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Patient Satisfaction Survey Following Urodynamics. Urodynamics. Urogynae Practice An examination of the lower urinary tract Tests bladder pressures during filling and emptying Helps to determine the cause of bladder symptoms. Environment. Best performed in a normal, controlled environment

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Patient Satisfaction Survey Following Urodynamics

Wendy McArthur, Urodynamic Nurse


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Urodynamics

  • Urogynae Practice

  • An examination of the lower urinary tract

  • Tests bladder pressures during filling and emptying

  • Helps to determine the cause of bladder symptoms


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Environment

  • Best performed in a normal, controlled environment

  • Able to reproduce the symptoms

  • Designated room

  • Allows privacy for changing

  • Privacy for uroflow


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Aim

  • Surveyed 114 women with urinary dysfunction undergoing urodynamics

  • Assess their level of anxiety before the test

  • Level of tolerance

  • Flexibility of appointment

  • Explanation of test


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Literature Search

  • I found 4 similar surveys done between 2004 and 2007

  • My survey compared very favourably with similar results


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Booking of Appointment

  • Was the procedure booked within an acceptable time frame?

  • 2 women replied ‘no’

  • Was there flexibility of day and time?

  • 11 replied ‘no’


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Explanations

  • Was the reason for having the urodynamics explained?

  • 2 women replied ‘No’

  • Were the home tests explained clearly?

  • 2 women replied ‘No’

  • Were the written instructions clear?

  • 1 woman replied ‘No’


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Explanations

  • Was there adequate explanation before and during test?

  • 1 woman replied ‘No’

  • Were questions answered in a manner which was easily understood?

  • 1 woman replied ‘No’


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During Test

  • Was your privacy and dignity maintained through the test?

  • 1 woman replied ‘No’

  • Was there any discomfort associated with the test?

  • 45 replied ‘Yes’


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Pre Test

  • Analog score of 1 - 5 with 1 being relaxed and 5 being nervous and anxious

  • Mean score was 2.88

  • 28 women felt relaxed

  • 24.5% scored < 2

  • 41 women felt nervous and anxious

  • 36% scored > 3


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Reasons for Feeling Anxious and Nervous

  • Embarrassment - 40

  • Fear of catheter - 35

  • Fear of unknown - 39

  • Fear of pain - 18

  • 36 women didn’t identify any of these concerns


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Post Test

  • An analog score of 1 - 5 with 1 being better than anticipated and 5 being worse than anticipated

  • Mean score 1.81

  • 50 women scored 2 or less - 44%

  • 5 women scored > 3 - 4%


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Results

  • 36% scored > 3 for anxiety before the test

  • Only 4% found the test worse than anticipated ( p = 0.0001)

  • Mean score pre test was 2.88

  • Mean score post test was 1.88

  • There was a negative correlation


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Results

  • Bookings were prompt and flexible

  • Explanations were mostly adequate


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Conclusion

  • A urodynamic study was well tolerated by the majority of our patients

  • A moderate percentage were nervous and anxious before the test

  • A significant minority found the test embarrassing and painful

  • Explanations before and during the test help to reduce anxiety


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