The Impact of Awareness on the Comfort and Physiological Indicators in Patients Undergoing Extracorporeal Shock Wave Lithotripsy (ESWL)

authors:

avatar Mojdeh Navidhamidi , avatar Masoumeh Zakerimoghadam ORCID , avatar Shima Haghani ORCID , avatar Azizi Mahkooyeh , *

Koomesh: Vol.25, issue 4; 503-510
published online: December 02, 2023
article type: Research Article
received: April 01, 2023
accepted: November 02, 2023

how to cite: Navidhamidi M, Zakerimoghadam M, Haghani S, Mahkooyeh A. The Impact of Awareness on the Comfort and Physiological Indicators in Patients Undergoing Extracorporeal Shock Wave Lithotripsy (ESWL). koomesh. 2023;25(4):e152849. 

Abstract

Introduction: Comfort and attention to the physiological indicators in patients are integral elements in providing comprehensive care to patients undergoing ESWL. This study was performed to specify the impact of patient awareness-raising before extracorporeal lithotripsy on the comfort and physiological indicators in patients. Materials and Methods: The study was a clinical trial involving 122 patients admitted to Baharlu Hospital. They were selected using the convenient sampling method and randomly divided into two groups, i.e. intervention and control (each comprising 61 patients). Patients' demographic characteristics scale and Kolcaba's General Comfort Questionnaire (GCQ) were delivered to both groups before the intervention. Correspondingly, the Blood pressure, pulse rate, and respiration were also measured by the researcher. Afterward, the necessary information was provided to the intervention group before the surgery by the researcher, along with a face-to-face lecture and a video broadcast. Meanwhile, the control group received the information routinely presented by the hospital department. It should be noted that patients' physiological indicators were measured and they were asked to fill in the GCQ scale before entering the extracorporeal lithotripsy room for both groups. The data were analyzed via SPSS version 20 and statistical procedures. Results: There was no statistically significant difference between the two groups in terms of demographic characteristics (P>0.05), however, the mean scores for the physiological and comfort indices in the two groups had a statistically significant difference after the intervention (P<0.001) Conclusion: Patient awareness-raising through videos and speech could contribute to reducing physiological indicators and increasing comfort levels in patients.

References

  • 1.

    Seckiner I, Seckiner S, Sen H, Bayrak O, Dogan K, Erturhan S. A neural network-based algorithm for predicting stone-free status after ESWL therapy. Int Braz J Urol 2017; 43: 1110-1114.

  • 2.

    Wu W, Yang Z, Tang F, Xu C, Wang Y, Gu X, et al. How to accelerate the upper urinary stone discharge after extracorporeal shockwave lithotripsy (ESWL) for< 15 mm upper urinary stones: a prospective multi-center randomized controlled trial about external physical vibration lithecbole (EPVL). World J Urol 2018; 36: 293-298.

  • 3.

    Safdar OY, Alzahrani WA, Kurdi MA, Ghanim AA, Nagadi SA, Alghamdi SJ, et al. The prevalence of renal stones among local residents in Saudi Arabia. J Family Med Prim Care 2021; 10: 974-977.

  • 4.

    Abufaraj M, Xu T, Cao C, Waldhoer T, Seitz C, D'andrea D, et al. Prevalence and trends in kidney stone among adults in the USA: analyses of national health and nutrition examination survey 2007-2018 Data. Eur Urol Focus 2021; 7: 1468-1475.

  • 5.

    Moftakhar L, Jafari F, Ghoddusi Johari M, Rezaeianzadeh R, Hosseini SV, Rezaianzadeh A. Prevalence and risk factors of kidney stone disease in population aged 40-70 years old in Kharameh cohort study: a cross-sectional population-based study in southern Iran. BMC Urol 2022; 22: 205.

  • 6.

    Tadayyon F, Sabbagh M. The prevalence of kidney stone different composition in patients referred to the lithotripsy wards. J Isfahan Med Sch 2011; 28: 1781-1791. (Persian).

  • 7.

    Niwa N, Matsumoto K, Miyahara M, Omura M, Kobayashi H, Kikuchi E et al. Simple and practical nomograms for predicting the stone-free rate after shock wave lithotripsy in patients with a solitary upper ureteral stone. World J Urol 2017; 35: 1455-1461.

  • 8.

    Li M, Wang Z, Yang J, Guo X, Wang T, Wang S, et al. Adjunctive medical therapy with -blocker after extracorporeal shock wave lithotripsy of renal and ureteral stones: a meta-analysis. PLoS One 2015; 10: e0122497.

  • 9.

    Kaydu A, Gokcek E. Frequency of anxiety and depression in patients of urtolithiasis undergoing Extracorporeal Shock Wave Lithotripsy in Diyarbakir, Turkey. J Pakistan Med Assoc 2019; 69: 426-431.

  • 10.

    Karalar M, Keles I, Doantekin E, Kahveci OK, Sarici H. Reduced pain and anxiety with music and noise-canceling headphones during shockwave lithotripsy. J Endourol 2016; 30: 674-677.

  • 11.

