P205 Effectiveness of a portable patient education video prior to coronary angiography and angioplasty

2020 ◽  
Vol 41 (Supplement_1) ◽  
Author(s):  
T Teo ◽  
J Yap ◽  
P Fong ◽  
N Hussin ◽  
H Wang ◽  
...  
Keyword(s):  
Patient Education ◽  
Coronary Angiography ◽  
Trait Anxiety ◽  
Intervention Group ◽  
Standard Of Care ◽  
Adverse Outcomes ◽  
Bleeding Complications ◽  
Control Group ◽  
P Value ◽  
State Trait Anxiety Inventory

Abstract Introduction  Coronary angiography and angioplasty is widely used in the diagnosis and treatment of coronary artery disease. Limited time to explain the procedure to patients in busy clinical settings may lead to increased adverse outcomes.  Purpose To evaluate the effectiveness of a portable patient education video in improving knowledge and allaying patient"s anxiety prior to coronary angiography and angioplasty. Methods  Consecutive patients undergoing coronary angiography and angioplasty were prospectively recruited over 1 year from June 2016 to May 2017 from a tertiary cardiac institution. We developed a 3 minute animated patient education video on the procedure. Patients were randomised 1:3 into a control group (receiving routine standard of care) and intervention group (watched video plus routine standard of care). Before the procedure, a self-administered written survey was conducted in the control group, pre-video in the intervention group, and post-video in the intervention group. Demographic data, knowledge and State Trait Anxiety Inventory (STAI) scores were gathered. Figure 1 shows excerpts of the video. Results We recruited 332 patients- 80 controls (80% males, mean age 59.6 ± 11.5, 51% previous procedures) and 252 intervention group (86% males, mean age 59.0 ± 9.4, 52% previous procedure). Compared to the control group, the intervention group had lower overall baseline knowledge scores (7.6vs8.5, p = 0.022) and similar anxiety scores (94vs92, p = 0.323); but significantly higher overall knowledge scores (10.3vs8.5, p= <0.001) and lower anxiety scores (75vs92, p= <0.001) after watching the video. Within the intervention group, there was a significant increase in overall knowledge scores (7.6vs10.3, p= <0.001) and reduction in anxiety scores (94vs 75, p= <0.001) before versus after watching the video. See Table 1. Subjectively, after watching the video, 98% of the patients reported benefit, 96% were more prepared and 85% less worried. There was significant improvement in knowledge scores and reduction in anxiety scores (p < 0.001) in the subset of patients who had previously underwent a similar procedure (n = 131). Conclusion The video improved knowledge and reduced anxiety in patients undergoing coronary angiography and angioplasty. This is a useful adjunct to incorporate into existing workflows to improve patient care. Table 1 Total scores* Procedural events - Sedation Procedural events - Access site Procedural events-Contrast Procedural events-Stent Complications-General risk Complications-Bleeding Complications-Myocardial infarction Complications-Stroke Complications-Re-stenosis Anxiety-STAI# P-value comparing pre and post amongst cases (n = 252) <0.001 <0.001 <0.001 <0.001 <0.001 0.094 <0.001 <0.001 <0.001 <0.001 <0.001 P-value comparing cases (post) and controls (n = 80) <0.001 0.042 0.005 0.006 0.131 0.021 <0.001 <0.001 <0.001 <0.001 <0.001 * Range from 0-12 # State-Trait Anxiety Inventory (STAI), 40 questions, score range from 40-160 Abstract P205 Figure 1

scholarly journals The effect of the preoperative anaesthesiological interview on the levels of stress and anxiety of the heart surgical patient

2016 ◽  
Vol 10 (4) ◽  
pp. 2237-2240
Author(s):  
Androula C. Karaolia ◽  
Georgios I. Tagarakis ◽  
Elena Argyriadou ◽  
Ilias Bonotis ◽  
Ioannis Alexiou ◽  
...  
Keyword(s):  
Trait Anxiety ◽  
Surgical Procedures ◽  
Heart Surgery ◽  
Intervention Group ◽  
Positive Influence ◽  
Control Group ◽  
Surgical Patient ◽  
Test Results ◽  
State Trait Anxiety Inventory ◽  
Surgical Operations

