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

Abstract

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.

Not just escapism—Medicine-related fiction films as therapeutical and education tools amid pandemic

“…Historically, motion pictures have shown great therapeutic value in the form of cinematherapy 18 , most commonly in psychotherapy [19][20][21] , general psychological interventions 22 , or treating schizophrenia 23,24 . Research has shown that using films as a therapeutic adjunct can have beneficial effects even in somatic fields such as nephology 25 and urology 26 . The most commonly known educational value in motion pictures comes from educational films (or public health films) and patient videos, whose history [27][28][29][30][31] and therapeutic benefits 32,33 have been well researched.…”

Psychological Distress in Patients With Urolithiasis: A Systematic Review and Meta-analysis

“…***These 2 studies did not provide additional data on the relationship between psychological distress and urolithiasis but included data on rates of psychological distress and as such were included in this review. measures of state 43,[60][61][62][63][64][65] and trait 66 anxiety, or on a visual analogue scale anxiety measure 67 compared to urolithiasis controls who did not receive these additional interventions. 43,[60][61][62][63][64][65][66][67] Similarly, urolithiasis patients had lower scores on a simple visual analogue scale anxiety measure (lower anxiety) following transcutaneous electrical nerve stimulation intervention in emergency care 68 or auricular acupressure intervention before SWL, 69 compared to urolithiasis patients who did not receive these interventions.…”

“…measures of state 43,[60][61][62][63][64][65] and trait 66 anxiety, or on a visual analogue scale anxiety measure 67 compared to urolithiasis controls who did not receive these additional interventions. 43,[60][61][62][63][64][65][66][67] Similarly, urolithiasis patients had lower scores on a simple visual analogue scale anxiety measure (lower anxiety) following transcutaneous electrical nerve stimulation intervention in emergency care 68 or auricular acupressure intervention before SWL, 69 compared to urolithiasis patients who did not receive these interventions. In addition, patients who underwent nursing care interventions [70][71][72] or a real-time video during flexible URS intervention 73 had lower anxiety, [70][71][72][73] as well as depression, [70][71][72][73] and higher MH 70 mean scores in the intervention group compared to patients who did not receive intervention.…”

Simultaneously combining a thulium fiber laser and holmium:YAG laser in vacuum-assisted mini-endoscopic combined intrarenal surgery on a complex renal calculus: A case report

“…To date, treatment strategies in the management of urolithiasis are mainly based on minimally invasive procedures, with a preference for endourologic techniques, which include extracorporeal shock wave lithotripsy, retrograde intrarenal surgery, and percutaneous nephrolithotomy (PCNL). 1 , 2 PCNL is the procedure of choice for eliminating large (>2 cm) and complex renal stones, but achieving complete stone clearance in a single approach may require using multiple access tracts. 3 , 4 The large number of tracts and the need for renal parenchymal manipulation leads to more kidney parenchymal injuries, requires PRC transfusion, and sometime contributes to various serious complications, such as uncontrolled hemorrhage and massive hemothorax.…”