Effect of Instructive Information with and without the Use of Pictures on Anxiety of Women Receiving First-time Transvaginal/Tansrectal Ultrasonography

Main Article Content

Aungkana Petkan
Prasong Tanmahasamut
Ariya Hengthaveesapsiri
Kritsana Sawatsri
Warattaya Rujiwee


Purpose: This study aimed to compare the effects of instructive information with and without the use of pictures on anxiety of women and their satisfaction.

Design: Randomized-controlled trial.

Methods: One hundred and sixty-four participants who came to the clinic for receiving the first-time transvaginal or transrectal ultrasonography were randomized into 2 groups. The control group received instructive information, while the comparison group received instructive information together with the pictures of ultrasound probe and manikin. Questionnaires used for data collection included the demographic questionnaire, State Trait Anxiety inventory, and the patient’s wants of viewing the pictures questionnaire. Descriptive statistics, chi-square test, independent t-test, paired t-test were used in data analysis.

Main findings: There was no statistically significant difference of mean scores on anxiety and satisfaction between the study groups (p > .05).

Conclusion and recommendations: These finding imply instructive information counseling is more important than used of the pictures, so nurse should emphasize to communication with the patient in order to correct misunderstanding and give education before ultrasonographic examination.

Article Details

How to Cite
Petkan, A., Tanmahasamut, P., Hengthaveesapsiri, A., Sawatsri, K., & Rujiwee, W. (2020). Effect of Instructive Information with and without the Use of Pictures on Anxiety of Women Receiving First-time Transvaginal/Tansrectal Ultrasonography. Nursing Science Journal of Thailand, 38(2), 88–98. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/226074
Research Papers


Wongtiraporn W, Rattanachaiyanont M, Tanmahasamut P, Benjapibal M, Ruengkhachorn I. Gynecology, Vol. 2. 1st ed. Bangkok: PA Living Printing; 2011. 466 p. (in Thai).

Guwalairut J, Chunprasert W, Hemasuk W. The effect of information intervention about pelvic examination to the anxiety of first pelvic examination client. Bangkok: Nursing Department, Faculty of Medicine Siriraj Hospital, Mahidol University; 2002. 35 p. (in Thai).

Cheemai C. Trait anxiety, self esteem and coping strategies of senior students at Kasetsart University, Bangkhen Campus [master, s thesis]. Bangkok: Kasetsart University; 2009: 182 p. (in Thai).

Paenkaew J, Kethmatus C. Effects of modeling on anxiety reduction of the nursing students prior to principles and techniques in nursing practicum. Bulletin of Suanprung. 2016;32(3):44-53. (in Thai).

Chetchotsak Y, Sittiwongsa P, Wongwi P. Effects of information giving on anxiety, knowledge and practice among mothers of infants with retinopathy of prematurity. Srinagarind Medical Journal. 2013;28(2):155-62. (in Thai).

Maneerat T. The effects of listening to an audio tape describing relaxation breathing technique combined with music on preoperative anxiety in patients undergoing transurethral resection prostatectomy [master, s thesis]. Songkhla: Prince of Songkla University; 2004. 84 p. (in Thai).

Thongnamwon R. Study on anxiety level in the pro-operative patients at Krathumbean Hospital [master’s thesis]. Bangkok: Silpakorn University; 2006. 75 p. (in Thai).

Pituksung A, Tanterothum J, Supharerx S, Waranukulsak O. The study of anxiety, stress and information required of the preoperative outpatients. Siriraj Nursing Journal. 2011;4(1):35-42. (in Thai).

Ngamlarus C, Chongsuvivatwong V, McNeil E. n4Studies: sample size calculation for an epidemiological study on a smart device. Siriraj Med J. 2016;68(3):160-70.

Julian JL. Measures of anxiety. Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S467-72. doi: 10.1002/acr.20561.

Speilberger CD. Anxiety and behavior. New York: Academic Press; 1966. 430 p.