Positive effect on patient experience of video information given prior to cardiovascular magnetic resonance imaging: A clinical trial

Britt‐Marie Ahlander, Jan Engvall, Eva Maret and Elisabeth Ericsson

Journal of Clinical Nursing, 2018, vol. 27, issue 5-6, 1250-1261

Abstract: Aims and objectives To evaluate the effect of video information given before cardiovascular magnetic resonance imaging on patient anxiety and to compare patient experiences of cardiovascular magnetic resonance imaging versus myocardial perfusion scintigraphy. To evaluate whether additional information has an impact on motion artefacts. Background Cardiovascular magnetic resonance imaging and myocardial perfusion scintigraphy are technically advanced methods for the evaluation of heart diseases. Although cardiovascular magnetic resonance imaging is considered to be painless, patients may experience anxiety due to the closed environment. Design A prospective randomised intervention study, not registered. Methods The sample (n = 148) consisted of 97 patients referred for cardiovascular magnetic resonance imaging, randomised to receive either video information in addition to standard text‐information (CMR‐video/n = 49) or standard text‐information alone (CMR‐standard/n = 48). A third group undergoing myocardial perfusion scintigraphy (n = 51) was compared with the cardiovascular magnetic resonance imaging‐standard group. Anxiety was evaluated before, immediately after the procedure and 1 week later. Five questionnaires were used: Cardiac Anxiety Questionnaire, State‐Trait Anxiety Inventory, Hospital Anxiety and Depression scale, MRI Fear Survey Schedule and the MRI‐Anxiety Questionnaire. Motion artefacts were evaluated by three observers, blinded to the information given. Data were collected between April 2015–April 2016. The study followed the CONSORT guidelines. Result The CMR‐video group scored lower (better) than the cardiovascular magnetic resonance imaging‐standard group in the factor Relaxation (p = .039) but not in the factor Anxiety. Anxiety levels were lower during scintigraphic examinations compared to the CMR‐standard group (p

Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:27:y:2018:i:5-6:p:1250-1261

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