Effect of education with film on anxiety level of patients undergoing coronary angiography: A clinical trial

authors:

avatar Arezoo Monfared ORCID , * , avatar Shadi dehghanzadeh , avatar Samaneh Mirzaei Dahka , avatar Samaneh Mirzaee , avatar Arsalan Salari , avatar Fateme Jafaraghaee

Koomesh: Vol.23, issue 6; 702-711
published online: December 02, 2021
article type: Research Article
received: September 02, 2020
accepted: June 02, 2021

how to cite: Monfared A, dehghanzadeh S, Mirzaei Dahka S , Mirzaee S , Salari A, et al. Effect of education with film on anxiety level of patients undergoing coronary angiography: A clinical trial. koomesh. 2021;23(6):e153303. 

Abstract

Introduction: Anxiety is one of the most common problems of patients undergoing coronary angiography, which can significantly affect the process of performing this diagnostic test. One of the most important tasks of nurses is patient education. The aim of this study was to determine the effect of video education on the level of anxiety of patients under coronary angiography. Materials and Methods: This experimental study was performed at the heart Hospital of Guilan University of Medical Sciences in 2019-2020 (Iran). The sampling method was available based on the inclusion criteria, with random allocation in two groups of test and control (61 people in each group). Data collection was performed with the standard Spielberger Anxiety Questionnaire. The questionnaires were completed the day before angiography. Then, the educational video was shown for the intervention group. The control group received only routine hospital education. The anxiety questionnaire was completed again. Results: The results showed that the mean score of patients;#39 anxiety decreased after the intervention in the video education group compared to the control group (P=0.0001). Also, there is a significant statistical relationship between the mean score of anxiety before and after the intervention with the educational video, so that after training, the anxiety score increased from 43.03±7.59 to 35.06±7.07 (P=0.0001). Conclusion: Findings showed that video education as a complementary method reduced patient anxiety. Since one of the most important roles of nurses is patient education, it is recommended to pay special attention to providing video education as a complementary method for oral education.

References

  • 1.

    Ghasemzadeh G, Soodmand M, Moghadamnia MT. The Cardiac Risk Factors of Coronary Artery Disease and its relationship with Cardiopulmonary resuscitation: A retrospective study. Egypt Heart J 2018; 70: 389-392. https://doi.org/10.1016/j.ehj.2018.07.005 PMid:30591761 PMCid:PMC6303355.

  • 2.

    Ebrahimi K, Salarilak S, Khadem Vatan K. Determine the burden of myocardial infarction. Tehran Univ Med J 2017; 75: 208-218. (Persian).

  • 3.

    Shahbazi Deh Sokhteh A, Pishkar Mofrad Z, Yaghoubinia F. The effectiveness of rehabilitation-education program on risk factors in patients with coronary artery disease. IJRN 2019; 6: 1-10. (Persian).

  • 4.

    Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart disease and stroke statistics-2020 Update: a report from the American heart association. Circulation 2020; 141: e139-e596. https://doi.org/10.1161/CIR.0000000000000746.

  • 5.

    Moghadamnia MT, Ardalan A, Mesdaghinia A, Naddafi K, Yekaninejad MS. Association between apparent temperature and acute coronary syndrome admission in Rasht, Iran. Heart Asia 2018; 10: e011068. https://doi.org/10.1136/heartasia-2018-011068 PMid:30397414 PMCid:PMC6203051.

  • 6.

    Abbasi SH, Kassaian SE, Sadeghian S, Karimi A, Saadat S, Peyvandi F, et al. Introducing the Tehran heart center's premature coronary atherosclerosis cohort: THC-PAC study. J Tehran Univ Heart Center 2015; 10: 34. (Persian).

  • 7.

    Mohseni J, Kazemi T, Maleki MH, Beydokhti H. A systematic review on the prevalence of acute myocardial infarction in Iran. Heart Views 2017; 18: 125. https://doi.org/10.4103/HEARTVIEWS.HEARTVIEWS_71_17 PMid:29326775 PMCid:PMC5755193.

  • 8.

