Effectiveness of Preoperative Multimedia Video-based Education on Anxiety and Haemodynamic Stability of Oncosurgery Patients Undergoing Spinal Anaesthesia- A Randomised Controlled Trial
Introduction: Most of the patients posted for surgery experience anxiety and this is more pronounced in cancer patients posted for oncological surgery. The majority of it arises from apprehension stemming from a lack of understanding of anaesthetic procedures and surgery. Aim: To assess the effecti...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2022-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/15872/53264_CE[Ra1]_F[SH]_PF1(AKA_KM)_PFA(AKA_KM)_PN(KM).pdf |
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| author | Kavitha Lakshman HS Mamatha ND Rachana CS Sumitha Namrata Ranganath VB Gowda BH Arathi |
| author_facet | Kavitha Lakshman HS Mamatha ND Rachana CS Sumitha Namrata Ranganath VB Gowda BH Arathi |
| author_sort | Kavitha Lakshman |
| collection | DOAJ |
| description | Introduction: Most of the patients posted for surgery experience anxiety and this is more pronounced in cancer patients posted for oncological surgery. The majority of it arises from apprehension stemming from a lack of understanding of anaesthetic procedures and surgery.
Aim: To assess the effectiveness of multimedia-based educational video shown preoperatively to cancer patients posted for surgery in alleviating anxiety associated with spinal anaesthesia/sub arachnoid block.
Materials and Methods: This was a randomised controlled trial conducted on a total of 200 patients posted for oncological procedure in Department of Anaesthesiology and Pain relief, Kidwai Memorial Institute of Oncology, Bengaluru, India. the total subjects included were randomised into two groups: Video group, where a short educational video depicting procedure of spinal anaesthesia was shown preoperatively to the patients and non video group (control group) where no video was shown. Anxiety using Visual Analogue Scale (VAS) and haemodynamic parameters like Heart Rate (HR), Mean Arterial Pressure (MAP), Systolic blood Pressure (SBP), Diastolic blood pressure (DBP) were assessed pre and post intervention in both groups. Categorical data were compared using Chi-square test. Student’s unpaired t-test was used for inter-group comparison. The p-value <0.05 was considered statistically significant.
Results: Out of total 200 patients (93 males and 107 females; 18-60 years of age) enrolled in the study, 100 patients were categorised in video group (41.53±11.60 years) and remaining 100 were included in non video group (42.92±11.63 years). There was no statistically significant difference in the mean anxiety score and haemodynamic parameters at the baseline for both the groups. Post intervention, the video group showed a greater reduction in anxiety than the control group (intra-group reduction: 1.84±1.20 vs 1.42±1.18), and the difference was statistically significant (p-value=0.013). Mean HR was significantly higher in the control group (84.66±13.22, 80.46±13.11 and 79.44±14.05 at 5, 10 and 15 min, respectively) when compared with the video group (81.75±11.49, 77.35±12.59 and 74.82±13.05 at 5, 10 and 15 min, respectively). Similarly, SBP, DBP and MAP were noted significantly higher in the control group compared to the video group (p-value <0.001).
Conclusion: Multimedia-based educational video depicting technique of spinal anaesthesia/sub arachnoid block significantly reduces anxiety and associated haemodynamic variations. Showing short video clip about spinal anaesthesia technique is an easy way for transfer of information about anaesthesia for patients and allows time for patients to reflect on this preoperatively and thereby reduces their anxiety. |
| first_indexed | 2024-04-10T19:04:30Z |
| format | Article |
| id | doaj.art-6bfadbc360f54acf8ecc3a2a5fa692b9 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T19:04:30Z |
| publishDate | 2022-01-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-6bfadbc360f54acf8ecc3a2a5fa692b92023-01-31T05:54:29ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-01-01161UC27UC3210.7860/JCDR/2022/53264.15872Effectiveness of Preoperative Multimedia Video-based Education on Anxiety and Haemodynamic Stability of Oncosurgery Patients Undergoing Spinal Anaesthesia- A Randomised Controlled TrialKavitha Lakshman0HS Mamatha1ND Rachana2CS Sumitha3Namrata Ranganath4VB Gowda5BH Arathi6Assistant Professor, Department of Anaesthesiology and Pain Relief, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka, India.Assistant Professor, Department of Anaesthesiology and Pain Relief, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka, India.Assistant Professor, Department of Anaesthesiology and Pain Relief, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka, India.Assistant Professor, Department of Anaesthesiology and Pain Relief, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka, India.Professor, Department of Anaesthesiology and Pain Relief, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka, India.Professor