The Effect of Video Assisted Information on Anxiety and Pain Associated with Intrauterine Device Insertion
Eric, Jule and Purut, Yunus Emre and Harmanci, Hatice
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Abstract
Introduction: Fear of procedural pain or stress may be a barrier to
women accessing intrauterine device (IUD) for contraception. The aim of
this study is to evaluate the effect of video-assisted information on
the anxiety and pain levels of patients undergoing IUD placement
procedure. Methods: A total of 100 patients who underwent IUD insertion
were prospectively enrolled in this observational case-control study.
Study group included 50 patients who received both verbal and
video-based informatiion, while control group included 50 patients who
received only verbal information regarding IUD insertion. The anxiety of
the participants was measured by Spielberger's State-Trait Anxiety
Inventory (STAI) scale, both before and after the IUD insertion. State
Anxiety Scale (STAI-S) was used to evaluate the current anxiety levels,
and Trait Anxiety Scale (STAI-T) was used to evaluate the general and
stable aspects of anxiety. Pain was measured using visual analog scale
(VAS) immediately after the IUD insertion procedure. Results: There was
no statistically significant difference between the pre-intervention
STAI-S and STAI-T scores between the study and control groups (p = 0.098
for STAI-S, p = 0.641 for STAI-T). Similarly, there was no statistically
significant difference between the post-intervention STAI-S score
between the groups (p = 0.381). However, pain scores measured by VAS
were significantly lower in the study group when compared with the
control group (p < 0.001). Conclusion: Video-assisted information about
IUD insertion did not have a reducing effect on anxiety, but was
associated with a statistically significant decrease in pain.... Show more Show less