional de Andrologia
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, DIALNET
- Sayfa Sayıları: ss.49-54
- Anahtar Kelimeler: Prostate biopsy, Video education, Pain perception, Anxiety, Patient preparation
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: This study aimed to evaluate the effects of dynamic video education compared to static images and verbal information on pain perception and anxiety in patients undergoing transrectal ultrasound-guided prostate biopsy (TRUS-Bx). Methods: A prospective comparative study was conducted including patients scheduled for TRUS-Bx. Participants were assigned to three groups: control (verbal information), video (verbal plus dynamic video), and image (verbal plus static images). Pain intensity was measured using the Visual Analog Scale (VAS), and anxiety was assessed with the State-Trait Anxiety Inventory (STAI) before and after the procedure. Statistical analyses were performed using SPSS software. Depending on data distribution, group comparisons were conducted using either the Kruskal-Wallis test or Analysis of Variance (ANOVA). An a priori power analysis was performed using G*power to determine the appropriate sample size. A p-value of < 0.05 was considered statistically significant. Results: A total of 223 male patients undergoing TRUS-Bx were included in the study, with 73 (32.7%) in the Control Group, 83 (37.2%) in the Video Group, and 67 (30.1%) in the Image Group. Post-procedural pain levels increased significantly in all groups. The video group reported significantly lower pain scores compared to the image group (p = 0.004), indicating the effectiveness of dynamic video education in reducing pain perception. Significant differences were observed in post-procedural state anxiety (STAI-1), with a p-value of 0.041 between groups and anxiety increased after the procedure overall. Conclusions: Dynamic video education significantly reduces pain perception during TRUS-Bx but does not have a significant impact on acute procedural anxiety. Clinical Trial Registration: The study was retrospectively registered with ClinicalTrials.gov as: NCT07156747.