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IRCT2017080335479N1 IRCT 2017-10-04 Vice chancellor for research and Technology, Tehran University of Medical Sciences The effect of multimedia education on anxiety and physiological indexes The effect of multimedia education on anxiety and physiological indexes in patients candidate for cerebrovascular angiography 2017-09-23 anticipated 88 Complete https://irct.ir/trial/26794 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Other. 2-3 cerebrovascular angiography. Intervention 1: The intervention of this study will be multimedia education. Multimedia education in this study will consist of movie (video), educational pamphlet (booklet), oral education and answers to questions posed by patients. The following is an explanation of each component of multimedia learning. (A) Educational movie (video): The content of the video includes information on the pre-angiography readiness, the conditions and equipment needed in the angiographic room, the way angiography is performed, the care required after angiography. Also, the things that need to be considered after taking out hospital care are provided in this video tutorial. This video will be made using Adobe Premiere. The film begins providing information about the preparation for angiography and will end with the necessary care after discharge from the hospital and at home. The film will use images and animations related to angiography and will be called by one of the researchers. The contents of the educational and video materials will be based on the resources and standards related to the cerebrovascular angiography, and after the approval of the professors of the faculty of internal medicine and the neuroscience department will be used for training. B) Educational pamphlet (booklet): In the educational pamphlet, the content of the movie displayed to patients will be summarized in a written and color-coded form with pictures for patients. This booklet will be available to patients for reading. C) verbal education: verbal education will provide patients with information on cerebrovascular angiography, how to do it and its related care as a lecture and verbal to the candidate for cerebrovascular angiography. D) Answering patient questions: At the end, patients are requested to ask questions if they need additional information, as well as express their concerns. Their questions will be answered and the relevant information will be provided to them. Intervention in the intensive care unit will be performed on the cerebral angiography in Firoozgar Hospital. After admission to this section, patients will be prepared for brain angiography. Intervention at the time of hospitalization in patients and at least 30 minutes in a room designed to patients education. Since cerebrospinal angiography is performed in the morning and afternoon shifts and on non-holiday days, interventions will take place in the morning and evening shifts of non-holiday days. Intervention 2: The control group will not receive any educational intervention. This group will receive only the routine method in the department. Routine measures include: a) informed consent of patients about performing angiography; b) cleaning the skin; insertion of the catheter; c) taking the peripheral vessel; d) administering the drug in accordance with the relevant physician's orders; c) monitoring the vital signs every two hours before and after cerebral angiography.
public Zahra Ahmadkhani
Mirkhani St (East Nosrat), Tohid Sq
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4325 ahmadkhani.nrsz@gmail.com School of Nursing & Midwifery, Tehran University of Medical Sciences scientific Leila Sayadi
Mirkhani St (East Nosrat), Tohid Sq
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4322 l-sayadi@sina.tums.ac School of Nursing & Midwifery, Tehran University of Medical Sciences Iran (Islamic Republic of) Patients participating in the study will have the following characteristics: • For the first time candidates for vascular catheterization, • At least 16 years of age, • Speak in Persian. • Ability to read and write and able to complete the questionnaire; • Satisfy the study; • During cerebral angiography; they have not received sedative medications; • They are not part of the hospital staff and are not familiar with cerebrovascular angiography; • Emergency needs; Do not have a catheterization of the cerebrospinal• Have no previous history of brain or cardiac catheterization; • Have no cognitive impairment; • Do not receive drugs for psychiatric disorders / benzodiazepines or anxiolytic drugs; • Steroids and substances Drugs do not consume; • Do not have blindness and severe hearing / hearing impairment; • Do not have chronic or life-threatening illnesses (such as cancer); •Do not require admission to specialized care because of their conditions; • Pre-admission patients have special training in no association with cerebral angiography • There are no hormonal disorders associated with thyroid, adrenal gland, and pituitary. Exclusion criteria: Do not wish to continue research. The patient dies during or after angiography. The patient has a loss of consciousness. 16 years no limit Both G46 Vascular syndromes of brain in cerebrovascular diseases Other Other The intervention of this study will be multimedia education. Multimedia education in this study will consist of movie (video), educational pamphlet (booklet), oral education and answers to questions posed by patients. The following is an explanation of each component of multimedia learning. (A) Educational movie (video): The content of the video includes information on the pre-angiography readiness, the conditions and equipment needed in the angiographic room, the way angiography is performed, the care required after angiography. Also, the things that need to be considered after taking out hospital care are provided in this video tutorial. This video will be made using Adobe Premiere. The film begins providing information about the preparation for angiography and will end with the necessary care after discharge from the hospital and at home. The film will use images and animations related to angiography and will be called by one of the researchers. The contents of the educational and video materials will be based on the resources and standards related to the cerebrovascular angiography, and after the approval of the professors of the faculty of internal medicine and the neuroscience department will be used for training. B) Educational pamphlet (booklet): In the educational pamphlet, the content of the movie displayed to patients will be summarized in a written and color-coded form with pictures for patients. This booklet will be available to patients for reading. C) verbal education: verbal education will provide patients with information on cerebrovascular angiography, how to do it and its related care as a lecture and verbal to the candidate for cerebrovascular angiography. D) Answering patient questions: At the end, patients are requested to ask questions if they need additional information, as well as express their concerns. Their questions will be answered and the relevant information will be provided to them. Intervention in the intensive care unit will be performed on the cerebral angiography in Firoozgar Hospital. After admission to this section, patients will be prepared for brain angiography. Intervention at the time of hospitalization in patients and at least 30 minutes in a room designed to patients education. Since cerebrospinal angiography is performed in the morning and afternoon shifts and on non-holiday days, interventions will take place in the morning and evening shifts of non-holiday days. The control group will not receive any educational intervention. This group will receive only the routine method in the department. Routine measures include: a) informed consent of patients about performing angiography; b) cleaning the skin; insertion of the catheter; c) taking the peripheral vessel; d) administering the drug in accordance with the relevant physician's orders; c) monitoring the vital signs every two hours before and after cerebral angiography. Anxiety. Timepoint: before and after intervention. Method of measurement: Spielberger State Anxiety Inventory (SAI). Blood pressure (Systolic, diastolic). Timepoint: before and after intervention - from admission to discharge- q2hours. Method of measurement: mmHg - monitoring blood pressure. Heart rate. Timepoint: before and after intervention - from admission to discharge- q2hours. Method of measurement: beats per minute in the monitoring that is attached to patient. Respiratory rate. Timepoint: before and after intervention - from admission to discharge- q2hours. Method of measurement: breaths per minute in the monitoring that is attached to patient. Tempreture. Timepoint: before and after intervention - from admission to discharge- q2hours. Method of measurement: Centigrade - °C- Temperature is shown by thermometer. Oxygen saturation. Timepoint: before and after intervention - from admission to discharge- q2hours. Method of measurement: pulse oximeters-A finger pulse oximeter that is attached to patient. Vice chancellor for research and Technology, Tehran University of Medical Sciences Approved 2017-07-30 School of Nursing & Midwifery, Tehran University of Medical Sciences, Nursing Ethics Committee Mirkhani St (East Nosrat), Tohid Sq Tehran Iran (Islamic Republic of)