Applying Accessibility-Enhanced Multimedia Education Program to Improve Levels of Anxiety and Satisfaction in Patients with Cardiac Catheterization

Friday, 3 August 2012: 8:50 AM

Ka-Lai Wu, MSN
Department of Nursing, Cathay General Hospital, Taipei, Taiwan
Wen-Yin Chang, RN, PhD
Graduate Institute of Nursing, Taipei Medical University, Taipei, Taiwan

Learning Objective 1: The learner will be able to describe the effectiveness of accessibility-enhanced multimedia education program in lowering the anxiety levels of the patients with cardiac catheterization.

Learning Objective 2: The learner will be able to distinguish the effect in lowering the anxiety levels between the accessibility-enhanced multimedia education program and regular education program.


The aim of this study was to compare the effectiveness of anxiety levels and satisfaction between the accessibility-enhanced multimedia education program (AEMEP) and regular education(RE) in patients with cardiac catheterization(CC).


 A quasi-experimental design was used. Eighty-three patients who were scheduled to undergo their first cardiac catheterization in a teaching medical center were randomly assigned to either the AEMEP group or the RE group by alternative week. The patients in the AEMEP group received the information with instructional DVD plus breathing relaxation technique instruction and practice. The patients in the RE group received the information with the pamphlet. Anxiety levels were measured with Spielberger's state anxiety inventory and collected at four time intervals: before education (T0), after education (T1), before CC (T2), and one day after CC (T3). The satisfaction questionnaire was administrated one day after CC. Data were analyzed by using descriptive statistics, independent t-test, Mann-Whitney U test, and Generalized Estimating Equation(GEE).


Thirty-nine patients participated in the AEMEP group and forty-four patients in the RE group. State anxiety levels of all patients reached the highest at T0 and the lowest at T3. The anxiety levels among the AEMEP group were gradually reduced from T0 to T3 , and made both immediate and long-lasting effects. However, the anxiety level among the RE group at T2 wasn't reduced but elevated. The anxiety levels significantly declined more in the AEMEP group throughout time period than in the RE group (p = .002, < .001, .004; respectively). Patients in the AEMEP group also felt more satisfied with the information received than those in the RE group (p = .000).


Patient education is an important nursing function. This study provides evidence of the effectiveness of the AEMEP program in lower anxiety levels and greater satisfaction in patients with cardiac catheterization. Thus, the findings can be used to assist hospital administrators to develop such an effective patient education program and improve continuing quality of nursing care.