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Positive effect on patient experience of video-information given prior to cardiovascular magnetic resonance imaging, a clinical trial
Department of Radiology, Ryhov County Hosptial, Jönköping, Sweden.ORCID iD: 0000-0001-5740-3538
Department of Clinical Physiology, Linköping University, Linköping, Sweden; Center of Medical Image Science and Visualization, Linköping University, Linköping, Sweden.
Department of Clinical Physiology, Karolinska Institutet, stockholm, Sweden; Karolinska University Hospital, Stockholm, Sweden.
Örebro University, School of Health Sciences. (CPoN)ORCID iD: 0000-0001-8549-9039
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 5-6, p. 1250-1261Article in journal (Refereed) Published
Abstract [en]

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 <.001). No difference was found regarding motion artefacts between CMR-video and CMR-standard.

Conclusion: Patient ability to relax during cardiovascular magnetic resonance imaging increased by adding video information prior the exam, which is important in relation to perceived quality in nursing. No effect was seen on motion artefacts.

Relevance to clinical practice: Video information prior to examinations can be an easy and time effective method to help patients cooperate in imaging procedures.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2018. Vol. 27, no 5-6, p. 1250-1261
Keywords [en]
cardiovascular magnetic resonance imaging; myocardial perfusion scintigraphy; nursing; patient experience; patient information; video information
National Category
Radiology, Nuclear Medicine and Medical Imaging Nursing
Research subject
Radiology; Caring Sciences w. Medical Focus
Identifiers
URN: urn:nbn:se:oru:diva-62679DOI: 10.1111/jocn.14172ISI: 000428419400085PubMedID: 29149455Scopus ID: 2-s2.0-85042274450OAI: oai:DiVA.org:oru-62679DiVA, id: diva2:1158226
Note

Funding Agencies:

Futurum, County Council of Jönköping  

Division of Medical Diagnostics, Region Jönköping county Sweden

Available from: 2017-11-18 Created: 2017-11-18 Last updated: 2018-04-25Bibliographically approved

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Ahlander, Britt-MarieEricsson, Elisabeth

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