title: The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy.
abstract: BACKGROUND
  We assess the effect of video-based education on patient anxiety during transrectal prostate biopsy.
  
  
  METHODS
  A total of 246 patients who underwent transrectal prostate biopsy were prospectively enrolled in the study. Group 1 included 123 patients who received both written and video-based education, while Group 2 included 123 patients who received only written instructions regarding prostate biopsies. State-Trait Anxiety Inventory (STAI) was used to assess state and trait anxiety (STAI-S/T) After completing the STAI-S and STAI-T questionnaires, all patients in Group 1 received written information and video-based education and they again completed STAI-S before the biopsy. On the contrary, after completing the STAI-S and STAI-T questionnaires, the patients in Group 2 received only written information and then they completed the STAI-S before the biopsy. Moreover, a visual analog scale (VAS) was used to assess pain scores during digital rectal examination, probe insertion, periprostatic local anesthesic infiltration, and biopsy.
  
  
  RESULTS
  No difference was noted between 2 groups regarding VAS scores. Comparing the 2 groups on baseline anxiety, we found that trait anxiety scores (STAI-T) were similar (p = 0.238). Pre-information STAI-S scores were similar in both groups (p = 0.889) and they both indicated high anxiety levels (score ≥42). While post-information STAI-S scores remained high in Group 2, post-information STAI-S scores significantly decreased in Group 1 (p = 0.01).
  
  
  CONCLUSIONS
  Undergoing a prostate biopsy is stressful and may cause anxiety for patients. Video-based education about the procedure can diminish patient anxiety.
authors.affiliation: Tepecik Training and Research Hospital, Urology Department, Izmir-Turkey;
authors.forename: Huseyin
authors.initials: H
authors.lastname: Tarhan
authors.affiliation: Tepecik Training and Research Hospital, Urology Department, Izmir-Turkey;
authors.forename: Ozgur
authors.initials: O
authors.lastname: Cakmak
authors.affiliation: Tepecik Training and Research Hospital, Psychiatry Department, Izmir-Turkey;
authors.forename: Elif
authors.initials: E
authors.lastname: Unal
authors.affiliation: Tepecik Training and Research Hospital, Urology Department, Izmir-Turkey;
authors.forename: Ilker
authors.initials: I
authors.lastname: Akarken
authors.affiliation: Katip Celebi University, Ataturk Training and Research Hospital, Urology Department, Izmir-Turkey;
authors.forename: Sitki
authors.initials: S
authors.lastname: Un
authors.affiliation: Tepecik Training and Research Hospital, Urology Department, Izmir-Turkey;
authors.forename: Rahmi Gokhan
authors.initials: RG
authors.lastname: Ekin
authors.affiliation: Milas State Hospital, Urology Department, Mugla-Turkey.
authors.forename: Ersin
authors.initials: E
authors.lastname: Konyalioglu
authors.affiliation: Tepecik Training and Research Hospital, Urology Department, Izmir-Turkey;
authors.forename: Cemal Selcuk
authors.initials: CS
authors.lastname: Isoglu
authors.affiliation: Tepecik Training and Research Hospital, Urology Department, Izmir-Turkey;
authors.forename: Ferruh
authors.initials: F
authors.lastname: Zorlu