Background. Stress and Anxiety are commonly observed before major surgical procedures, such as heart surgical operations. Aim of the current study is to investigate the effect of the preoperative anaesthesiological interview on these parameters. Methods. We prospectively included in the study 152 patients planned to undergo elective heart surgery. All patients were examined with the State-Trait anxiety inventory (STAI) scale on admission and again before surgery (prior to the anaesthesiological interview for the control group and after the latter for the intervention group). Results. Members of the control group had significantly higher levels of stress based on the test results, on the day prior to surgery. On the contrary, the members of the intervention group had significantly lower levels of stress on the same day. Conclusions. The anaesthesiological interview has a positive influence as it lowers the preoperative levels of stress and anxiety. 

Effectiveness of a Student Pharmacist–Led Telephone Follow-Up Intervention to Improve Hemoglobin A1Cin Diabetic Patients

2019 ◽  
Vol 33 (6) ◽  
pp. 832-837 ◽  
Author(s):  
Samuel K. Peasah ◽  
Kathryn Granitz ◽  
Michelle Vu ◽  
Bobby Jacob
Keyword(s):  
Regression Model ◽  
Clinical Care ◽  
Intervention Group ◽  
Standard Of Care ◽  
Multiple Regression Model ◽  
Control Group ◽  
P Value ◽  
Diabetic Patients ◽  
Phone Calls

Objective:To evaluate the effectiveness of a student pharmacist–led telephone follow-up intervention to improve hemoglobin A1c(HbA1c) in diabetic patients.Methods:This was a prospective, randomized, pilot study to implement a telephone follow-up intervention for diabetic patients with HbA1c≥7%. Patients were recruited and randomized into intervention and control groups. All patients received standard of care. Patients in the intervention group additionally received weekly phone calls from a student pharmacist for 12 weeks to encourage medication adherence. HbA1cat baseline and end of study were measured and the data were analyzed using SAS version 9.4. Analysis included descriptive statistics and a multiple regression model to assess the association between the end of study and baseline HbA1cwhile controlling for demographics.Results:Seventy-eight patients participated and the average age was 62 (±11) years. Baseline HbA1cwas 8.2% (±1.4%) in the intervention group and 7.9% (±1.3%) in the control group. HbA1cdecreased by 0.35% in the intervention group ( P = .027) and increased by 0.338% in the control group ( P = .013). The end of study HbA1cwere higher in the control group even after controlling for baseline HbA1cs (0.5547, P value .002) in the regression model.Conclusion:Incorporating student pharmacists in physician offices to provide clinical care services could lead to improved patient outcomes and students’ clinical and research skills.

scholarly journals Effects of relaxation exercises on the ways of coping with stress and anxiety level in primiparous pregnant women diagnosed with preterm labor

2017 ◽  
Vol 14 (4) ◽  
pp. 3158 ◽  
Author(s):  
Ayten Arıöz Düzgün ◽  
Emel Ege
Keyword(s):  
Pregnant Women ◽  
Trait Anxiety ◽  
Preterm Labor ◽  
Intervention Group ◽  
Control Group ◽  
State Trait Anxiety Inventory ◽  
Coping With Stress ◽  
Ways Of Coping ◽  
The Difference ◽  
Relaxation Exercises

This experimental study aims to evaluate the effects of relaxation exercises on the ways of coping with stress and anxiety level in primiparous women diagnosed with preterm labor. The study included a total of 60 pregnant women who were admitted to the outpatients clinics of the Department of Obstetrics and Gynecology at a tertiary setting between November 2012 and February 2014. Of these women, 30 were allocated into the intervention group and 30 were allocated into the control group. The Pregnant Women Identity Information Form, Ways of Coping with Stress Inventory, and State-Trait Anxiety Inventory were used as data collection tools.The pregnant women in the intervention group achieved higher scores in the State-Trait Anxiety Inventory in the first assessment and lower scores in the final assessment, and the difference from baseline was significantly different (p<0.005). The women in the control group achieved lower scores in the State-Trait Anxiety Inventory in the first assessment and higher scores in the final assessment, and the difference from baseline was significantly different (p<0.005). The scores of pregnant women in the intervention group in efficient ways of coping subscale increased as from the baseline (p<0.005), whereas there was an increase in the scores of women in the control group in inefficient ways of coping subscale and the difference was statistically significant (p<0.005). Our study results suggest that relaxation exercises are effective in reducing anxiety and coping with stress in pregnant women with imminent premature labor.

