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The impact of watching real-time videos of flexible ureteroscopic lithotripsy on anxiety and depression in patients

  • Urology - Original Paper
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Abstract

Purpose

This study examines the effect of intraoperative doctor–patient communication with real-time videos in flexible ureteroscopic lithotripsy on patients’ anxiety and depression.

Methods

Patients with upper urinary tract calculi were randomised into four groups. Group A (n = 29) watched the real-time operation video, but did not accept the relevant explanation during the operation; Group B (n = 31) received an explanation about the operation process during the operation alone. Patients in Group C (n = 33) watched the real-time operation video and received an explanation about the operation process during the operation. Group D (n = 31) neither watched the operation video nor received an explanation about the operation process. The self-rated anxiety and depression scores of the patients were evaluated using the self-rating anxiety scale (SAS) and the self-rating depression scale (SDS) before and after the operation.

Results

The clinical and demographic profiles (average age, gender distribution, educational level, body mass index, stone size, the position of stones in each groups, the length of stayand the numbers of severe postoperative complications) of the for groups showed no preoperation difference (P > 0.05). The preoperative anxiety scores and the preoperative depression scores showed no significant difference in the four groups (P > 0.05). The scores of postoperative anxiety and depression in groups A (n = 29), B (n = 31), and C (n = 33) were significantly lower than those in Group D (n = 31), (P < 0. 05). Compared to groups A and B, the scores of anxiety and depression in Group C were significantly decreased (P < 0.05).

Conclusion

During flexible ureteroscopic lithotripsy, doctor–patient communication combined with real-time video can significantly reduce patients’ postoperative anxiety and depression, and contribute to their physical and mental health recovery.

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Availability of data and material

The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.

Code availability

Not applicable.

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Authors and Affiliations

Authors

Contributions

JW: project development, manuscript writing. BY: project development, manuscript writing. YM, SL: data collection, data management, manuscript writing.YZ, JW: manuscript editing. All authors contributed to data analysis, drafting or revising the article, have agreed on the journal to which the article will be submitted, gave final approval of the version to be published, and agree to be accountable for all aspects of the work.

Corresponding author

Correspondence to Jinyao Wang.

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Conflict of interest

The authors declare that they have no competing interests.

Ethics approval

This study was approved by the Ethical Review Board of Shanxi Medical University. The research complies with the provisions of the Declaration of Helsinki (as revised in 2013).

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All patients provided written informed consent for inclusion of their data in this research.

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Written informed consent for publication was obtained from all study participants.

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Yang, B., Liu, S., Mi, Y. et al. The impact of watching real-time videos of flexible ureteroscopic lithotripsy on anxiety and depression in patients. Int Urol Nephrol 54, 1009–1015 (2022). https://doi.org/10.1007/s11255-022-03164-x

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  • DOI: https://doi.org/10.1007/s11255-022-03164-x

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