Comparison of the Effectiveness of Multimedia and Face-to-Face Education on the Level of Preoperative Anxiety of Patient Undergoing Coronary Artery Bypass Graft (CABG)
-
Rahim Shamsadini
,
Parisa Moradi Majd
,
Shahnam Sediq Maroufi
,
Mohammad Ziae Totonchi
,
Jamileh Abolghasemi
Abstract
Background: Preoperative anxiety is a prevalent and potentially detrimental factor in the perioperative experience, affecting both patients and the healthcare team. This study aimed to investigate and compare the impact of multimedia and face-to-face education modalities on preoperative anxiety in patients undergoing coronary artery bypass surgery.
Methods: This quasi-experimental study was conducted in 1403 in 98 CABG surgery patients. Patients were randomly assigned to two groups: multimedia and face-to-face. The multimedia group received education through an educational film, while the face-to-face group underwent traditional in-person instruction. Preoperative anxiety was assessed at three time points: before the intervention, immediately after the intervention, and one hour before surgery. The Amsterdam Preoperative Anxiety and Information Needs Scale (APAIS) was used to measure anxiety levels.
Results: Regarding anxiety scores, no significant correlation was found between the two groups at any of the three time points examined (p > 0.05). Both groups experienced a decrease in average anxiety scores following education.
Conclusion: The findings of this study demonstrate that the implementation of theses educational methods, can effectively reduce preoperative anxiety in patients undergoing CABG surgery. By mitigating anxiety, these interventions can enhance patient cooperation with the treatment team, ultimately leading to improved treatment outcomes. Therefore, the utilization of educational strategies is strongly recommended to alleviate preoperative anxiety levels in this patient population.
[1] Fahimi K, Abbasi A, Zahedi M, Amanpour F, Gilani M, Ebrahimi H. Investigation of the effect of multimedia education on anxiety before and after surgery in patients undergoing coronary artery bypass graft surgery. Sci J Hamadan Nurs Midwifery Fac. 2018;26(3):137-44.
[2] Askari B, Babakan R, Nurinejad F, Mahoori A. Prevalence of coronary artery disease risk factors in patients undergoing coronary artery bypass surgery in West Azerbaijan province. J Shahrekord Univ Med Sci. 2019; 21(4):181-186.
[3] Fathi M, Alavi SM, Joudi M, Joudi M, Mahdikhani H, Ferasatkish R, et al. Preoperative anxiety in candidates for heart surgery. Iran J Psychiatry Behav Sci. 2014; 8(2):90.
[4] Jawaid M, Mushtaq A, Mukhtar S, Khan Z. Preoperative anxiety before elective surgery. Neurosciences. 2007; 12(2):145-148.
[5] Padmanabhan R, Hildreth A, Laws D. A prospective, randomised, controlled study examining binaural beat audio and pre‐operative anxiety in patients undergoing general anaesthesia for day case surgery. Anaesthesia. 2005; 60(9):874-877.
[6] Phipps WJ, Monahan FD, Sands J, Marek J, Neighbors M. Medical-surgical nursing: Health and illness perspectives. St. Louis: Mosby; 2003.
[7] Aghamohammadi Kalkhoran M, Karimollahi M. Religiousness and preoperative anxiety: a correlational study. Ann Gen Psychiatry. 2007; 6(1):1-5.
[8] Caumo W, Ferreira MBC. Perioperative anxiety: psychobiology and effects in postoperative recovery. Pain Clinic. 2003; 15(2):87-101.
[9] Bassampour Sh. The effect of education on anxiety before and after open heart surgery. Payesh 2004; 3 (2) :139-144.
[10] Shahmari M, Hasanpour M. Impact of Language Barriers on Patient Education: A Scoping Review. Payesh. 2021; 20 (3) :301-310.
[11] Ortiz J, Wang S, Elayda MA, Tolpin DA. Preoperative patient education: can we improve satisfaction and reduce anxiety? Rev Bras Anestesiol. 2015; 65:7-13.
[12] Sajadi AS, Majd PM, Maroufi SS, Abolghasemi J. Mind mapping in recalling and retrieving core contents in anesthesia technology students. J Educ Health Promot. 2023; 12(1):397.
