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Patient education plays a crucial role in improving healthcare outcomes and ensuring high-quality care. The objective of this study was to assess patient satisfaction and knowledge about transcatheter arterial chemoembolization after watching some video-based education. A quasi experimental design was employed, involving 30 patients with hepatocellular carcinoma and their family caregivers. All participants received specialized video-based education on transcatheter arterial chemoembolization before undergoing the procedure. Pretest and post-test knowledge scores were compared using Wilcoxon matched-pairs signed ranks test, and satisfaction scores were analyzed and evaluated. The findings demonstrated a significant increase in post-test scores compared to pretest scores for all participants (p -value <.001). Moreover, participants who had prior experience with the procedure exhibited higher pretest scores than those who did not. Nevertheless, both groups experienced a significant improvement in post-test scores (p -value <.001). Additionally, all participants expressed high levels of satisfaction with the video-based education. In conclusion, video-based education effectively enhanced participants' knowledge of the transcatheter arterial chemoembolization procedure and yielded high patient satisfaction. This approach enables patients to actively engage in their treatment, thereby improving the overall quality of healthcare in interventional radiology. [ABSTRACT FROM AUTHOR]

Surgical patients may have doubts about bringing relatives into the perioperative setting because they are unfamiliar with the environment and rules. This study aims to investigate patients' experiences with relatives' participation in this context. We conducted 15 semistructured interviews with surgical patients and analyzed data according to Kvale and Brinkmann's meaning condensation. We found that patients believe they do not have tailored information to prepare themselves and their relatives for surgery. They believe that their individual information is not transferred between health care workers, making them feel unsafe and confused; that control reduces anxiety; and that cooperation among everyone involved in their care creates coherence. We concluded that a collaborative trialogue involving the patient, relatives, and health care workers may benefit all involved. In cooperation, patients can make individual choices about their care, relatives can understand their role and opportunities, and health care workers can tailor the care they provide. [ABSTRACT FROM AUTHOR]

Perioperative patient anxiety in Mohs micrographic surgery (MMS) is associated with increased postoperative pain and decreased satisfaction. To determine whether a 3-dimensionally printed MMS model with standardized education (SE) improves perioperative patient understanding and anxiety. An unblinded, randomized controlled trial was conducted, with patients randomly assigned to receive the MMS model plus SE or SE alone. Baseline and poststage understanding and anxiety were evaluated with the Visual Analog Scale (VAS) and State-Trait Anxiety Inventory (STAI). Additionally, patients completed a 6-item knowledge assessment. Eighty-two patients were enrolled, 42 in the MMS model and 40 in the SE group, with similar group mean age (67.8 years), sex (59.8% male), and previous MMS experience (47.6%). Both groups experienced significant reductions in VAS anxiety and State-Trait Anxiety Inventory scores and significant increases in VAS understanding. Compared with SE alone, the MMS model group had larger VAS anxiety reduction (change, −1.31; approaching significance) than the SE group (change, −0.52; P =.052) and 5.59 (93.25%) correct responses versus 5.15 (85.83%) correct responses in the SE group (P <.028). Overestimations of baseline patient anxiety in our population and 91.1% recruitment of the intended study population limited study power. A 3-dimensionally printed MMS model with SE may improve patient understanding of MMS and decrease perioperative anxiety. [ABSTRACT FROM AUTHOR]

Abstract The patient environment in radiology laboratories and clinics has not been discussed in relationship to the noise within it and its impact on care. However, results of the Hospital Consumer Assessment of Healthcare Providers and Systems surveys have affirmed that noise remains a challenge for patients and health care organizations. The anxieties experienced by patients, whether waiting for a diagnostic test or radiation therapy, are influenced by the environment of the radiology waiting or laboratory areas. This article discusses the role of the environment and steps that can be taken to optimize the patient experience through environmental improvement. [ABSTRACT FROM AUTHOR]

Purpose This study was done to determine day surgery patients' presurgery anxiety levels related to information received. Design A descriptive and cross-sectional model was used. Methods The study was conducted with 151 patients who underwent day surgery at surgical clinics of a university hospital in Turkey. The data were gathered with the Patient Information Form and the State-Trait Anxiety Inventory. Findings The findings were that most of the patients received information about their day surgery, but the rate of receiving information about some issues was very low. Most of the patients reported that although they did not have any anxiety about surgery and anesthesia, observations revealed that their average state and trait anxiety scores were high. Conclusions Study results can be used as a basis to provide patients with clarifications about surgeries during the presurgery period and as a means of decreasing their anxiety about surgery and anesthesia. [ABSTRACT FROM AUTHOR]

Collaboration between perioperative nurses and music therapists can be beneficial in providing a safe, cost-effective means of managing patients’ anxiety and pain and reducing the need for pharmacologic intervention in the perioperative setting. The use of a board-certified music therapist may help to improve patient outcomes, ease nurse workload, and serve as an adjunct therapeutic modality that is enjoyable for both patients and staff members. We conducted a two-year, randomized controlled trial to determine how to best implement a music therapy program, navigate its challenges, and collaborate with nurse colleagues to bring its benefits to surgical patients. This article offers suggestions for alliances between perioperative nursing and music therapy staff members and describes the potential of music therapists to help provide optimal patient care. [ABSTRACT FROM AUTHOR]

