Preoperative multimedia patient education on patient and family satisfaction levels in the intensive care unit after elective cardiac surgery: a randomized controlled trial
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摘要Objectives:
Preoperative multimedia patient education may help meet information needs of patients and their family members, and
lower their psychological distress levels. The primary objective of this study was to determine the effect of a preoperative multimedia patient education intervention on patient and family satisfaction levels in the intensive care unit (ICU) after elective cardiac surgery. A secondary objective was to determine if patient's postoperative anxiety and depression levels decreased after the intervention.

Methods:
In this two-group, parallel, superiority, blinded randomized controlled trial, 100 patients undergoing elective coronary artery bypass surgery were randomized into either a control (standard care) or intervention (standard care + educational video and ICU tour) group. We measured satisfaction scores with a 24-item questionnaire (0=low satisfaction to 100=high satisfaction) in both patients and family on the third day after surgery. Patient's anxiety and depression levels were measured using the Hospital Anxiety and Depression Scale (range 0 to 21) before and at one week after surgery. Intention-to-treat analysis, student's t-test and generalized estimating equations were used.

Results:
Of the 100 patients, 94 (46 control and 48 intervention) completed all questionnaires. The intervention group had higher overall patient satisfaction levels (mean difference (MD) 6.6, 95% CI: 0.3 to 12.9, P=0.04) and family satisfaction levels (MD 10.0, 95% CI: 3.8 to 16.3, (P<0.01)) than controls. There was a weak group*time effect (P=0.06); reduction in anxiety scores was larger in the intervention than control group (MD -1.7, 95% CI: -3.5 to 0.0). However, there was no group*time effect for depression levels (P=0.53); decrease in depression scores between groups was minimal (MD -0.6, 95% CI: -2.3 to 1.2).

Conclusions:
Preoperative multimedia patient education lead to higher patient and family ICU satisfaction levels, and may decrease
patient's anxiety but not depression levels.
出版社接受日期06.04.2018
著者Veronica Ka Wai Lai, Anna Lee, Patricia Leung, Wai-Tat Wong, Ka Man Ho, Charles David Gomersall, Malcolm John
Underwood, Gavin Matthew Joynt
會議名稱5th SG ANZICS Asia Pacific Intensive Care Forum
會議開始日17.05.2018
會議完結日21.05.2018
會議地點Singapore
會議國家/地區新加坡
出版年份2018
語言英式英語

上次更新時間 2018-30-10 於 09:25