A randomized controlled trial on the effectiveness of a portable patient education video prior to coronary angiography and angioplasty

Autor: Hannah Wang, Tong Shen, Tse Y. Teo, Norwati Binte Hussin, Priscilla Foong, Khung K. Yeo, Jonathan Yap
Rok vydání: 2019
Předmět:
Male
Coronary angiography
Health Knowledge
Attitudes
Practice
medicine.medical_specialty
medicine.medical_treatment
Video Recording
Coronary Artery Disease
Anxiety
030204 cardiovascular system & hematology
Coronary Angiography
law.invention
Coronary artery disease
03 medical and health sciences
Percutaneous Coronary Intervention
0302 clinical medicine
Patient Education as Topic
Randomized controlled trial
Predictive Value of Tests
law
Surveys and Questionnaires
Angioplasty
Intervention (counseling)
medicine
Humans
Radiology
Nuclear Medicine and imaging
In patient
Prospective Studies
030212 general & internal medicine
Aged
Singapore
business.industry
General Medicine
Middle Aged
medicine.disease
Treatment Outcome
Patient Satisfaction
Computers
Handheld
Physical therapy
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Patient education
Zdroj: Catheterization and Cardiovascular Interventions. 96:1409-1414
ISSN: 1522-726X
1522-1946
Popis: INTRODUCTION Time limitations in busy clinical settings may impede adequate explanation of coronary angiography/angioplasty. We aim to evaluate the effectiveness of a portable patient education video in improving knowledge and allaying patient's anxiety. METHODS Consecutive patients undergoing coronary angiography/angioplasty were prospectively recruited over 1 year from a tertiary cardiac institution. A 3-min animated patient education video on the procedure was developed to be shown on a tablet. Patients were randomized 3:1 into an intervention group (video plus routine care) versus a control group (routine care). Before the procedure, a self-administered questionnaire was conducted in both groups. The questionnaire was repeated post-video in the intervention group. RESULTS A total of 332 patients (252 intervention groups, 80 controls) were recruited. At baseline, the intervention group had lower knowledge scores (p = .022) and similar anxiety scores (p = .323) compared with the control group. After the video, the intervention group had significantly higher knowledge scores (p ≤ .001) and lower anxiety scores (p ≤ .001). Within the intervention group, there was a significant increase in knowledge scores (p ≤ .001) and reduction in anxiety scores (p ≤ .001) before versus after watching the video. In the subset of patients who had previously undergone a similar procedure (n = 131), there was also significant improvement in knowledge scores and reduction in anxiety scores (p
Databáze: OpenAIRE
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