[13] Fitzgerald BM, Elder J. Will a 1-page informational handout decrease patients' most common fears of anesthesia and surgery? J Surg Educ. 2008; 65(5):359-363.
[14] Dunn J, Steginga SK, Rose P, Scott J, Allison R. Evaluating patient education materials about radiation therapy. Patient Educ Couns. 2004; 52(3):325-332.
[15] Friedman AJ, Cosby R, Boyko S, Hatton-Bauer J, Turnbull G. Effective teaching strategies and methods of delivery for patient education: a systematic review and practice guideline recommendations. J Cancer Educ. 2011; 26:12-21.
[16] Wilson EA, Makoul G, Bojarski EA, Bailey SC, Waite KR, Rapp DN, et al. Comparative analysis of print and multimedia health materials: a review of the literature. Patient Educ Couns. 2012; 89(1):7-14.
[17] Moradimajd P, Charmchi R, Saei A, Paydar R, Abolghasemi J. Designing and psychometrics of the educational booklet on the principles of radiation protection to promote radiation safety culture among the surgical team. J Police Med. 2023; 12(1):1-14.
[18] Asgari A, Khaghanizadeh M.. Multimedia Method Of Education. Educational Strategies[Internet]. 2010;2(4):173-176.
[19] 19. ou S, Tou W, Mah D, Karatassas A, Hewett P. Effect of preoperative two-dimensional animation information on perioperative anxiety and knowledge retention in patients undergoing bowel surgery: a randomized pilot study. Colorectal Dis. 2013; 15(5):e256-e265.
[20] Momeni L, Najaf Yarandi A, Haqani H. Comparison of two methods of teaching VCD and booklets at two different times on preoperative anxiety in patients undergoing coronary artery bypass graft. J Nurs Midwifery Iran Univ Med Sci. 2006; 56:105-110.
[21] Bondy LR, Sims N, Schroeder DR, Offord KP, Narr BJ. The effect of anesthetic patient education on preoperative patient anxiety. Reg Anesth Pain Med. 1999; 24(2):158-164.
[22] Jlala H, French J, Foxall G, Hardman J, Bedforth N. Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. Br J Anaesth. 2010; 104(3):369-374.
[23] Hughes S. The effects of giving patients pre-operative information. Nurs Stand. 2002; 16(28):33.
[24] Nishimori M, Moerman N, Fukuhara S, Van Dam F, Muller M, Hanaoka K, et al. Translation and validation of the Amsterdam preoperative anxiety and information scale (APAIS) for use in Japan. Qual Life Res. 2002; 11:361-364.
[25] Nikandish R, Anvar M, Avand A, Habibi N, Gahramani N, Dorri R. Translation and validation of the Amsterdam Preoperative Anxiety and Information Scale (APAIS) for Iranian population. Research in Medicine 2007; 31 (1) :79-84.
[26] Zafar Neya N, Kohan S, Miri S, Solimane L, Abbas Zadeh A, Abbaszadeh A, et al. The effect of the therapeutic touch on preoperative anxiety in women with elective surgeries. J Qual Res Health Sci. 2011; 10(1):42-51.
[27] Abdi M, Ghazavi Z, Abrishamkar S. The effect of electronical film on the anxiety of patients candidate for lumbar disc surgery. Iran J Nurs Midwifery Res. 2019; 24(5):330.
[28] Fahimi K, Abbasi A, Zahedi M, Amanpour F, Gilani M, Ebrahimi H. Investigation of the effect of multimedia education on anxiety before and after surgery in patients undergoing coronary artery bypass graft surgery. Sci J Hamadan Nurs Midwifery Fac. 2018; 26(3):137-144.
[29] Mousavi S, Abazari F, Frouzi D, Farmer F, Fog A, et al. Comparing the effect of face-to-face training and video training on the anxiety of bone marrow transplant patients in Afzalipur Hospital, Kerman: a randomized clinical trial study. Sci J Rafsanjan Univ Med Sci. 2020; 19(6):579-590.
[30] Salehmoghaddam A, Zoka A, Mazlom S, Amni S. Effect of instructional videos on postoperative respiratory function in patients undergoing off-pump open heart surgery. Evid Based Care. 2016; 6(2):57-66.
