Abstract
Objectives: The endometrial sampling procedure (ESP) with Pipelle is frequently used for diagnostic purposes in cases where endometrial pathologies are suspected in abnormal uterine bleeding. This study aimed to investigate video-based multimedia information (MMI)’s effect on anxiety and satisfaction levels of women undergoing endometrial sampling procedures.
Methods: The study was conducted prospectively in patients undergoing ESP for medical indications. Patients were randomly assigned to one of the two groups: the control group, which received verbal and written information before their ESP, and the video-based MMI group (case), which received video-based MMI before their ESP. Patients’ anxiety levels were measured with Beck Anxiety Inventory (BAI) 30 minutes before the procedure and ten minutes after ESP.
Results: Median BAI scores in the MMI and control groups were 5 and 9, respectively, and it was significantly lower in the MMI group. The mean VAS score of both groups were 3.1 and 3.3, respectively (p<0.05). Both groups' procedural patient satisfaction rates were 91.1% and 73.3%, respectively (p<0.05). Although there was no significant difference between the two groups in the VAS score of the ESP (p=0.42), the satisfaction rate of patients in the MMI group was significantly higher than patients in the control group.
Conclusion: Women who undergo invasive gynecological procedures such as endometrial sampling procedures have high anxiety levels and require special attention to manage stress and anxiety. Video-based MMI before the process may increase patients' knowledge about the procedure and decrease anxiety and dissatisfaction due to the procedure.
Keywords
Anxiety, Endometrial Sampling Procedure, Multimedia Information