The first intraoperative meeting between the nurse anaesthetist and the patient is usually brief. The short encounter requires nursing competence and it is important to build rapport with the patient. Organizational aspects such as shortage of time can affect the first encounter. The aim of the study was to elucidate nurse anaesthetists' experiences of the first intraoperative meeting with anxious adult patients. A qualitative content analysis was conducted. Ten nurse anaesthetists were interviewed using open-ended questions. The theme 'To address' emerged from three categories: Situations that can affect how to address patient anxiety, Strategies on how to address patient anxiety and Experiences of addressing patient anxiety. The study showed that it became easier with professional experience to address patient anxiety. The most prominent findings were the differences in how to address patient anxiety, with either medical or nursing interventions. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the impact of guided meditation and music interventions on patient anxiety, pain, and fatigue during imaging-guided breast biopsy.Methods: After giving informed consent, 121 women needing percutaneous imaging-guided breast biopsy were randomized into three groups: (1) guided meditation; (2) music; (3) standard-care control group. During biopsy, the meditation and music groups listened to an audio-recorded, guided, loving-kindness meditation and relaxing music, respectively; the standard-care control group received supportive dialogue from the biopsy team. Immediately before and after biopsy, participants completed questionnaires measuring anxiety (State-Trait Anxiety Inventory Scale), biopsy pain (Brief Pain Inventory), and fatigue (modified Functional Assessment of Chronic Illness Therapy-Fatigue). After biopsy, participants completed questionnaires assessing radiologist-patient communication (modified Questionnaire on the Quality of Physician-Patient Interaction), demographics, and medical history.Results: The meditation and music groups reported significantly greater anxiety reduction (P values < .05) and reduced fatigue after biopsy than the standard-care control group; the standard-care control group reported increased fatigue after biopsy. The meditation group additionally showed significantly lower pain during biopsy, compared with the music group (P = .03). No significant difference in patient-perceived quality of radiologist-patient communication was noted among groups.Conclusions: Listening to guided meditation significantly lowered biopsy pain during imaging-guided breast biopsy; meditation and music reduced patient anxiety and fatigue without compromising radiologist-patient communication. These simple, inexpensive interventions could improve women's experiences during core-needle breast biopsy. [ABSTRACT FROM AUTHOR]

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Abstract: Background: This study compared anxiety in two groups of women undergoing elective cesarean delivery to ascertain if their partner’s presence during neuraxial anesthesia placement affected patients’ overall anxiety levels. Methods: Three hundred fifteen patient-partner dyads were randomized to two groups: group 1 partners were present in the operating room during neuraxial anesthesia placement while group 2 partners remained outside the operating room during placement. Before surgery, all patient-partner dyads completed a survey of demographics, anesthetic experiences and baseline anxiety. Anxiety levels were rated using a visual analogue scale (VAS) and the state portion of the Spielberger State-Trait Anxiety Inventory. Results: The mean change in anxiety as measured by VAS among patients whose partners were present in the operating room for neuraxial anesthetic placement decreased from before to after the procedure (-4.5±25.8; P=0.03; 95% CI -8.55, -0.45); the mean change in anxiety in patients whose partners were not present did not alter significantly (+1.9 ± 25.3; P=0.34; 95% CI 6.68, 12.12). Anxiety was increased among partners who were not present (+9.4, P<0.001). Conclusion: Although patients whose partners were present in the operating room at the time of neuraxial anesthesia placement reported less anxiety over the time of the study than did patients whose partners were not present, these differences were small and are not considered to be clinically important. Increased anxiety among partners who were not present at neuraxial placements warrants further study. [Copyright &y& Elsevier]

Background: Perioperative patient anxiety in Mohs micrographic surgery (MMS) is associated with increased postoperative pain and decreased satisfaction.Objective: To determine whether a 3-dimensionally printed MMS model with standardized education (SE) improves perioperative patient understanding and anxiety.Methods: An unblinded, randomized controlled trial was conducted, with patients randomly assigned to receive the MMS model plus SE or SE alone. Baseline and poststage understanding and anxiety were evaluated with the Visual Analog Scale (VAS) and State-Trait Anxiety Inventory (STAI). Additionally, patients completed a 6-item knowledge assessment.Results: Eighty-two patients were enrolled, 42 in the MMS model and 40 in the SE group, with similar group mean age (67.8 years), sex (59.8% male), and previous MMS experience (47.6%). Both groups experienced significant reductions in VAS anxiety and State-Trait Anxiety Inventory scores and significant increases in VAS understanding. Compared with SE alone, the MMS model group had larger VAS anxiety reduction (change, -1.31; approaching significance) than the SE group (change, -0.52; P = .052) and 5.59 (93.25%) correct responses versus 5.15 (85.83%) correct responses in the SE group (P < .028).Limitations: Overestimations of baseline patient anxiety in our population and 91.1% recruitment of the intended study population limited study power.Conclusion: A 3-dimensionally printed MMS model with SE may improve patient understanding of MMS and decrease perioperative anxiety. [ABSTRACT FROM AUTHOR]