Effect of Education Using Mobile Social Networks on Anxiety and Satisfaction of Candidates for Coronary Angiography

Fathemeh Mohaddes, M. Bozorgnejad, T. Najafi Ghezeljeh, M. Zarei, S. Haghani, Fariba Jalalinejad
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Abstract

Background & Aims Cardiovascular diseases are responsible for 30% of all deaths worldwide. The present study aims to evaluate the effect of education through online social media (WhatsApp) on the anxiety and satisfaction of candidates for coronary angiography. Materials & Methods In this study, participants were candidates for elective coronary angiography referred to Imam Khomeini Hospital in Ahvaz, Iran from May to July 2021. They were assigned to the intervention (n=43) and control (n=43) groups. Data were collected using a demographic form, the Beck anxiety inventory (BAI) and the visual analog scale (VAS) for measuring satisfaction. Data analysis was performed in SPSS software, version 16 using independent t-test, paired t-test, chi-square test, and Fisher's exact test. Results Both groups were homogeneous in terms of demographic characteristics at baseline, and there was no significant difference in BAI scores between the intervention and control groups before the intervention (P=0.229). The results of independent t-test showed a significant difference in the mean BAI score before and after intervention in two groups (P<0.001), indicating the effect of intervention on reducing anxiety. The results of independent t-test showed that the satisfaction in the intervention group was significantly higher than in the control group (P<0.001). The results of the paired t-test showed that in both intervention (P<0.001) and control (P=0.005) groups, the BAI score decreased significantly after the intervention compared to the pre-intervention phase. The effect size of education on anxiety was 0.9 and the effect size on satisfaction was 1.88, which shows the high effect of the educational intervention. Conclusion The use of mobile social networks for education is effective in reducing anxiety and improving satisfaction in patients undergoing coronary angiography. Therefore, this interventional method can be used by nurses as an effective method in medical centers.
移动社交网络教育对冠状动脉造影患者焦虑和满意度的影响
背景与目的心血管疾病占全世界死亡人数的30%。本研究旨在评估在线社交媒体(WhatsApp)教育对冠状动脉造影候选人焦虑和满意度的影响。材料与方法在这项研究中,参与者是2021年5月至7月在伊朗阿瓦士伊玛目霍梅尼医院进行选择性冠状动脉造影的候选人。他们被分为干预组(n=43)和对照组(n=43)。数据收集使用人口统计表格,贝克焦虑量表(BAI)和视觉模拟量表(VAS)测量满意度。数据分析采用SPSS软件第16版,采用独立t检验、配对t检验、卡方检验和Fisher精确检验。结果两组在基线时人口学特征均相同,干预前干预组与对照组的BAI评分差异无统计学意义(P=0.229)。独立t检验结果显示,两组干预前后平均BAI评分差异有统计学意义(P<0.001),说明干预对减轻焦虑有一定作用。独立t检验结果显示,干预组的满意度显著高于对照组(P<0.001)。配对t检验结果显示,干预组(P<0.001)和对照组(P=0.005)干预后BAI评分均较干预前显著下降。教育对焦虑的效应量为0.9,对满意度的效应量为1.88,表明教育干预的效果较高。结论利用移动社交网络进行教育能有效减少冠状动脉造影患者的焦虑,提高患者的满意度。因此,该介入方法可作为医疗中心护士使用的有效方法。
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