Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland; Degree Programme of Radiography and Radiation Therapy, Oulu University of Applied Sciences, Oulu, Finland.
School of Rehabilitation and Examination, Helsinki Metropolia University of Applied Sciences, Helsinki, Finland.
Radiography (Lond). 2023 May;29 Suppl 1:S13-S23. doi: 10.1016/j.radi.2022.09.013. Epub 2022 Oct 21.
This study investigated whether a 360° virtual counselling environment (360°VCE) was more effective at decreasing patients' anxiety than routine standard of care counselling for patients undergoing coronary computed tomography angiography (CCTA), and if there was any difference in the process times for both of these groups.
A total of 86 patients underwent CCTA in this randomised controlled trial. Patients were randomly assigned to intervention and control groups. The 360°VCE was developed using spherical panoramic images and non-immersive 360° technology. The primary outcome, anxiety, was measured using the State-Trait Anxiety Inventory (STAI). The secondary outcome, CCTA process time, was measured from the time of arrival in the department until end of examination.
Pre-scan anxiety was lower among patients in the 360°VCE group immediately before CCTA in comparison to patients in the control group (p = 0.015). Women demonstrated higher levels of anxiety than men in both groups. No between-group differences were discerned in CCTA process time.
Access to 360°VCE can reduce patients' pre-CCTA anxiety levels.
The presented results can be used to improve patient counselling and care, reduce anxiety among patients undergoing CCTA, and optimise the CCTA examination procedure.
本研究旨在探讨 360°虚拟咨询环境（360°VCE）是否比常规标准护理咨询更能有效降低行冠状动脉计算机断层扫描血管造影（CCTA）患者的焦虑，以及这两组患者的咨询过程时间是否存在差异。
共有 86 名患者参与了这项随机对照试验。患者被随机分配到干预组和对照组。360°VCE 使用球形全景图像和非沉浸式 360°技术开发。主要结局指标为状态-特质焦虑量表（STAI）评估的焦虑。次要结局指标为 CCTA 过程时间，从患者到达科室的时间到检查结束的时间进行测量。
与对照组相比，360°VCE 组患者在 CCTA 前的焦虑水平更低（p=0.015）。两组患者中，女性的焦虑水平均高于男性。CCTA 过程时间在两组之间无差异。
使用 360°VCE 可降低 CCTA 前患者的焦虑水平。
本研究结果可用于改善患者咨询和护理，降低 CCTA 患者的焦虑，优化 CCTA 检查程序。
