一个以患者为中心的信息视频在减少冠状动脉导管治疗前的焦虑时的有效性:一项自我控制的试验
Asaf Arel1,2, Gil Marcus1,2, Ella Levi1,2
1Division of Cardiology, Shamir Medical Center, Israel.
PEC innovation
|October 13, 2025
概括
观看以患者为中心的视频显著减少了冠状动脉导管手术前的焦虑. 这种可扩展的,低成本的干预提供了一个有希望的方法来管理患者的焦虑.
科学领域:
- 心脏病学 心脏病学
- 医学教育 医学教育
- 患者体验 患者体验
背景情况:
- 在接受冠状动脉导管治疗的患者中,围绕程序的焦虑是常见的.
- 有效的减轻焦虑的策略对于改善患者的治疗结果至关重要.
- 当地制作的,以患者为中心的信息视频可能会减轻这种焦虑.
研究的目的:
- 评估观看以患者为中心的信息视频和减少手术前焦虑之间的关联.
- 在冠状动脉导管过程中在多个时间点评估焦虑水平.
主要方法:
- 一个前性的,单中心的,单臂的,自我控制的研究.
- 使用数字视觉模拟焦虑量表 (NVAAS) 在视频前,视频后和手术后测量焦虑.
- 统计分析包括弗里德曼测试和威尔科克森签名等级测试,用于对对比.
主要成果:
- 基线焦虑的中位数为5.0,在所有时间点显著下降 (p < 0.0001).
- 视频后 (T1-T0) 的焦虑减少了1.5个点,手术后 (T2-T0) 的焦虑减少了3.5个点.
- 敏感性分析证实了一致的焦虑减轻效果.
结论:
- 观看以患者为中心的视频与冠状动脉导管治疗前的焦虑程度降低有关.
- 该干预是可扩展的,低成本的,适应性的,但因果关系需要通过随机试验进一步调查.
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