Interventions for reducing anxiety in women undergoing colposcopy
Sübutlu məlumatların xülasələri
06.09.2017 • Sonuncu dəyişiklik 06.09.2017
Editors
Anxiety related to colposcopy appears to be reduced by playing music during colposcopy, showing information videos prior to colposcopy and viewing video colposcopy during the procedure.
A Cochrane review included 6 studies. All comparisons were restricted to single trial analyses or meta analysis of just two trials. There was evidence from a reasonably large trial (n = 220) that was at low risk of bias to suggest that music during colposcopy significantly reduced anxiety levels (MD = -4.80, 95% CI: -7.86 to -1.74) and pain experienced during the procedure (MD = -1.71, 95% CI: -2.37 to -1.05) compared to not listening to music. There was no statistically significant difference between anxiety levels prior to colposcopy in women receiving information leaflets versus no leaflets and information leaflets, video and counselling versus information leaflets and video with no counselling. However, knowledge scores were significantly higher and psychosexual dysfunction scores were significantly lower in women who received leaflets compared to those who did not so there was some sort of benefit to giving patients information leaflets. There is evidence for video colposcopy from a quasi randomised trial which assessed 81 women showing significant anxiety reduction.
Information leaflets - (proved not to be associated with anxiety reduction).
Counselling: pre-colposcopic counselling was not associated with anxiety reduction.
Information leaflets and information video and pre-colposcopy counselling was not associated with a reduction in anxiety levels.
Listening to music during colposcopy: this intervention was associated with reduction in anxiety levels (p < 0.002).
Video colposcopy was associated with reduction in anxiety levels, and the reduction in anxiety was significant (p < 0.0002).
Information using graphs and verbal information and information video versus information only when sought: There was no significant reduction in the level of anxiety in the intervention group.
Information leaflets and information video versus information leaflets only: There was a reduction in anxiety levels in the intervention group compared to the control group (p < 0.00001).
Comment: The quality of evidence is downgraded by study limitations (incomplete outcome data).
Ədəbiyyat
- Galaal K, Bryant A, Deane KH et al. Interventions for reducing anxiety in women undergoing colposcopy. Cochrane Database Syst Rev 2011;(12):CD006013. .