Overview
To reduce the procedural pain of Pap smear, this study expects to apply the peak-end rule to Pap smear by prolonging the insertion of speculum after samples are obtained from the cervix. This study aims to conduct a randomized controlled study at National Taiwan University Hospital (NTUH). The investigators expect to compare the recalled pain intensity of the intervention and control groups.
Description
Purpose: In order to reduce the procedural pain, this study expects to apply the peak-end rule to Pap smear by prolonging the insertion of speculum after samples are obtained from the cervix. Methods: This study aims to conduct a randomized controlled study at National Taiwan University Hospital (NTUH). Approximately 200 subjects will be recruited. The investigators will utilize the peak-end rule by adding a non-painful event after the most uncomfortable phase in the intervention group. All study subjects are requested to score on a numeric pain scale every 20 seconds during and right after the procedure.
Eligibility
Inclusion Criteria:
- Biological female
- Aged 30-70
- Provision of written informed consent
Exclusion Criteria:
- History of pelvic or vaginal surgery, active infectious gynecologic complaint, prior intervention for abnormal cervical cytology
- Incapable of understanding the numeric pain scale
- Incapable of communicating in Chinese, English or Taiwanese
- Prior cervical cancer diagnosis
- Prior hysterectomy
- Pregnant women
- Those who use painkillers within 24 hours of this project