Comparison of the Effects of Face-to-Face and Group Education on Awareness and Anxiety of Family Members of Candidates for Coronary Angiography

Zehra Haidari, M. Modanloo, S. Kazemi, Mahdi Farzadmehr
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Abstract

Background: Coronary angiography causes anxiety in patients and family that is a major cause of anxiety and lack of awareness. Choosing the right educational method is effective in increasing family awareness and support of patients. The present study aimed to compare the effects of Face-to-Face and group education on awareness and anxiety of family members of candidates of coronary angiography. Methods: This randomized clinical trial study was conducted on 90 family members of candidates of coronary angiography at Amiralmomenin Hospital of Kordkuy as a referral center in Northeast of Iran in 2017. Eligible family member of patients was recruited through convenience sampling method and then allocated three; face-to-face education (A), group education (B), and control groups randomly. Family members in both intervention groups received same educational content about the method of performing coronary angiography, and the necessary care. The control group only received routine information. Data were collected using the Spielberger State-Trait Anxiety Inventory (STAI) and awareness questionnaire. SPSS Statistics for Windows, version x.0 (SPSS Inc., Chicago, Ill., USA). Software using descriptive statistics, paired t-test, Chi-square, Wilcoxon, and Kruskal-Wallis tests. The significance level was considered less than 0.5. Results: The score of anxiety and awareness in patients’ family members were not significantly different in the three groups before the intervention. After intervention, the mean scores of anxiety were 42.12±4.71 and 42.37±5.53 in the participants of group A and B respectively, and it was significantly different from the pre-intervention score (P<0.001). The mean awareness score was significantly higher in group B than in the other two groups (P<0.001). Conclusion: According to the results, group education was more effective than face-to-face education in increasing awareness and reducing anxiety in families. We suggest developing programs in this regard.
面对面教育与小组教育对冠脉造影候选者家属意识及焦虑的影响比较
背景:冠状动脉造影引起患者和家属的焦虑,这是焦虑和缺乏意识的主要原因。选择正确的教育方法可以有效地提高家庭对患者的认识和支持。本研究旨在比较面对面教育和团体教育对冠状动脉造影候选者家属意识和焦虑的影响。方法:本随机临床试验研究于2017年在伊朗东北部Kordkuy Amiralmomenin医院作为转诊中心对90名冠状动脉造影候选人的家庭成员进行了研究。采用方便抽样法招募符合条件的患者家属,然后分配3名;面对面教育(A)、分组教育(B)和随机对照组。两组患者家属对冠状动脉造影方法及护理的教育内容相同。对照组只接收常规信息。数据收集采用斯皮尔伯格状态-特质焦虑量表(STAI)和意识问卷。SPSS Statistics for Windows, version x.0(SPSS Inc.,芝加哥,伊利诺伊州)美国)。软件采用描述性统计、配对t检验、卡方检验、Wilcoxon检验和Kruskal-Wallis检验。认为显著性水平小于0.5。结果:干预前三组患者家属的焦虑和意识得分均无显著差异。干预后,A组和B组的平均焦虑得分分别为42.12±4.71分和42.37±5.53分,与干预前比较差异有统计学意义(P<0.001)。B组患者的平均意识评分显著高于其他两组(P<0.001)。结论:小组教育比面对面教育在提高家庭意识、减少家庭焦虑方面更有效。我们建议在这方面制定方案。
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