Presentation Authors: Jack Trebelhorn*, Detroit, MI, Michael Chancellor, Royal Oak, MI, Nivedita Dhar, Detroit, MI
Introduction: Arabic-speaking migrants have constituted a growing population in Metropolitan Detroit area. One of the solutions to ensure effective communication between patient and healthcare staff who do not share the same language is to use a professional interpreter and Arabic written medical information (AWMI). AWMI ((Krames, StayWell Company) on ambulatory flexible cystoscopy (cysto) was given to all of our Arabic only speaking patients to read before they leave the office. The purpose of this study was to prospectively evaluate expected and actual amount of perceived pain levels associated with diagnostic cysto before reading AWMI, after reading the AWMI and immediately after the cysto.
Methods: From January 2015 to December 2017, all 250 Arabic only speaking/reading females scheduled for ambulatory cysto were provided the cysto AWMI to read before leaving the office. Pain was graded on an Arabic written Likert visual analog scale (VAS) of 1-10 where 0 = no pain and 10 = excruciating unbearable pain. (Fig 1) Patients completed the VAS before and after reading the AWMI as well as after the cysto. The VAS scores were evaluated for significance with the use of the Student t test and the Pearson correlation coefficient. Local lidocaine gel 2% was used as intraurethral lubricant.
Results: Data from 250 consecutive cysto (age range 35-89 years) by a single urologist were analyzed. Thirteen women were receiving analgesics on a daily basis. This was the first cystoscopy for 225 patients. The overall mean VAS was 5.74 Â± 1.51 (range 2-9) before reading AWMI, 3.54 Â± 1.57 (range 0- 8) after reading AWMI and 2.48 Â± 1.53 (range 0-7) after flexible cysto (P < .05). (Table 1)
Conclusions: The use of cysto AWMI in Arabic women may help lower the amount of perceived pain of a cysto. Muslim women have specific challenges in seeking healthcare based on Islamic teachings or social constructs. Further research is needed to identify obstacles, improve access, and provide quality care for this population.