The effects of a heating pad on anxiety, pain, and distress during urodynamic study in the female patients with stress urinary incontinence

Jong Wook Kim, Hyun Ju Kim, Young Joo Park, Sung-Gu Kang, Jae Young Park, Jae Hyun Bae, Seok Ho Kang, Hong Seok Park, Du Geon Moon, Jun Cheon, Jeong Gu Lee, Je-Jong Kim, Mi-Mi Oh

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2 Citations (Scopus)

Abstract

Aims: Although generally well tolerated, a urodynamic study is an unpleasant and stressful procedure for some patients. This study evaluated the effects of a heating pad on anxiety, pain, and distress during urodynamic studies in female patients with stress urinary incontinence. Methods: A total of 74 female patients with stress urinary incontinence who underwent a urodynamic study between May 2015 and October 2015 were randomized to either the experimental group using a heating pad (n=37) or control group (n=37). In the experimental group, a heating pad was applied on the patient's sacrum during the urodynamic study. All patients completed the State-Trait Anxiety Inventory (20-80) before and after the procedure and assessed their degree of pain and distress after the procedure by the visual analog scale (0-10). Systolic and diastolic blood pressure and pulse rate were also checked before and after the procedure. Results: Demographic characteristics, mean age, procedure duration, pre and post-procedural systolic, and diastolic blood pressures, and pulse rate were statistically similar between the experimental and control groups. The mean State-Trait Anxiety Inventory was significantly lower in the experimental group than in the control group (30.9±7.5 vs 42.5±10.1, P<0.001). The experimental group showed significantly lower pain and distress scores (Visual Analog Scale, 2.7±1.5, 3.0±1.5) compared with the control group (4.0±1.6, 4.7±2.0, both P<0.001). Conclusions: Using a heating pad for female patients with stress urinary incontinence during a urodynamic study is a simple, economical, and effective therapy that enhances patient comfort and decreases anxiety, pain, and distress.

Original languageEnglish
JournalNeurourology and Urodynamics
DOIs
Publication statusAccepted/In press - 2018 Jan 1

Fingerprint

Stress Urinary Incontinence
Urodynamics
Heating
Anxiety
Pain
Blood Pressure
Control Groups
Visual Analog Scale
Heart Rate
Sacrum
Equipment and Supplies
Demography

Keywords

  • Anxiety
  • Pain
  • Thermotherapy
  • Urodynamics

ASJC Scopus subject areas

  • Clinical Neurology
  • Urology

Cite this

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title = "The effects of a heating pad on anxiety, pain, and distress during urodynamic study in the female patients with stress urinary incontinence",
abstract = "Aims: Although generally well tolerated, a urodynamic study is an unpleasant and stressful procedure for some patients. This study evaluated the effects of a heating pad on anxiety, pain, and distress during urodynamic studies in female patients with stress urinary incontinence. Methods: A total of 74 female patients with stress urinary incontinence who underwent a urodynamic study between May 2015 and October 2015 were randomized to either the experimental group using a heating pad (n=37) or control group (n=37). In the experimental group, a heating pad was applied on the patient's sacrum during the urodynamic study. All patients completed the State-Trait Anxiety Inventory (20-80) before and after the procedure and assessed their degree of pain and distress after the procedure by the visual analog scale (0-10). Systolic and diastolic blood pressure and pulse rate were also checked before and after the procedure. Results: Demographic characteristics, mean age, procedure duration, pre and post-procedural systolic, and diastolic blood pressures, and pulse rate were statistically similar between the experimental and control groups. The mean State-Trait Anxiety Inventory was significantly lower in the experimental group than in the control group (30.9±7.5 vs 42.5±10.1, P<0.001). The experimental group showed significantly lower pain and distress scores (Visual Analog Scale, 2.7±1.5, 3.0±1.5) compared with the control group (4.0±1.6, 4.7±2.0, both P<0.001). Conclusions: Using a heating pad for female patients with stress urinary incontinence during a urodynamic study is a simple, economical, and effective therapy that enhances patient comfort and decreases anxiety, pain, and distress.",
keywords = "Anxiety, Pain, Thermotherapy, Urodynamics",
author = "Kim, {Jong Wook} and Kim, {Hyun Ju} and Park, {Young Joo} and Sung-Gu Kang and Park, {Jae Young} and Bae, {Jae Hyun} and Kang, {Seok Ho} and Park, {Hong Seok} and Moon, {Du Geon} and Jun Cheon and Lee, {Jeong Gu} and Je-Jong Kim and Mi-Mi Oh",
year = "2018",
month = "1",
day = "1",
doi = "10.1002/nau.23326",
language = "English",
journal = "Neurourology and Urodynamics",
issn = "0733-2467",
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T1 - The effects of a heating pad on anxiety, pain, and distress during urodynamic study in the female patients with stress urinary incontinence