and Head, Department of Anaesthesiology and Pain Relief, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka, India.Associate Professor, Department of Anaesthesiology and Pain Relief, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka, India.Introduction: Most of the patients posted for surgery experience anxiety and this is more pronounced in cancer patients posted for oncological surgery. The majority of it arises from apprehension stemming from a lack of understanding of anaesthetic procedures and surgery. Aim: To assess the effectiveness of multimedia-based educational video shown preoperatively to cancer patients posted for surgery in alleviating anxiety associated with spinal anaesthesia/sub arachnoid block. Materials and Methods: This was a randomised controlled trial conducted on a total of 200 patients posted for oncological procedure in Department of Anaesthesiology and Pain relief, Kidwai Memorial Institute of Oncology, Bengaluru, India. the total subjects included were randomised into two groups: Video group, where a short educational video depicting procedure of spinal anaesthesia was shown preoperatively to the patients and non video group (control group) where no video was shown. Anxiety using Visual Analogue Scale (VAS) and haemodynamic parameters like Heart Rate (HR), Mean Arterial Pressure (MAP), Systolic blood Pressure (SBP), Diastolic blood pressure (DBP) were assessed pre and post intervention in both groups. Categorical data were compared using Chi-square test. Student’s unpaired t-test was used for inter-group comparison. The p-value <0.05 was considered statistically significant. Results: Out of total 200 patients (93 males and 107 females; 18-60 years of age) enrolled in the study, 100 patients were categorised in video group (41.53±11.60 years) and remaining 100 were included in non video group (42.92±11.63 years). There was no statistically significant difference in the mean anxiety score and haemodynamic parameters at the baseline for both the groups. Post intervention, the video group showed a greater reduction in anxiety than the control group (intra-group reduction: 1.84±1.20 vs 1.42±1.18), and the difference was statistically significant (p-value=0.013). Mean HR was significantly higher in the control group (84.66±13.22, 80.46±13.11 and 79.44±14.05 at 5, 10 and 15 min, respectively) when compared with the video group (81.75±11.49, 77.35±12.59 and 74.82±13.05 at 5, 10 and 15 min, respectively). Similarly, SBP, DBP and MAP were noted significantly higher in the control group compared to the video group (p-value <0.001). Conclusion: Multimedia-based educational video depicting technique of spinal anaesthesia/sub arachnoid block significantly reduces anxiety and associated haemodynamic variations. Showing short video clip about spinal anaesthesia technique is an easy way for transfer of information about anaesthesia for patients and allows time for patients to reflect on this preoperatively and thereby reduces their anxiety.https://www.jcdr.net/articles/PDF/15872/53264_CE[Ra1]_F[SH]_PF1(AKA_KM)_PFA(AKA_KM)_PN(KM).pdfanaesthesia informationanxiolysiscancer surgerysub arachnoid block |
| spellingShingle | Kavitha Lakshman HS Mamatha ND Rachana CS Sumitha Namrata Ranganath VB Gowda BH Arathi Effectiveness of Preoperative Multimedia Video-based Education on Anxiety and Haemodynamic Stability of Oncosurgery Patients Undergoing Spinal Anaesthesia- A Randomised Controlled Trial Journal of Clinical and Diagnostic Research anaesthesia information anxiolysis cancer surgery sub arachnoid block |
| title | Effectiveness of Preoperative Multimedia Video-based Education on Anxiety and Haemodynamic Stability of Oncosurgery Patients Undergoing Spinal Anaesthesia- A Randomised Controlled Trial |
| title_full | Effectiveness of Preoperative Multimedia Video-based Education on Anxiety and Haemodynamic Stability of Oncosurgery Patients Undergoing Spinal Anaesthesia- A Randomised Controlled Trial |
| title_fullStr | Effectiveness of Preoperative Multimedia Video-based Education on Anxiety and Haemodynamic Stability of Oncosurgery Patients Undergoing Spinal Anaesthesia- A Randomised Controlled Trial |
| title_full_unstemmed | Effectiveness of Preoperative Multimedia Video-based Education on Anxiety and Haemodynamic Stability of Oncosurgery Patients Undergoing Spinal Anaesthesia- A Randomised Controlled Trial |
| title_short | Effectiveness of Preoperative Multimedia Video-based Education on Anxiety and Haemodynamic Stability of Oncosurgery Patients Undergoing Spinal Anaesthesia- A Randomised Controlled Trial |
| title_sort | effectiveness of preoperative multimedia video based education on anxiety and haemodynamic stability of oncosurgery patients undergoing spinal anaesthesia a randomised controlled trial |
| topic | anaesthesia information anxiolysis cancer surgery sub arachnoid block |
| url | https://www.jcdr.net/articles/PDF/15872/53264_CE[Ra1]_F[SH]_PF1(AKA_KM)_PFA(AKA_KM)_PN(KM).pdf |
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