scholarly journals The Effect of a Stress and Anxiety Coping Program on Objective Structured Clinical Examination Performance Among Nursing Students in Shiraz, Iran

2019 ◽  
Author(s):  
Sadaf Mojarrab ◽  
Leila Bazrafkan ◽  
Azita Jaberi
Keyword(s):  
Nursing Students ◽  
Trait Anxiety ◽  
Clinical Examination ◽  
Substantial Reduction ◽  
Intervention Group ◽  
Anxiety Reduction ◽  
Objective Structured Clinical Examination ◽  
Control Group ◽  
State Trait Anxiety Inventory ◽  
Significant Difference

Abstract ABSTRACT Background: Nursing students experience a significant level of stress and anxiety prior to the objective structured clinical examination (OSCE). The present study aimed to evaluate the effect of anxiety coping program on the OSCE performance level of first-year nursing students in Shiraz, Iran. Methods: The present two-stage interventional study was conducted among 76 nursing students; control group: n=35 and intervention group: n=41. Data collection instruments included a demographic characteristic form and State-Trait Anxiety Inventory (STAI) questionnaire. The intervention group followed anxiety coping program before taking the OSCE. The STAI questionnaire was filled in before and after the OSCE and the results were compared with those of the control group. The data were analysed using SPSS software (version 22.0). P<0.05 was considered statistically significant. Results: Demographic characteristics of the participants indicated an overall homogeneity within the study population. As a result of the anxiety coping program, a substantial reduction in the anxiety score (by 11.61 units) in the intervention group was observed. There was a significant difference in the pre- and post-exam anxiety scores between the control and intervention groups (P=0.001). The anxiety coping program improved the examination results of nursing students in the final exam compared to the midterm results (an increase of 0.9487 units, P=0.001). Conclusion: The anxiety coping program reduced the anxiety level among nursing students and improved their OSCE results. Educational planners should consider anxiety reduction strategies to help students improve their examination results. Keywords: Anxiety, Nursing Students, State-Trait Anxiety Inventory

scholarly journals Early high antibody-titre convalescent plasma for hospitalised COVID-19 patients: DAWn-plasma

2021 ◽  
pp. 2101724 ◽  
Author(s):  
Timothy Devos ◽  
Quentin Van Thillo ◽  
Veerle Compernolle ◽  
Tomé Najdovski ◽  
Marta Romano ◽  
...  
Keyword(s):  
Clinical Status ◽  
Intervention Group ◽  
Standard Of Care ◽  
Control Group ◽  
P Value ◽  
Open Label ◽  
Care Intervention ◽  
Antibody Titres ◽  
Median Volume ◽  
High Antibody Titre

BackgroundSeveral randomised clinical trials have studied convalescent plasma (CP) for COVID-19 using different protocols, with different SARS-CoV-2 neutralising-antibody-titres, at different time-points and severities of illness.MethodsIn the prospective multicentre DAWN-plasma trial, adult patients hospitalised with COVID-19 were randomised to 4 units of open-label convalescent plasma combined with standard of care (intervention group) or standard of care alone (control group). Plasma from donors with neutralising-antibody-titres (NT50) ≥1/320 was the product of choice for the study.ResultsBetween May 2nd, 2020 and January 26th, 2021, 320 patients were randomised to convalescent plasma and 163 patients to the control group according to a 2:1 allocation scheme. A median volume of 884 mL convalescent plasma (IQR 806–906 mL) was administered, and 80.68% of the units came from donors with neutralising-antibody-titres (NT50) ≥1/320. Median time from onset of symptoms to randomisation was 7 days. The proportion of patients alive and free of mechanical ventilation on Day 15 was not different between both groups (convalescent plasma: 83.74% (n=267) versus control: 84.05% (n=137) – Odds ratio 0.99 (0.59–1.66) – p-value=0.9772). The intervention did not change the natural course of antibody titres. The number of serious or severe adverse events was similar in both study arms, and transfusion-related side effects were reported in 19/320 patients in the intervention group (5.94%).ConclusionsTransfusion of 4 units of convalescent plasma with high neutralising-antibody-titres early in hospitalised COVID-19 patients did not result in a significant improvement of the clinical status, or a reduced mortality.

