Patient Satisfaction Survey Following Urodynamics

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Patient Satisfaction Survey Following Urodynamics
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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 lt 2
• 41 women felt nervous and anxious
• 36 scored gt 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 didnt 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 gt 3 - 4

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Results

• 36 scored gt 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