Anxiety
Conditions
Keywords
interventional cardiopathy, preoperative anxiety, virtual reality
Brief summary
Improving the management of perioperative anxiety is important. Anxiety can have an impact on the intervention and can increase postoperative complications as well as emotional and behavioral incidents that then have an impact on adherence to care. These findings are also true in interventional cardiology. That is why, for several months, the Grenoble University hospital paramedical team, in collaboration with the medical profession, improved by using several techniques (educational sheet, therapeutic communication). Following a survey of the patients of Grenoble university hospital, a gray area persists in their care. The room where the patient attends his examination. The investigators would then use the new technology that makes virtual reality in the transfer room to evaluate its benefit in a random study on preoperative anxiety in interventional cardiology.
Interventions
OTHERVIRTUAL REALITY
Patient equipped with virtual reality in transfer room
Sponsors
University Hospital, Grenoble
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Major male or female patient * Coronarography procedure programmed for exploration of coronary artery disease following a positive ischemia test, realized in ambulatory * Patient who has given written consent to participate in the study
Exclusion criteria
* Arrhythmia patient and / or patient with a pacemaker * Hemodynamic instability * Patient who has already had coronarography * Prior revascularization by coronary bypass * End-stage renal disease (Creatinine clearance \<30 ml / min), * Allergy to iodine contrast agent * Blind or visually impaired patient (high degree) * Deaf or hard of hearing patient * Patient with claustrophobia or unable to wear a mask over the eyes * Patient whose physical or psychological state could compromise obtaining informed consent and compliance with protocol requirements * Patient under administrative or judicial supervision * Foreign patient who does not understand French * Major patient protected by law (article L1121-8 and L1121-5) * Pregnant or lactating patient * Patient not affiliated with social security
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness of virutal reality on the management of preoperative anxiety measured by heart rate variability in interventional cardiology room in patient awaiting coronarography | Time 1 : 60 minutes | Heart rate variability during 20 minutes by a heart rate monitor in transfer room |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of anxiety level in patient awaiting coronarography | TIme 1 : 60 minutes, Time 2 : 120 minutes | The Analogical Self-Assessment Scale for Preoperative Anxiety (0 - no anxiety to 10 - uncontrollable anxiety) |
| Patient satisfaction on the global care in the coronary angiography room | Time 3 : 180 minutes | Patient satisfaction questionnaire |
| Impact of virtual reality on coronarography intervention duration | Time 2 : 120 minutes | Intervention duration (in minutes) |
| Impact of virtual reality on coronarography irradiation dose | Time 2 : 120 minutes | Irradiation dose (in Gy.cm²) |
| Impact of virtual reality on coronarography scopy time | Time 2 : 120 minutes | scopy time (in minutes) |
| Impact of virtual reality on administration of analgesic and anxiolytic drug peri and per coronarography procedure | Time 2 : 120 minutes | administration of analgesic and anxiolytic drug peri and perprocedure (drug name and dose) |
| Impact of virtual reality on rate and success of coronarography procedure | Time 2 : 120 minutes | number and success of PCI |
Countries
France
Outcome results
None listed