Abstract

The aim of this study was to evaluate knowledge of patients before outpatient diagnostic cardiac catheterization after viewing an explanatory Digital Video Disc, in a cardiology reference hospital. This cross-sectional study was carried out with patients undergoing their first cardiac catheterization and was performed from May to June 2009 in the hemodynamic sector. An instrument was used with questions (12) regarding the patients' understanding of the procedure. The intervention was a five-minute video prepared by the researchers. The sample was composed of 94 patients, divided into an intervention group (45) and a control group (49), with a mean age of 55 ± 9 years and predominantly male. The patients of the IG had a higher rate of correct answers (74.6 ± 17.1) compared to the CG (31.6 ± 18.8), P=.000. The results demonstrated the efficacy of the presentation of a guidance video for patients undergoing a hemodynamic procedure.

Highlights

  • Coronary angiography (CTA) remains the gold standard for diagnosis of coronary obstructions, allowing for appropriate therapeutic planning and providing important prognostic information[1]

  • The percutaneous procedures present a multiplicity of adverse events, ranging from minor complications without long-term clinical repercussions to long-term severe conditions with high morbidity and mortality[1]

  • A copy was sent to the Nursing Scientific Committee and all research subjects read and signed the Terms of Free Prior Informed Consent (TFPIC)

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Summary

Introduction

Coronary angiography (CTA) remains the gold standard for diagnosis of coronary obstructions, allowing for appropriate therapeutic planning and providing important prognostic information[1]. The percutaneous procedures present a multiplicity of adverse events, ranging from minor complications without long-term clinical repercussions to long-term severe conditions with high morbidity and mortality[1]. The patients have many expectations, feelings and concerns when they are involved in waiting for an event, especially when this situation deals with something unknown. Medical treatment and diagnostic examinations, the waiting period can become distressful and can lead to stress and anxiety[2]. The nursing guidance, in a systematic way, qualifies and contributes to the actions at any level of healthcare and increases the knowledge of the patient regarding their disease and the procedures necessary for their treatment, thereby collaborating with the work of the multidisciplinary team[3]. One of the complicating factors of this process is the time required for its execution, often impossible due to the number of patients to be cared for and guided

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