[31] Saki A, Hooshmand Bahabadi A, Asadi Noghabi AA, Mehran A. Comparison of face-to-face and electronic education methods on anxiety in patients with acute myocardial infarction. Hayat. 2014; 20(1).
[32] Rabiei J, Jahanpoor F, Azadi F. Investigating the effect of using educational multimedia on the level of anxiety before cesarean section. Iran J Women Obstet Infertil. 2017; 20(5):24-29.
[33] Rajput SK, Tiwari T, Chaudhary AK. Effect of preoperative multimedia-based video information on perioperative anxiety and hemodynamic stability in patients undergoing surgery under spinal anesthesia. J Family Med Prim Care. 2021; 10(1):237.
[2] Askari B, Babakan R, Nurinejad F, Mahoori A. Prevalence of coronary artery disease risk factors in patients undergoing coronary artery bypass surgery in West Azerbaijan province. J Shahrekord Univ Med Sci. 2019; 21(4):181-186.
[3] Fathi M, Alavi SM, Joudi M, Joudi M, Mahdikhani H, Ferasatkish R, et al. Preoperative anxiety in candidates for heart surgery. Iran J Psychiatry Behav Sci. 2014; 8(2):90.
[4] Jawaid M, Mushtaq A, Mukhtar S, Khan Z. Preoperative anxiety before elective surgery. Neurosciences. 2007; 12(2):145-148.
[5] Padmanabhan R, Hildreth A, Laws D. A prospective, randomised, controlled study examining binaural beat audio and pre‐operative anxiety in patients undergoing general anaesthesia for day case surgery. Anaesthesia. 2005; 60(9):874-877.
[6] Phipps WJ, Monahan FD, Sands J, Marek J, Neighbors M. Medical-surgical nursing: Health and illness perspectives. St. Louis: Mosby; 2003.
[7] Aghamohammadi Kalkhoran M, Karimollahi M. Religiousness and preoperative anxiety: a correlational study. Ann Gen Psychiatry. 2007; 6(1):1-5.
[8] Caumo W, Ferreira MBC. Perioperative anxiety: psychobiology and effects in postoperative recovery. Pain Clinic. 2003; 15(2):87-101.
[9] Bassampour Sh. The effect of education on anxiety before and after open heart surgery. Payesh 2004; 3 (2) :139-144.
[10] Shahmari M, Hasanpour M. Impact of Language Barriers on Patient Education: A Scoping Review. Payesh. 2021; 20 (3) :301-310.
[11] Ortiz J, Wang S, Elayda MA, Tolpin DA. Preoperative patient education: can we improve satisfaction and reduce anxiety? Rev Bras Anestesiol. 2015; 65:7-13.
[12] Sajadi AS, Majd PM, Maroufi SS, Abolghasemi J. Mind mapping in recalling and retrieving core contents in anesthesia technology students. J Educ Health Promot. 2023; 12(1):397.
[13] Fitzgerald BM, Elder J. Will a 1-page informational handout decrease patients' most common fears of anesthesia and surgery? J Surg Educ. 2008; 65(5):359-363.
[14] Dunn J, Steginga SK, Rose P, Scott J, Allison R. Evaluating patient education materials about radiation therapy. Patient Educ Couns. 2004; 52(3):325-332.
[15] Friedman AJ, Cosby R, Boyko S, Hatton-Bauer J, Turnbull G. Effective teaching strategies and methods of delivery for patient education: a systematic review and practice guideline recommendations. J Cancer Educ. 2011; 26:12-21.
[16] Wilson EA, Makoul G, Bojarski EA, Bailey SC, Waite KR, Rapp DN, et al. Comparative analysis of print and multimedia health materials: a review of the literature. Patient Educ Couns. 2012; 89(1):7-14.
[17] Moradimajd P, Charmchi R, Saei A, Paydar R, Abolghasemi J. Designing and psychometrics of the educational booklet on the principles of radiation protection to promote radiation safety culture among the surgical team. J Police Med. 2023; 12(1):1-14.
