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The effectiveness of an accessibility‐enhanced multimedia informational educational programme in reducing anxiety and increasing satisfaction of patients undergoing cardiac catheterisation
Author(s) -
Wu KaLai,
Chen SuRu,
Ko WenChin,
Kuo ShuYu,
Chen PingLing,
Su HuiFang,
Chang WenYin
Publication year - 2014
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.12469
Subject(s) - anxiety , cardiac catheterisation , medicine , patient satisfaction , descriptive statistics , cohort , randomized controlled trial , physical therapy , psychology , nursing , surgery , psychiatry , statistics , mathematics
Aims and objectives To evaluate the effectiveness of an accessibility‐enhanced multimedia informational educational programme in reducing anxiety and increasing satisfaction with the information and materials received by patients undergoing cardiac catheterisation. Background Cardiac catheterisation is one of the most anxiety‐provoking invasive procedures for patients. However, informational education using multimedia to inform patients undergoing cardiac catheterisation has not been extensively explored. Design A randomised experimental design with three‐cohort prospective comparisons. Methods In total, 123 consecutive patients were randomly assigned to one of three groups: regular education; (group 1), accessibility‐enhanced multimedia informational education (group 2) and instructional digital videodisc education (group 3). Anxiety was measured with Spielberger's State Anxiety Inventory, which was administered at four time intervals: before education ( T 0), immediately after education ( T 1), before cardiac catheterisation ( T 2) and one day after cardiac catheterisation ( T 3). A satisfaction questionnaire was administrated one day after cardiac catheterisation. Data were collected from M ay 2009– S eptember 2010 and analysed using descriptive statistics, chi‐squared tests, one‐way analysis of variance, S cheffe's post hoc test and generalised estimating equations. Results All patients experienced moderate anxiety at T 0 to low anxiety at T 3. Accessibility‐enhanced multimedia informational education patients had significantly lower anxiety levels and felt the most satisfied with the information and materials received compared with patients in groups 1 and 3. A statistically significant difference in anxiety levels was only found at T 2 among the three groups ( p = 0·004). Conclusions The findings demonstrate that the accessibility‐enhanced multimedia informational education was the most effective informational educational module for informing patients about their upcoming cardiac catheterisation, to reduce anxiety and improve satisfaction with the information and materials received compared with the regular education and instructional digital videodisc education. Relevance to clinical practice As the accessibility‐enhanced multimedia informational education reduced patient anxiety and improved satisfaction with the information and materials received, it can be adapted to complement patient education in future regular cardiac care.