One-year results of an eHealth intervention on anxiety in patients undergoing abdominal aortic aneurysm surgery: randomized clinical trial.

IF 3.5 3区医学 Q1 SURGERY

BJS Open Pub Date : 2024-12-30 DOI:10.1093/bjsopen/zrae144

Olga Nilsson, Malin Stenman, Anna Letterstål, Rebecka Hultgren

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Abstract

Background: The longitudinal effects of educational interventions in people with abdominal aortic aneurysm are largely unexplored. This prospective study investigated whether the anxiety-lowering effect of an eHealth intervention observed at the 1-month follow-up is maintained 1 year after abdominal aortic aneurysm surgery.

Methods: Those scheduled for surgical repair of abdominal aortic aneurysm were recruited in a single-centre randomized clinical trial. The control group received care and follow-up per the institution's standard. The intervention group received an eHealth tool along with psychosocial support. The 1-month results have been reported. The primary outcome measure was the anxiety mean score (HADS-A).

Results: Of 120 included participants, 96 completed the 1-year follow-up (48 in each treatment group). The mean age was 73 years, a majority (86%) were male and 73% were current or previous smokers. Anxiety symptoms measured with the HADS-A decreased over time in both the intervention group (-0.33) and the control group (-0.35, P = 0.868). The improvements in anxiety symptoms seen in the short-term follow-up were not sustained at the 1-year follow-up. No significant mean score differences were found in the intention-to-treat or per-protocol analyses.

Conclusion: In this randomized clinical trial, an eHealth intervention did not result in a sustained reduction in anxiety symptoms compared with standard care in the same cohort. The study provides an insight into the limited acceptability of an eHealth tool in people with abdominal aortic aneurysm and valuable data on the recovery trajectory following open and endovascular abdominal aortic aneurysm surgery. Further research is warranted to evaluate the relevance and long-term effectiveness of eHealth interventions in abdominal aortic aneurysm care.

Registration number: NCT03157973 (http://www.clinicaltrials.gov).

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电子健康干预腹主动脉瘤手术患者焦虑的一年结果：随机临床试验

背景：教育干预对腹主动脉瘤患者的纵向影响在很大程度上尚未探索。这项前瞻性研究调查了在腹主动脉瘤手术后1个月随访中观察到的eHealth干预的焦虑降低效果是否能维持1年。方法：在一项单中心随机临床试验中招募了计划手术修复腹主动脉瘤的患者。对照组按照机构标准接受护理和随访。干预组获得了电子健康工具以及心理社会支持。报告了1个月的结果。主要结局指标是焦虑平均得分（HADS-A）。结果：在120名纳入的参与者中，96名完成了1年的随访（每个治疗组48名）。平均年龄为73岁，大多数（86%）为男性，73%为当前或既往吸烟者。在干预组（-0.33）和对照组（-0.35,P = 0.868）中，用HADS-A测量的焦虑症状随着时间的推移而减少。在短期随访中观察到的焦虑症状的改善在1年随访中没有持续。在意向治疗或方案分析中没有发现显著的平均评分差异。结论：在这项随机临床试验中，在同一队列中，与标准治疗相比，电子健康干预并没有导致焦虑症状的持续减少。该研究深入了解了电子健康工具在腹主动脉瘤患者中的有限可接受性，并提供了关于腹主动脉瘤开放和血管内手术后恢复轨迹的宝贵数据。需要进一步的研究来评估电子健康干预在腹主动脉瘤护理中的相关性和长期有效性。注册号：NCT03157973 （http://www.clinicaltrials.gov）。

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来源期刊

BJS Open SURGERY-

CiteScore

6.00

自引率

3.20%

发文量

144