Article

The aim of this study was to evaluate the possible impact of patients' visual
information on the effectiveness of ultrasound (US)-guided local injections on
anxiety levels and shoulder pain. DESIGN: A total of 151 patients, scheduled for
local injection owing to shoulder pain, were randomly assigned into two groups in
a consecutive order. Patients in group I (n = 72) were provided information
related to US findings and allowed to watch the procedures from the monitor,
whereas patients in group II (n = 79) received the injection only without any
collaboration. Data were collected from both groups immediately before and after
injections through visual analog scale and questionnaire (the State-Trait Anxiety
Inventory [STAI] forms 1 and 2). RESULTS: US-guided local injections provided
significant improvement of anxiety and pain in both groups, irrespective of
providing visual information. Group I and group II comparisons with respect to
the visual analog scale, STAI 1, and STAI 2 yielded significant difference only
for postinjection STAI 2 in group I (P = 0.006). Intragroup comparisons revealed
significant differences between preinjection and postinjection values (group I:
visual analog scale, P = 0.001; STAI form 1, P = 0.001; STAI form 2, P = 0.002;
group II: visual analog scale, P = 0.001; STAI form 1, P = 0.002; STAI form 2, P
= 0.042). There was no significant difference between the groups in terms of
postinjection satisfaction levels from the procedures (P = 0.824). CONCLUSIONS:
Performing US-guided shoulder injections with patient visual information provides
positive contributions to coping with pain and anxiety. In particular, the
patient collaboration-based US-guided injections have positive consequences on
patients' long-standing "trait-anxiety" levels.

Langue : ANGLAIS