Letícia de Carvalho Batista, Marina de Góes Salvetti, Rita de Cassia Gengo E Silva Butcher
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引用次数: 0
Abstract
Background: Anxiety related to cardiac catheterization (ARCC) is highly prevalent and most severe in the immediate preoperative period. ARCC is associated with increased myocardial oxygen consumption, blood pressure variability, and increased risk of arrhythmias, leading to higher rates of intraoperative complications and worse physical, emotional, and cognitive functioning.
Objective: To describe a nurse-led complex intervention (CI) designed to reduce ARCC in adults before a cardiac catheterization (CC).
Methods: To design the intervention, a concept analysis yielded the identification of ARCC antecedents and attributes, based on which CI components and objectives were determined. For each component, CI procedures, mode of delivery, and dose were established based on empirical evidence. The CI was reported according to the Template for Intervention Description and Replication checklist.
Results: The Education and Music Intervention to Reduce Anxiety (EMIRA) consists of two components. The educational component provides the essential information regarding CC purpose, catheterization laboratory features, and what to expect before, during, and after the procedure. The musical component provides individuals with a feeling of comfort and relaxation. EMIRA is delivered in one 30-min session using an audiovisual format. EMIRA's expected primary outcome is a decreased state anxiety level. Additionally, EMIRA might reduce blood pressure, heart and respiratory rates, and chest pain.
Conclusions: EMIRA is a CI developed with methodological rigor. Future studies should evaluate the acceptability, feasibility, and efficacy of EMIRA.
期刊介绍：
Pilot and Feasibility Studies encompasses all aspects of the design, conduct and reporting of pilot and feasibility studies in biomedicine. The journal publishes research articles that are intended to directly influence future clinical trials or large scale observational studies, as well as protocols, commentaries and methodology articles. The journal also ensures that the results of all well-conducted, peer-reviewed, pilot and feasibility studies are published, regardless of outcome or significance of findings. Pilot and feasibility studies are increasingly conducted prior to a full randomized controlled trial. However, these studies often lack clear objectives, many remain unpublished, and there is confusion over the meanings of the words “pilot” and “feasibility”. Pilot and Feasibility Studies provides a forum for discussion around this key aspect of the scientific process, and seeks to ensure that these studies are published, so as to complete the publication thread for clinical research.
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