    Moghadamnia MT, Ardalan A, Mesdaghinia A, Naddafi K, Yekaninejad MS. The effects of apparent temperature on cardiovascular mortality using a distributed lag nonlinear model analysis: 2005 to 2014. Asia Pac J Public Health0 2018; 30: 361-368. https://doi.org/10.1177/1010539518768036 PMid:29671331.

  • 9.

    Sarrafzadegan N, Mohammadifard N. Cardiovascular Disease in Iran in the last 40 years: prevalence, mortality, morbidity, challenges and strategies for cardiovascular prevention. Arch Iran Med 2019; 22: 204-210.

  • 10.

    Riley L, Cowan M. Noncommunicable diseases country profiles 2014. Geneva: World Health Organization. 2014.

  • 11.

    Gharaee R, Saghi N, Nasiri M, Jafari Kheyrabadi A. A comparative study on the effects of aromatherapy with orange and Citrus aurantium extracts on sleep quality in patients with acute coronary syndrome. Koomesh 2020; 22: 275-281. (Persian). https://doi.org/10.29252/koomesh.22.2.275.

  • 12.

    Asgari MR, Barari L, Ghorbani R, Darabiyan M, Eskandarian R, Ghods AA. Anxiety levels in patients candidate for coronary artery angiography. Koomesh 2019; 21: 437-443. (Persian).

  • 13.

    De Lemos J, Omland T. Chronic coronary artery disease: a companion to Braunwald's heart disease E-book: Elsevier Health Sci 2017; 194-203.

  • 14.

    Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF. Braunwald's heart disease E-Book: A textbook of cardiovascular medicine: Elsevier Health Sci 2018; 406.

  • 15.

    Molazem Z, Shahabfard Z, Askari A, Kalyani MN. Effects of a peer-led group education on fear, anxiety and depression levels of patients undergoing coronary angiography. Invest Educ Enferm 2018; 36: e13. https://doi.org/10.17533/udea.iee.v36n1e13 PMid:29898352.

  • 16.

    Sharif F, Kalyani MN, Ahmadi F, Iman MT. In the shadow of perceived threat: The live experience of Iranian patients candidate for undergoing coronary angiography. J Vasc Nurs 2018; 36: 140-144. https://doi.org/10.1016/j.jvn.2018.04.004 PMid:30139451.

  • 17.

    Hasavari F, Paryad E, Khorsandfard M, Kazemnejad Leili E. The effect of foot reflexive massage on anxiety in patients undergoing coronary angiography. Complement Med J 2018; 7: 2100-2114. (Persian).

  • 18.

    Delewi R, Vlastra W, Rohling WJ, Wagenaar TC, Zwemstra M, Meesterman MG, et al. Anxiety levels of patients undergoing coronary procedures in the catheterization laboratory. Int J Cardiol 2017; 228: 926-930. https://doi.org/10.1016/j.ijcard.2016.11.043 PMid:27912201.

  • 19.

    Mahmoudirad G, Ghaedi MM, Bahrami H. Effect of foot reflexology on anxiety of patients undergoing coronary angiography. Nurs Midwifery Stud 2014; 6: 241-248.

  • 20.

    Raies Dana N, Kamali E, Soleimani M, Mir Mohammad Khani M. Assessment of situational and heart focused anxiety in patients with coronary artery disease before angiography. Koomesh 2017; 19: 199-206. (Persian).

  • 21.

    Habibzadeh H, Milan ZD, Radfar M, Alilu L, Cund A. Effects of peer-facilitated, video-based and combined peer-and-video education on anxiety among patients undergoing coronary angiography: randomised controlled trial. Sultan Qaboos Univ Med J 2018; 18: e61. https://doi.org/10.18295/squmj.2018.18.01.010 PMid:29666683 PMCid:PMC5892815.

  • 22.

    Kalogianni A, Almpani P, Vastardis L, Baltopoulos G, Charitos C, Brokalaki H. Can nurse-led preoperative education reduce anxiety and postoperative complications of patients undergoing cardiac surgery? Eur J Cardiovasc Nurs 2016; 15: 447-458. https://doi.org/10.1177/1474515115602678 PMid:26304701.

