Anxiety
Conditions
Brief summary
The purpose of this quasi-experimental study is to examine the effect of visually immersive preoperative education on levels of anxiety and patient outcomes in patients undergoing cardiothoracic (open heart) surgery
Interventions
BEHAVIORALVisually Immersive Video
The patients watch a 5-minute visually immersive education video on what to expect postoperatively on arrival to the cardiovascular intensive care unit (CVICU) followed by the opportunity for discussion/explanation and questions.
BEHAVIORALStandard of Care
The patient receives a basic verbal explanation of what to expect postoperatively on arrival to CVICU followed by the opportunity for questions.
Sponsors
Baptist Health South Florida
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Inpatients and outpatients scheduled for elective cardiothoracic (open heart) surgery
Exclusion criteria
* Patients undergoing emergent cardiothoracic (open heart) surgery * Patients with altered mental status * History of mental health disorders (schizophrenia and bipolar disorder) * Legally blind/complete blindness and hearing impaired (without hearing aids)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety relief (self-report measure 1 - State-Trait Anxiety Inventory) | 30 minutes | Patient's anxiety will be measured using the 20-item State-Trait Anxiety Inventory (STAI) (state scale only) (higher scores indicate higher anxiety), taken before and after preoperative education is received. |
| Anxiety relief (self-report measure 2 - Visual Analog Scale for Anxiety) | 30 minutes | Patient's anxiety will be measured using the Visual Analog Scale for Anxiety (VAS-A), a slider scale of 0 - 100 is used to self-report anxiety (0 = not anxious and 100 = extremely anxious), taken before and after preoperative education is received. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative CVICU Outcome 2 - Intubation Time | Within 30 days after the patient is discharged from CVICU | Intubation time = Length of time the patient is on mechanical ventilation. |
| Postoperative CVICU Outcome 3 - Re-intubation | Within 30 days after the patient is discharged from CVICU | Re-intubation after initial removal from mechanical ventilation (yes or no). |
| Postoperative CVICU Outcome 4 - Blood Sugar Regulation | Within 30 days after the patient is discharged from CVICU | Blood sugar regulation = comparison of point-of-care blood sugar levels taken on postoperative day 1 and on the day of discharge from CVICU. |
| Anxiety relief (physiological measure 1 - blood pressure) | 30 minutes | Blood pressure is measured before and after receipt of preoperative education. Increased anxiety may cause elevation of this physiological indicator. |
| Anxiety relief (physiological measure 3 - respiratory rate) | 30 minutes | Respiratory rate is measured before and after receipt of preoperative education. Increased anxiety may cause elevation of this physiological indicator. |
| Anxiety relief (physiological measure 2 - heart rate) | 30 minutes | Heart rate is measured before and after receipt of preoperative education. Increased anxiety may cause elevation of this physiological indicator. |
| Postoperative CVICU Outcome 1 - Length of Stay | Within 30 days after the patient is discharged from CVICU | Patients' length of stay (# days) in the CVICU. |
Countries
United States
Contacts
STUDY_CHAIRNatalie Bermudez, PhD, RN, EBP-C
Baptist Health | Nursing & Health Sciences Research
Outcome results
None listed