    Kolcaba K. Comfort theory and practice: a vision for holistic health care and research. Sprin Publish Company 2003.

  • 12.

    Suparman Rustam J, Kongsuwan W, Kitrungrote L. Comfort in patients receiving mechanical ventilation: A Literature. Crit Care Nurs 2018; 11: 1-7.##https://doi.org/10.5812/ccn.64159.

  • 13.

    Mirbagher Ajorpaz N, Mohammadi A, Najaran H, Khazaei S. Effect of music on postoperative pain in patients under open heart surgery. Nurs Midwifery Stud 2014; 3: e20213.

  • 14.

    Vaghee S, Sepehrikia M, Saghebi SA, Behnam Voshani H, Salarhaji A, Nakhaee Moghaddam Z. Comparison of the effect of face-to-face and multimedia education on the anxiety caused by electroconvulsive therapy in patients with mood disorders. Evidence Based Care 2017; 7: 25-34.

  • 15.

    Jouybari L, Haghdoost Oskouee S, Ahmadi F. Comforting nurse: patients' experiences and perceptions. Razi J Med Sci 2005; 12: 59-68. (Persian).

  • 16.

    Agarwal A, Ranjan R, Dhiraaj S, Lakra A, Kumar M, Singh U. Acupressure for prevention of preoperative anxiety: a prospective, randomised, placebo controlled study. Anaesthesia 2005; 60: 978-981.

  • 17.

    New M. The effect of music therapy, in the form of ocean sounds, on open heart surgery patient's comfort level. Spring 2010 Abstract Titles: ASRA 35th Annual Regional Anesthesia Meeting and Workshops April 22-25, 2010 Toronto, Ontario, Canada. Regional Anesthesia & Pain Medicine 2010;35:459-470##https://doi.org/10.1097/AAP.0b013e3181f362c4.

  • 18.

    Mohammadi M, Emami SA, Mahmoudi F, Bahrani S. The effect of preoperative education on postoperative pain and anxiety in patients undergoing percutaneous nephrolithotomy (PCNL). J Isfahan Med Sch 2017; 35: 428-433. (Persian).

  • 19.

    Jamshidi N, Abbaszadeh A, Najafi KM. The effects of video education on comfort and tolerability of patients undergoing coronary angiography. 2010. (Persian).

  • 20.

    Monfared A, Dehghanzadeh S, Mirzaei DS, Noorrasouli S, Salari A, Jafaraghaee F. Effect of education with film on anxiety level of patients undergoing coronary angiography: A clinical trial. 2021. (Persian).

  • 21.

    Ershad SR, Mokhtari Z, Naghibzadeh TA, Borhaninejad V, Valinejadi A. Assessment of type 2 diabetes patients' self-care status learned based on the national diabetes control and prevention program in health centers of a selected city, Iran. 2021. (Persian).

  • 22.

    Zarurati M, Pishgooie SA, Farsi Z, Karbaschi K. The effect of music therapy on comfort level and some vital signs of patients undergoing hemodialysismodialysis. Milit Car Sci 2017; 3: 221-232.##https://doi.org/10.18869/acadpub.mcs.3.4.221.

  • 23.

    Payami M, Mousavinasab N. Efficacy of back massage on irritable bowel syndrome (IBS) using colcaba comfort theory. Ilam Univ Med Sci 2008; 16: 36. (Persian).

  • 24.

    Steele P. Evaluating the outcomes of a comfort-functional goal in cardiac surgery patients: Grand Canyon University; 2020.

  • 25.

    Jamshidi N, Abbaszadeh A, Kalyani MN, Sharif F. Effectiveness of video information on coronary angiography patients' outcomes. Collegian 2013; 20: 153-159.

  • 26.

    Tabiee S, Vagharseyyedin SA, Riyahii Nokandeh GA, Sheikhy F. The effect of comfort-based care (Reflective massage and education to patient) on comfort in patients undergoing coronary artery bypass grafting. J Surg Trauma 2017; 5: 44-50.

  • 27.

    Pazar B, Iyigun E. The effects of preoperative education of cardiac patients on haemodynamic parameters, comfort, anxiety and patient-ventilator synchrony: A randomised, controlled trial. Intensive Crit Care Nurs 2020; 58: 102799.

  • 28.

    Nussbaum GB. Spirituality in Critical Care: Patient Comfort and Satisfaction. Crit Care Nurs Quart 2003; 26: 214-220.

  • 29.

    Mashhadi M, Mohammadi Parsa A, Sharifian P. Comparison of effect of Two methods of face-to-face training and educational video on anxiety and physiological parameters in candidate patients for colonoscopy: a Quasi-Experimental study. J Health Care 2020; 22: 267-276.##https://doi.org/10.52547/jhc.22.3.267.

  • 30.

    Khoshnavay Fomani F, Amiri M, Heravi Karimooi M, Rejeh N, Khani F. The effects of applying nursing counseling program on the anxiety and vital signs of patients undergoing colonoscopy admitted in Imam Khomeini Hospital, Tehran. Iran J Nurs Res 2019; 13: 78-85.