  • 23.

    Abdollahzadeh F, Moghaddasian S, Rahmani A, Shahmari M. Effect of video education on knowledge and satisfaction of patients undergoing coronary angiography. Iran J Crit Care Nurs 2014; 7: 168-175.

  • 24.

    Hashemy S, Zakerimoghadam M. Comparative study of the effect of muscle relaxation and music therapy on anxiety level in patients waiting for cardiac catheterization. Iran J Cardiovasc Nurs 2013; 1: 22-30. (Persian).

  • 25.

    Yildiz T. Current methods used in surgery patient education: not disease centered, patient centered education. Clin Exp Health Sci 2015; 5: 129. https://doi.org/10.5455/musbed.20150125115949.

  • 26.

    Dehghani H, Dehghani K, Nasiriani K, Banaderakhshan H. The effect of familiarization with cardiac surgery process on the anxiety of patients undergoing coronary artery bypass graft surgery. Modern Care J 2013; 10: 257-263. (Persian).

  • 27.

    Jamshidi N, Abbaszadeh A, Najafi KM. Effects of video instruction on fatigue and back pain in patients undergoing coronary angiography. Knowledge Health 2010; 5: 22-26. (Persian).

  • 28.

    Balc A, En N. The effect of audio-visual education given to coronary angiography patients over physiological and psychosocial parameters. Turk J Card Nur 2013; 4: 41-50. https://doi.org/10.5543/khd.2013.005.

  • 29.

    Gke E, Arslan S. Possible effect of video and written education on anxiety of patients undergoing coronary angiography. J Perianesth Nurs 2019; 34: 281-288. https://doi.org/10.1016/j.jopan.2018.06.100 PMid:30316694.

  • 30.

    Ahlander BM, Engvall J, Maret E, Ericsson E. Positive effect on patient experience of video information given prior to cardiovascular magnetic resonance imaging: A clinical trial. J Clin Nurs 2018; 27: 1250-1261. https://doi.org/10.1111/jocn.14172 PMid:29149455.

  • 31.

    Ebrahimi Jaberi A, Azarbarzin M, Moghimian Boroujeni M. The effect of spaced and mass education on stress and anxiety of candidates for coronary angiography. Iran J Cardiovasc Nurs 2019; 7: 42-49. (Persian).

  • 32.

    Basar C, Beli F, Keeba M, Kayapnar O, Turker Y. The effect of audio-visual education prior to coronary angiography on the state anxiety. Anxiety 2015; 13: 14. https://doi.org/10.15761/CCRR.1000159##.

  • 33.

    Moradi T, Adib HM. The effect of a multi-modal preparation package on anxiety in patients undergoing coronary angiography. Int Cardio Res J 2015; 9: e11659.

  • 34.

    Abdollahzadeh F, Moghaddasian S, Rahmani A, Shahmari M. The effect of education through film in the native language on the anxiety of patients under coronary angiography. Qom Univ Med Sci J 2015; 8: 53-60. (Persian).

  • 35.

    Ying Chair S, Yi Chau M, Wing Hung Sit J, Mei Ling Wong E, Wai Kiu Chan A. The psychological effects of a videotape educational intervention on cardiac catheterization patients. Contemp Nurse 2012; 40: 225-233. https://doi.org/10.5172/conu.2012.40.2.225 PMid:22554215.

  • 36.

    Krouse HJ. Video modelling to educate patients. J Adv Nurs 2001; 33: 748-757. https://doi.org/10.1046/j.1365-2648.2001.01716.x PMid:11298212.

  • 37.

    Abedini A, Akbari H, Ziyayi Nezhad M. Comparison of different methods of education on reducing the anxiety of patients with myocardial infarction. Iran J Nurs 2012; 24: 36-44. (Persian).

  • 38.

    Moemeni L, Yarandi AN, Haghani H. Comparative study of the effects of education using vcd and booklet in two different times on pre-operative anxiety. Iran J Nurs 2009; 21: 81-93. (Persian).