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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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.
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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