Effect of Diaphragmatic Breathing on Procedural Anxiety During Transrectal Prostate Biopsy

To improve the tolerability of transrectal ultrasound guided prostate biopsy through use of diaphragmatic breathing. Forty-seven patients, aged 52-79 years, who were scheduled for a transrectal ultrasound guided prostate biopsy with or without MRI guidance, were recruited at a single Veterans Affair...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2020-03, Vol.137, p.26-32
Main Authors: Grinberg, Amy S., Sellinger, John J., Sprenkle, Preston C., Bandin, Alexander J., Nawaf, Cayce B., Syed, Jamil S., Leapman, Michael S.
Format: Article
Language:English
Subjects:
Aged
Anxiety - etiology
Anxiety - psychology
Diaphragm
Humans
Image-Guided Biopsy - methods
Image-Guided Biopsy - psychology
Male
Middle Aged
Preoperative Care - methods
Prostate - pathology
Prostatic Neoplasms - pathology
Rectum
Respiration
Ultrasonography, Interventional
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Summary:To improve the tolerability of transrectal ultrasound guided prostate biopsy through use of diaphragmatic breathing. Forty-seven patients, aged 52-79 years, who were scheduled for a transrectal ultrasound guided prostate biopsy with or without MRI guidance, were recruited at a single Veterans Affairs medical center for the diagnosis or evaluation of prostate cancer. Patients either met with a health psychologist for a 1-time, diaphragmatic breathing intervention immediately prior to their biopsy, or received usual care. All biopsies were performed using local anesthetic without sedation or anxiolytic therapy. The primary outcome was the difference in self-reported procedural situational anxiety as measured with the State Trait Anxiety Inventory, assessed both pre- and post-transrectal ultrasound guided prostate biopsy. We also examined secondary outcomes including physiological parameters (heart rate and blood pressure). There were no significant differences in preprocedural anxiety or physiological parameters between patients who received the intervention and those who received usual care. Patients who received the intervention had a significantly larger decrease in situational anxiety from pre- to postprocedure (M = 14.15, SD = 6.64) compared with those who received usual care (M = 3.45, SD = 9.97); t (38) = −4.0, P
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2019.12.024