scholarly journals Investigation of the psychological factors associated with fissured tongue

2019 ◽  
Vol 67 ◽  
Author(s):  
Heron Fernando de Sousa GONZAGA ◽  
Lucinei Roberto de OLIVEIRA ◽  
Bruna Lavinas Sayed PICCIANI ◽  
Maria Lúcia Jorge de Sousa GONZAGA ◽  
Sílvia Angélica JORGE ◽  
...  
Keyword(s):  
Trait Anxiety ◽  
State Anxiety ◽  
The State ◽  
Control Group ◽  
P Value ◽  
State Trait Anxiety Inventory ◽  
Factors Associated ◽  
Anxiety Levels ◽  
Healthy Participants ◽  
Fissured Tongue

ABSTRACT Objective: This study aimed to investigate the correlation between FT and anxiety. Methods: The sample consisted of 95 participants categorized into two groups: a) G-FT, 48 patients with FT and b) CG, 47 healthy participants. All patients were submitted to complete oral and dermatological examinations. The anxiety levels were measured using the State-Trait Anxiety Inventory (STAI). A p-value of < 0.05 was considered significant. Results: Fourteen (30%) patients reported awareness of having FT and 9 (64%) were women. Symptoms like burning feeling were reported by 3 (6%) only patients, all of then women. None of the control group patients presented these symptoms. In both groups, control and FT, the average scores of trait-anxiety were slightly higher than state-anxiety. There were no statistically significant differences between the FT and the control group related to the state-anxiety (p=0.724) and the trait-anxiety (p=0.680) scores. Study limitations: This study was limited by the number of subjects. Conclusion: Although moderate state-anxiety and trait-anxiety scores were determined, anxiety, as an environmental factor may not play a significant role in the development of FT. Considering FT as a multifactorial disease, probably a genetic component is necessary for expression.

SUPPORTIVE EDUCATIVE SYSTEM DALAM MENINGKATKAN KEMANDIRIAN MERAWAT KAKI PADA PASIEN DIABETES MELLITUS TIPE II

2019 ◽  
Vol 9 (2) ◽  
pp. 63-72
Author(s):  
Nova Nurwinda Sari ◽  
Herlina Herlina
Keyword(s):  
Diabetes Mellitus ◽  
Health Center ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Type Ii ◽  
Foot Care ◽  
Control Group Design ◽  
Patients With Diabetes

