Key result
Showing patients the video of their elective percutaneous coronary intervention significantly reduced their anxiety scores compared to standard care (mean change -9.86 vs -6.86, p=0.033).
Why the study?
Coronary angioplasty can cause significant anxiety and affect mental health, prompting investigation into whether showing patients postprocedural angiogram videos alters anxiety and illness perception.
Does showing patients the video of their elective percutaneous coronary intervention reduce anxiety and improve illness perception in patients undergoing elective PCI?
RCT (n=60)
Single-blind
Simple randomization
No
Does showing patients the video of their elective percutaneous coronary intervention reduce anxiety and improve illness perception in patients undergoing elective PCI?
Educating patients by showing them their own angiogram video after elective PCI significantly reduces anxiety and improves illness perception.
Answers are grounded in this paper and cite their sources.
Supports incorporating procedural videos into pre-PCI care to ease anxiety; extends RCT evidence for visual patient education.
BACKGROUND: As an invasive modality, a coronary angioplasty may cause a great deal of anxiety in patients and affect their mental health and general well-being. Accordingly, we sought to assess whether showing patients the video of their elective percutaneous coronary intervention (angiogram) could affect their illness perception and anxiety level. MATERIALS AND METHODS: In this randomized clinical trial, the patients undergoing angioplasty, were randomly divided into two groups of 30 patients. Angiograms were shown only to the intervention group postprocedurally. A checklist comprising demographic data and clinical presentations as well as the Beck anxiety questionnaire and the Brief Illness Perception Questionnaire (BIPQ) was completed for each patient immediately after the intervention and one month later. The differences in the patients' anxiety level and illness perception were analyzed. RESULTS: In the intervention group, the mean anxiety score before and after watching the angiograms was 34.26 ± 8.1 and 24.4 ± 8.56, respectively. While in the control group, the score before and after angioplasty was 34.46 ± 9.34 and 26.6 ± 9.44, respectively. Thus, watching angiograms led to a significant decrease in the anxiety score in the intervention group, whereas there was no such difference in the control group. There was also a considerable difference in the anxiety score between the two groups. Further, there was a significant decrease in the BIPQ score of the intervention group after watching the angioplasty videos. CONCLUSION: Educating cardiovascular patients about diagnostic and therapeutic procedures may confer such good outcomes as alleviated anxiety, enhanced satisfaction, and ultimately, fewer anxiety-related complications.
No takes yet. Share an insight, caveat, or question.
Geraiely et al. (2019) conducted an RCT in Elective percutaneous coronary intervention (n=60). Showing the video of their elective percutaneous coronary intervention (angiogram) vs. Verbal explanation only was evaluated on Change in Beck anxiety score (p=0.033). Showing patients the video of their elective percutaneous coronary intervention significantly reduced their anxiety scores compared to standard care (mean change -9.86 vs -6.86, p=0.033).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: