Medical graphics to improve patient understanding and anxiety in elderly and cognitively impaired patients scheduled for transcatheter aortic valve implantation (TAVI).

 0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: S Bischoff, A Brand, C Crayen, H Dreger, V Falk, A Haghikia, A Hamann, C Hornig, Y Kühnle, U Landmesser, D M Leistner, J Lueg, S Martineck, O Paul, M Sherif, S Squier, K Stangl, V Stangl, S Sündermann, A Unbehaun

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: Germany : Clinical research in cardiology : official journal of the German Cardiac Society , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 714989

 BACKGROUND: Anxiety and limited patient comprehension may pose significant barriers when informing elderly patients about complex procedures such as transcatheter aortic valve implantation (TAVI). OBJECTIVES: We aimed to evaluate the utility of medical graphics to improve the patient informed consent (IC) before TAVI. METHODS: In this prospective, randomized dual center study, 301 patients were assigned to a patient brochure containing medical graphics (Comic group, n = 153) or sham information (Control group, n = 148) on top of usual IC. Primary outcomes were patient understanding of central IC-related aspects and periprocedural anxiety assessed by the validated Spielberger State Trait Anxiety Inventory (STAI), both analyzed by cognitive status according to the Montreal Cognitive Assessment (MoCA). RESULTS: Patient understanding was significantly higher in the Comic group [mean number of correct answers 12.8 (SD 1.2) vs. 11.3 (1.8)
  mean difference 1.5 (95% CI 1.2-1.8)
  p <
  0.001]. This effect was more pronounced in the presence of cognitive dysfunction (MoCA <
  26) [12.6 (1.2) in the Comic vs. 10.9 (1.6) in the Control group
  mean difference 1.8 (1.4-2.2), p <
  0.001]. Mean STAI score declined by 5.7 (95% CI 5.1-6.3
  p <
  0.001) in the Comic and 0.8 points (0.2-1.4
  p = 0.015) in the Control group. Finally, mean STAI score decreased in the Comic group by 4.7 (3.8-5.6) in cognitively impaired patients and by 6.6 (95% CI 5.8 to 7.5) in patients with normal cognitive function (p <
  0.001 each). CONCLUSIONS: Our results prove beneficial effects for using medical graphics to inform elderly patients about TAVI by improving patient understanding and reducing periprocedural anxiety (DRKS00021661
  23/Oct/2020).
Tạo bộ sưu tập với mã QR

THƯ VIỆN - TRƯỜNG ĐẠI HỌC CÔNG NGHỆ TP.HCM

ĐT: (028) 36225755 | Email: tt.thuvien@hutech.edu.vn

Copyright @2024 THƯ VIỆN HUTECH