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一部信息性视频对降低择期冠状动脉造影患者焦虑水平的有效性:一项随机对照试验。

Effectiveness of an informative video on reducing anxiety levels in patients undergoing elective coronarography: an RCT.

作者信息

Ruffinengo Carlo, Versino Elisabetta, Renga Giovanni

机构信息

Human Resources Development, ASO San Giovanni Battista, Turin, Italy.

出版信息

Eur J Cardiovasc Nurs. 2009 Mar;8(1):57-61. doi: 10.1016/j.ejcnurse.2008.04.002. Epub 2008 May 27.

Abstract

BACKGROUND

Anxiety levels have a considerable effect on patients during hospitalization. Cardiology Departments are characterized by a high turn-over of patients and it is necessary to give clear and exhaustive information routinely in compliance with legal and deontological requirements.

AIMS

The aim of the study was to evaluate the effectiveness of an informative video, devised for patients undergoing coronarography, on reducing anxiety levels and getting more satisfaction from the received information.

METHODS

A two arm RCT design was chosen. The patients in both study arms received standard care while the informative video was shown in the treatment group. The Spielberger scale was used to measure anxiety levels before the procedure while satisfaction as to the received information was measured using a scale with semantic indications.

RESULTS

Ninety-three patients accepted to take part in the study. The weighted mean difference (WMD) between the anxiety levels of the treated and controlled groups was -8.24 (CI 95%: -12.04/-4.44; p<0.00001). The WMD of the level of satisfaction for the received information was +22.23 (CI 95%: +12.73/+31.73; p<0.00001).

CONCLUSIONS

The use of the informative video in Cardiology Departments proves to be highly recommended as an instrument to lower anxiety levels and increase significantly the level of satisfaction deriving from the received information.

摘要

背景

住院期间焦虑水平对患者有相当大的影响。心内科患者周转快,有必要按照法律和职业道德要求定期提供清晰详尽的信息。

目的

本研究旨在评估为接受冠状动脉造影术的患者制作的信息视频在降低焦虑水平以及提高对所获信息的满意度方面的效果。

方法

采用双臂随机对照试验设计。两个研究组的患者均接受标准护理,而治疗组观看信息视频。使用斯皮尔伯格量表在手术前测量焦虑水平,使用带有语义指示的量表测量对所获信息的满意度。

结果

93名患者同意参与研究。治疗组与对照组焦虑水平的加权平均差(WMD)为-8.24(95%置信区间:-12.04/-4.44;p<0.00001)。所获信息满意度水平的WMD为+22.23(95%置信区间:+12.73/+31.73;p<0.00001)。

结论

在心内科使用信息视频被证明是非常值得推荐的,它可作为一种降低焦虑水平并显著提高对所获信息满意度的手段。

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