Effect of meditation on physiological and psychological stress of patients underwent urodynamic examination / 中国实用护理杂志

ABSTRACT

Objective:To explore the effects of meditation on patients underwent urodynamic examination.Methods:Totally 90 patients with benign prostatic hyperplasia who underwent urodynamic examination in the Department of Urology at the hospital from September 2018 to December 2019 were enrolled in the present study. They were assigned to experimental group and control group, with 45 cases in each group. The control group received routine nursing, basis on this, the experimental group carried out meditation training. The examination time, examination success rate as well as the incidence of complications were recorded between two groups. The systolic blood pressure, diastolic blood pressure and heart rate was compared at 10 min before the start of examination, 10 min after the start of examination, 10 min after the end of examination, respectively. In addition, the psychological stress was assessed by Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) at 1 day before the start of examination, 1 hour before the start of examination and 10 min after the end of examination.Results:The examination time were (33.56±4.95) min and the incidence of hematuria were 4.4% (2/45) in the experimental group, significantly lower than (36.42±6.32) min and 17.8% (8/45) in the control group, the difference was statistically significant (t value was 2.460, χ 2 value was 4.050, P<0.05). At 10 min before the start of examination, 10 min after the start of examination, the systolic blood pressure and diastolic blood pressure were (129.18±10.99) mmHg (1 mmHg=0.133 kPa), (130.73±11.81) mmHg and (89.42±14.50) mmHg, (98.36±15.51) mmHg in the experimental group, significantly lower than (135.93±10.17) mmHg, (139.49±10.64) mmHg and (96.29±13.85) mmHg, (105.80±12.02) mmHg in the control group ( t values were 2.297-3.695, P<0.01 or 0.05); at 10 min before the start of examination, 10 min after the start of examination, 10 min after the end of examination, the heart rate were (85.53±11.82) times/min, (90.51±8.82) times/min, (74.09±8.20) times/min in the experimental group, significantly lower than (92.80±11.95) times/min, (95.84±10.02) times/min, (77.60±8.51) times/min in the control group, the difference was statistically significant ( t values were 2.900, 2.680, 1.992, P<0.01 or 0.05). At 1 hour before the start of examination, the SAS and SDS scores were (54.42±3.85) pionts and (54.11±4.65) points in the experimental group, significantly lower than (58.44±7.37) pionts and (56.11±4.48) pionts in the control group, the difference was statistically significant ( t values were 3.247, 2.079, P<0.01 or 0.05). Conclusion:The meditation can help to relieve the physiological and psychological stress of patients who underwent urodynamic examination, shorten the examination time as well as reduce complications.