AU - Kim, Jong Wook

AU - Kim, Hyun Ju

AU - Park, Young Joo

AU - Kang, Sung-Gu

AU - Park, Jae Young

AU - Bae, Jae Hyun

AU - Kang, Seok Ho

AU - Park, Hong Seok

AU - Moon, Du Geon

AU - Cheon, Jun

AU - Lee, Jeong Gu

AU - Kim, Je-Jong

AU - Oh, Mi-Mi

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Aims: Although generally well tolerated, a urodynamic study is an unpleasant and stressful procedure for some patients. This study evaluated the effects of a heating pad on anxiety, pain, and distress during urodynamic studies in female patients with stress urinary incontinence. Methods: A total of 74 female patients with stress urinary incontinence who underwent a urodynamic study between May 2015 and October 2015 were randomized to either the experimental group using a heating pad (n=37) or control group (n=37). In the experimental group, a heating pad was applied on the patient's sacrum during the urodynamic study. All patients completed the State-Trait Anxiety Inventory (20-80) before and after the procedure and assessed their degree of pain and distress after the procedure by the visual analog scale (0-10). Systolic and diastolic blood pressure and pulse rate were also checked before and after the procedure. Results: Demographic characteristics, mean age, procedure duration, pre and post-procedural systolic, and diastolic blood pressures, and pulse rate were statistically similar between the experimental and control groups. The mean State-Trait Anxiety Inventory was significantly lower in the experimental group than in the control group (30.9±7.5 vs 42.5±10.1, P<0.001). The experimental group showed significantly lower pain and distress scores (Visual Analog Scale, 2.7±1.5, 3.0±1.5) compared with the control group (4.0±1.6, 4.7±2.0, both P<0.001). Conclusions: Using a heating pad for female patients with stress urinary incontinence during a urodynamic study is a simple, economical, and effective therapy that enhances patient comfort and decreases anxiety, pain, and distress.

AB - Aims: Although generally well tolerated, a urodynamic study is an unpleasant and stressful procedure for some patients. This study evaluated the effects of a heating pad on anxiety, pain, and distress during urodynamic studies in female patients with stress urinary incontinence. Methods: A total of 74 female patients with stress urinary incontinence who underwent a urodynamic study between May 2015 and October 2015 were randomized to either the experimental group using a heating pad (n=37) or control group (n=37). In the experimental group, a heating pad was applied on the patient's sacrum during the urodynamic study. All patients completed the State-Trait Anxiety Inventory (20-80) before and after the procedure and assessed their degree of pain and distress after the procedure by the visual analog scale (0-10). Systolic and diastolic blood pressure and pulse rate were also checked before and after the procedure. Results: Demographic characteristics, mean age, procedure duration, pre and post-procedural systolic, and diastolic blood pressures, and pulse rate were statistically similar between the experimental and control groups. The mean State-Trait Anxiety Inventory was significantly lower in the experimental group than in the control group (30.9±7.5 vs 42.5±10.1, P<0.001). The experimental group showed significantly lower pain and distress scores (Visual Analog Scale, 2.7±1.5, 3.0±1.5) compared with the control group (4.0±1.6, 4.7±2.0, both P<0.001). Conclusions: Using a heating pad for female patients with stress urinary incontinence during a urodynamic study is a simple, economical, and effective therapy that enhances patient comfort and decreases anxiety, pain, and distress.

KW - Anxiety

KW - Pain

KW - Thermotherapy

KW - Urodynamics

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DO - 10.1002/nau.23326

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