[18] Asgari A, Khaghanizadeh M.. Multimedia Method Of Education. Educational Strategies[Internet]. 2010;2(4):173-176.
[19] 19. ou S, Tou W, Mah D, Karatassas A, Hewett P. Effect of preoperative two-dimensional animation information on perioperative anxiety and knowledge retention in patients undergoing bowel surgery: a randomized pilot study. Colorectal Dis. 2013; 15(5):e256-e265.
[20] Momeni L, Najaf Yarandi A, Haqani H. Comparison of two methods of teaching VCD and booklets at two different times on preoperative anxiety in patients undergoing coronary artery bypass graft. J Nurs Midwifery Iran Univ Med Sci. 2006; 56:105-110.
[21] Bondy LR, Sims N, Schroeder DR, Offord KP, Narr BJ. The effect of anesthetic patient education on preoperative patient anxiety. Reg Anesth Pain Med. 1999; 24(2):158-164.
[22] Jlala H, French J, Foxall G, Hardman J, Bedforth N. Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. Br J Anaesth. 2010; 104(3):369-374.
[23] Hughes S. The effects of giving patients pre-operative information. Nurs Stand. 2002; 16(28):33.
[24] Nishimori M, Moerman N, Fukuhara S, Van Dam F, Muller M, Hanaoka K, et al. Translation and validation of the Amsterdam preoperative anxiety and information scale (APAIS) for use in Japan. Qual Life Res. 2002; 11:361-364.
[25] Nikandish R, Anvar M, Avand A, Habibi N, Gahramani N, Dorri R. Translation and validation of the Amsterdam Preoperative Anxiety and Information Scale (APAIS) for Iranian population. Research in Medicine 2007; 31 (1) :79-84.
[26] Zafar Neya N, Kohan S, Miri S, Solimane L, Abbas Zadeh A, Abbaszadeh A, et al. The effect of the therapeutic touch on preoperative anxiety in women with elective surgeries. J Qual Res Health Sci. 2011; 10(1):42-51.
[27] Abdi M, Ghazavi Z, Abrishamkar S. The effect of electronical film on the anxiety of patients candidate for lumbar disc surgery. Iran J Nurs Midwifery Res. 2019; 24(5):330.
[28] Fahimi K, Abbasi A, Zahedi M, Amanpour F, Gilani M, Ebrahimi H. Investigation of the effect of multimedia education on anxiety before and after surgery in patients undergoing coronary artery bypass graft surgery. Sci J Hamadan Nurs Midwifery Fac. 2018; 26(3):137-144.
[29] Mousavi S, Abazari F, Frouzi D, Farmer F, Fog A, et al. Comparing the effect of face-to-face training and video training on the anxiety of bone marrow transplant patients in Afzalipur Hospital, Kerman: a randomized clinical trial study. Sci J Rafsanjan Univ Med Sci. 2020; 19(6):579-590.
[30] Salehmoghaddam A, Zoka A, Mazlom S, Amni S. Effect of instructional videos on postoperative respiratory function in patients undergoing off-pump open heart surgery. Evid Based Care. 2016; 6(2):57-66.
[31] Saki A, Hooshmand Bahabadi A, Asadi Noghabi AA, Mehran A. Comparison of face-to-face and electronic education methods on anxiety in patients with acute myocardial infarction. Hayat. 2014; 20(1).
[32] Rabiei J, Jahanpoor F, Azadi F. Investigating the effect of using educational multimedia on the level of anxiety before cesarean section. Iran J Women Obstet Infertil. 2017; 20(5):24-29.
[33] Rajput SK, Tiwari T, Chaudhary AK. Effect of preoperative multimedia-based video information on perioperative anxiety and hemodynamic stability in patients undergoing surgery under spinal anesthesia. J Family Med Prim Care. 2021; 10(1):237.
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How to Cite
1.
Shamsadini R, Moradi Majd P, Sediq Maroufi S, Ziae Totonchi M, Abolghasemi J. Comparison of the Effectiveness of Multimedia and Face-to-Face Education on the Level of Preoperative Anxiety of Patient Undergoing Coronary Artery Bypass Graft (CABG). Arch Anesth & Crit Care. 2025;.
