Effectiveness of educational intervention with manual for anxiety and stress reduction: controlled clinical trial

Abstract

Objective: To evaluate the effectiveness of the educational intervention through an informative manual in reducing anxiety, stress, and changes in vital signs in patients awaiting cardiac catheterization. Methods: Parallel, randomized, controlled, blind clinical trial. The study excluded patients waiting for cardiac catheterization; those who received the information manual were randomized to the intervention group, and those who received routine information from the unit went to the control group. The study used the State Anxiety Inventory and Perceived Stress Scale and the ANOVA test to analyze the outcomes between the groups. Clinical Trials NCT03369873. Results: There was no change concerning time, first and second moment (anxiety, P=0.225; and stress, P=0.696), interaction (anxiety, P=0.183; and stress, P=0.444), or groups, control, and intervention (anxiety, P=0.341; and stress, p=0.624). Conclusion: Although the educational intervention performed did not have an impact on the reduction of anxiety and stress, this type of intervention should be maintained for greater comfort and safety of patients and family members.

Education and Music Intervention to Reduce Anxiety: feasibility, potential efficacy and patient satisfaction in a pilot study

“…(54) However, another RCT analyzed the effectiveness of an educational intervention using an informative manual in reducing anxiety, stress and changes in vital signs in patients awaiting cardiac catheterization and showed no impact on reducing anxiety and stress. (22) A cohort that assessed patient characteristics associated with increased anxiety also showed a higher anxiety score before the procedure, in addition to the association with age < 65 years, being female, less education and undergoing primary PCI. (7) In line with these ndings, a decrease in anxiety level after an invasive procedure was also observed in the present study.…”

“…(17)(18)(19) However, the literature on the effect of music and educational interventions on reducing ARCC, blood pressure (BP), heart rate (HR) and pain is controversial, which can be explained, in part, by the heterogeneity of interventions and low quality of published research reports. (17,(20)(21)(22)(23)(24) Lack of knowledge about the procedure is an anxiogenic factor widely recognized in the literature. (12,(25)(26)(27) In turn, the relaxing effects of music can alleviate feelings of tension and concern, characteristic of ARCC.…”

Non‐pharmacological strategies to reduce stress and anxiety in endovascular procedures: A scoping review

“…Anxiety is characterized by an altered emotional state that triggers abundant production of norepinephrine and epinephrine related to restlessness, tension and a feeling of uncontrollable fear (Esfandiari et al., 2022). Stress is a temporary disorder when the individual is subjected to a stressful context that triggers negative repercussions and can lead to post‐traumatic stress (Murakami et al., 2022).…”

“…These feelings associated with fear due to changes in health status can activate the central nervous system, altering specific signs and worsening the progression of the disease. The appearance of these signs and symptoms during the procedure can also increase the duration and complexity of the intervention, alter the results of the exams and cause unwanted harm to the patient (Maciel et al., 2016; Murakami et al., 2022).…”