Effect of Conventional vs. Multimedia Aid Regarding Informed Consent for Central Venous Catheter Insertion on Anxiety and Satisfaction among Patients Admitted in Selected Areas of A Tertiary Care Hospital, Ludhiana, Punjab

Abstract

Central venous catheter insertion is a very invasive procedure for prolonged administration of medication, parental fluids and blood products. Patients are involved in decision making regarding this procedure. The term Informed consent is used to discuss with patients complete, clear and easy to understand information about a medical procedure or surgical process in clinical settings or hospitals. Multimedia patient decision aid have been heavily utilized as supplemental educational tools instead of conventional method. A quasi-experimental study by using convenience sampling technique was conducted on 40 patients (control n = 20 and experimental n = 20) admitted in ICUs of DMC & Hospital, Ludhiana, Punjab. In pre-test assess the anxiety of patients for regarding central venous catheter insertion (CVC insertion) procedure done by (State-Trait Anxiety Inventory (STAI) scale.)) and in intervention (Provide multimedia aid regarding informed consent for central venous catheter insertion procedure) for each patients for 5 mints (only in experimental group) and in posttest assess and compare the anxiety and satisfaction of patients by (State-Trait Anxiety Inventory (STAI) scale.) and satisfaction by using modified Agency for Healthcare Researcher and quality (AHRQ) scale. Patient satisfaction with the consent process, Most of the subjects had severe anxiety among control and experimental group in pre-test and post-test (16 vs. 15), whereas the 15 (75%) subjects among experimental group had severe anxiety in pre-test which was decreased to moderate in post-test. The finding of the present study also revealed that mean anxiety score was decreased from pre-test and post-test among experimental group (52.00 ± 04.34 Vs. 42.10 ± 05.70) and control group (54.35 ± 05.15 Vs. 50.15 ± 05.61). The difference in finding were found to be statistically significant (p<0.05). It was also revealed that all the subjects were satisfied with the multimedia (14.5 ± 1.28). Whereas only 3 (15%) subjects were satisfied (8.3 ± 1.84) with conventional method. The present study concluded that multimedia aid regarding informed consent for CVC insertion is better than the conventional aid in reference to the anxiety and satisfaction of the patients.