Diabetes mellitus dapat menyebabkan cukup banyak komplikasi seperti kelainan mata, kelainan ginjal, kelainan pembuluh darah dan kelainan pada kaki. Penderita diabetes mellitus yang mengalami komplikasi kronis perlu diberikan upaya preventif untuk mencegah komplikasi, salah satunya adalah kemampuan perawatan kaki. Penelitian ini dilakukan untuk menguji efektivitas supportive educative system dalam meningkatkan kemandirian perawatan kaki pada pasien dengan diabetes mellitus Tipe II di Puskesmas Permata Sukarame, Bandar Lampung. Penelitian ini menggunakan metode quasy eksperimen dengan desain pretest-posttest with control group dengan total masing-masing kelompok sebanyak 18 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada responden yang memenuhi kriteria inklusi penelitian. Penelitian ini diuji menggunakan analisis univariat, bivariat dan uji T-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata dalam kemandirian perawatan kaki pada kelompok intervensi dan kelompok kontrol dengan p-value 0,000. Pendidikan dan praktik perawatan kaki harus diberikan sejak dini sebagai upaya pencegahan untuk komplikasi.   Kata kunci : Supportive educative system, kemandirian perawatan kaki   SUPPORTIVE EDUCATIVE SYSTEM IN IMPROVING INDEPENDENCE OF FOOT CARE IN PATIENTS WITH DIABETES MELLITUS TYPE II   ABSTRACT Diabetes mellitus can cause quite a lot of complications such as eye disorders, kidney disorders, vascular disorders and abnormalities in the legs. Patients with diabetes mellitus who have chronic complications need to be given a preventive effort to prevent complications, one of which is foot care ability. This research was conducted to examine the effectiveness of supportive educative systems in increasing the independence of foot care in patients with Type II diabetes mellitus in the Permata Sukarame Health Center Bandar Lampung Working Area. This study used a quasi-experimental method with pretest-posttest with control group design with a total of 18 respondents each. Data collection is done by distributing questionnaires to respondents who meet the research inclusion criteria. This study was tested using univariate, bivariate, T-Test analysis. The results showed that the mean differences in the independence of foot care in the intervention group and the control group in the Permata Sukarame Community Health Center work area with a p-value of 0,000. Education and practice of foot care should be given early as a preventative effort for complications.   Keywords: Supportive educative system, independence of foot care

The Effectiveness of Using a Mobile Messenger as an Educational Supporting Tool among Nursing Students

2020 ◽  
Vol 4 (1) ◽  
pp. 67-77
Author(s):  
Rohimah Ismail ◽  
Chong Mei Chan ◽  
Wan Muhammad Azly W. Zulkafli ◽  
Hasnah Zani ◽  
Zainab Mohd Shafie
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Clinical Decision Making ◽  
Intervention Group ◽  
Great Influence ◽  
Control Group ◽  
P Value ◽  
Significant Difference ◽  
Supporting Tool ◽  
Nursing College

                The evolution of information technology has exerted great influence on nursing education via new pedagogy of knowledge delivery without time and place restriction. Mobile technology revolutionises nursing education and clinical practice via empowering skills of critical thinking and clinical decision-making through learning. The aim of this study is to evaluate the effectiveness of using mobile messenger (Whatsapp) as an educational supporting tool among nursing students. The study design used is a Cluster Randomized Control Trail. Two nursing colleges were selected. Sample size was 93 participants, 48 from the Kuala Terengganu Nursing College Kuala Terengganu as the intervention group while the control group were recruited among 45 participants from UniSZA Nursing College. There is a significant difference in the level of knowledge between pre and posttest among intervention group (mean difference was -8.70 with a standard deviation 8.42, p-value< 0.001) and 93.8 percent of the respondents perceived the usefulness of using WhatsApp mobile messenger to enhance learning. This demonstrates that learning through mobile messenger (WhatsApp) enhances learning and is well received as a new method of learning by almost all students.   Keywords: Mobile learning, WhatsApp messenger, Social Interaction

Relaksasi Benson Untuk Durasi Tidur Pasien Penyakit Jantung Koroner

2018 ◽  
Vol 3 (3) ◽  
pp. 556
Author(s):  
Mulyanti Roberto Muliantino ◽  
Tuti Herawati ◽  
Masfuri Masfuri
Keyword(s):  
Cardiac Rehabilitation ◽  
Sleep Duration ◽  
Intervention Group ◽  
Self Report ◽  
Pharmacological Intervention ◽  
Control Group ◽  
P Value ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Coronary Arterial Disease

