The effectiveness of an accessibility-enhanced multimedia informational educational programme in reducing anxiety and increasing satisfaction of patients undergoing cardiac catheterisation

Authors

  • Ka-Lai Wu RN, MSN,

    Supervisor and Instructor
    1. Nursing Department, Cathay General Hospital, Taipei, Taiwan
    2. School of Nursing, Taipei Medical University, Taipei, Taiwan
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  • Su-Ru Chen PhD, RN,

    Assistant Professor
    1. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
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  • Wen-Chin Ko MD, PhD,

    Assistant Professor
    1. Section of Cardiology, Departments of Internal Medicine, Cathay General Hospital, Taipei, Taiwan
    2. School of Medicine, Taipei Medical University, Taipei, Taiwan
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  • Shu-Yu Kuo PhD, RN,

    Assistant Professor
    1. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
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  • Ping-Ling Chen PhD, MPH,

    Professor
    1. Graduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan
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  • Hui-Fang Su PhD, RN,

    Associate Professor
    1. Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
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  • Wen-Yin Chang PhD, RN

    Professor, Corresponding author
    1. Graduate Institute of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
    • Correspondence: Wen-Yin Chang, Professor, Graduate Institute of Nursing, College of Nursing, Taipei Medical University, No. 250 Wu-Xing Street, Taipei 110, Taiwan. Telephone: +886 2 27361661 extn. 6326.

      E-mail: leslie@tmu.edu.tw

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Abstract

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 (T0), immediately after education (T1), before cardiac catheterisation (T2) and one day after cardiac catheterisation (T3). A satisfaction questionnaire was administrated one day after cardiac catheterisation. Data were collected from May 2009–September 2010 and analysed using descriptive statistics, chi-squared tests, one-way analysis of variance, Scheffe's post hoc test and generalised estimating equations.

Results

All patients experienced moderate anxiety at T0 to low anxiety at T3. 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 T2 among the three groups (= 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.

Ancillary