<p><em>Coronary Arterial Disease (CAD) is one of cardiovaskular disease that remain leading cause death and disability. Short sleep duration is the major symptoms in patients with CAD, during recovery period after cardiac events and during cardiac rehabilitation. Benson’s relaxation is one of relaxation as modalities therapy to increase sleep duration, </em><em>however few studies related to this</em><em> technique in planned</em><em> intervention</em><em>.</em><em> This study was to measured the effectiveness of Benson’s relaxation in short sleep duration of CAD patients during cardiac rehabilitation. It was a </em><em>quasi experimental pretest posttest control group design.</em><em> This study included 29 respondens in Dr.M.Djamil Hospital were assigned to intervention group which receiving Benson’s relaxation technique (n=15) and control group with routine care (n=14). </em><em>Benson’s relaxation </em><em>technique</em><em> was administered for 5 days 2 times a day, each 20 minutes to intervention group.</em><em> Short sleep duration was measured using </em><em>sleep diary (self report).</em><em> The result indicated significant increasing in mean of  sleep duration  before and after Benson’s relaxation in intervention group </em><em>(p value &lt; 0,001). </em><em>The study concluded that </em><em>Benson’s relaxation </em><em>technique is an effective non-pharmacological intervention to increase sleep duration in CAD patients.</em></p><p><em><br /></em></p><p>Penyakit jantung koroner menjadi masalah kardiovaskular yang mengakibatkan angka mortalitas yang tinggi. Durasi tidur pendek termasuk salah satu keluhan utama pasien penyakit jantung koroner pada masa recovery setelah serangan dan menjalani rehabilitasi fase 2. Relaksasi Benson merupakan teknik relaksasi sebagai terapi modalitas untuk mengurangi keluhan durasi tidur pendek, namum belum banyak penelitian terkait intervensi ini. Penelitian ini bertujuan untuk mengidentifikasi pengaruh relaksasi Benson terhadap durasi tidur pasien penyakit jantung koroner yang menjalani rehabilitasi fase 2. Penelitian ini menggunakan desain Quasi Eksperimen dengan pendekatan <em>control group pretest posttest design</em> pada 29 responden di RSUP. Dr.M.Djamil Padang yang dibagi dalam dua kelompok (kelompok intervensi dan kelompok kontrol). Hasil penelitian menunjukan ada perbedaan rerata durasi tidur yang signifikan antara sebelum dan setelah dilakukan intervensi relaksasi Benson pada kelompok intervensi (p value &lt; 0,001). Simpulan hasil penelitian ini dapat menjadi salah satu terapi modalitas bagi perawat untuk mengatasi masalah durasi tidur pendek pada pasien penyakit jantung koroner.</p><p><em><br /></em></p>

scholarly journals The Effect of Javanese Language Videos with a Community Based Interactive Approach Method as an Educational Instrument for Knowledge, Perception, and Adherence amongst Tuberculosis Patients

Pharmacy ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 86
Author(s):  
Fauna Herawati ◽  
Yuni Megawati ◽  
Aslichah ◽  
Retnosari Andrajati ◽  
Rika Yulia
Keyword(s):  
Intervention Group ◽  
Personal Control ◽  
Control Group ◽  
P Value ◽  
Interactive Approach ◽  
Community Based ◽  
Tuberculosis Patients ◽  
Level Of Knowledge ◽  
The Impact

The long period of tuberculosis treatment causes patients to have a high risk of forgetting or stopping the medication altogether, which increases the risk of oral anti-tuberculosis drug resistance. The patient’s knowledge and perception of the disease affect the patient’s adherence to treatment. This research objective was to determine the impact of educational videos in the local language on the level of knowledge, perception, and adherence of tuberculosis patients in the Regional General Hospital (RSUD) Bangil. This quasi-experimental study design with a one-month follow-up allocated 62 respondents in the intervention group and 60 in the control group. The pre- and post-experiment levels of knowledge and perception were measured with a validated set of questions. Adherence was measured by pill counts. The results showed that the intervention increases the level of knowledge of the intervention group higher than that of the control group (p-value < 0.05) and remained high after one month of follow-up. The perceptions domains that changed after education using Javanese (Ngoko) language videos with the Community Based Interactive Approach (CBIA) method were the timeline, personal control, illness coherence, and emotional representations (p-value < 0.05). More than 95% of respondents in the intervention group take 95% of their pill compared to 58% of respondents in the control group (p-value < 0.05). Utilization of the local languages for design a community-based interactive approach to educate and communicate is important and effective.

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