Background: Anxiety and depression are among the most important and common problems in patients admitted to the intensive care unit open-heart (ICU-OH). While the family plays a vital supportive role in decreasing these complications, patients are deprived of this supportive source during the important post-operative days due to visiting restrictions at these wards.
Objectives: Therefore, this study aimed to evaluate the role of online video visitations on the anxiety and depression of patients at ICU-OH.
Methods: This randomized clinical trial was carried out among 66 patients at ICU-OH of Imam Reza Hospital in Mashhad, Iran. The subjects were selected by the convenience sampling method and were randomly allocated to the intervention and control groups. Data were collected using a demographic characteristics checklist and HADS. In the intervention group, online video visitations with the family were carried out three times in the morning, evening and night on the second and third days of hospitalization in ICU-OH. In the control group, patients received the routine care of the ward and had no visitations with their families. Data were collected before the surgery, as well as 24 and 48 hours after admission to the ICU-OH. In addition, data analysis was performed in
SPSS using independent t-test, Mann-Whitney U test, paired t-test, and Chi-square test.
Results: No significant difference was observed between the intervention (7.8 ± 2.2) and control (8.3 ± 2.3) groups regarding the
mean anxiety score 24 hours after the intervention (P = 0.416). However, the mean anxiety scores 48 hours after the intervention were 6.1 ± 2.3 and 7.7 ± 2.6 in the intervention and control groups, respectively, showing a significant decrease in the intervention group, compared to the control group (P = 0.010). However, the mean depression scores 24 and 48 hours after the intervention were estimated at 8.0 ± 2.0 and 7.1 ± 2.0, respectively, demonstrating no significant difference from the control group (P = 0.933 and P =0.269).
Conclusions: According to the study results, online video visitations decreased anxiety in patients at ICU-OH. Therefore, it is recom- mended that this method be used as an alternative to in-person meetings of patients at this ward.
- Boden WE, O'Rourke RA, Crawford MH, Blaustein AS, Deedwania PC, Zoble RG, et al. Outcomes in patients with acute non-Q-wave myocardial infarction randomly assigned to an invasive as compared with a conservative management strategy. Veterans Affairs Non-Q-Wave Infarction Strategies in Hospital (VANQWISH) Trial Investigators. N Engl J Med. 1998;338(25):1785-92. doi: 10.1056/NEJM199806183382501. [PubMed: 9632444].
- Finkelmeier BA. Cardiothoracic Surgical Nursing. 2nd ed. Williams & Wikins; 2005.
- James D. Patient perceptions of day surgery. Br J Perioper Nurs. 2000;10(9):466-72. doi: 10.1177/175045890001000903. [PubMed: 11892303].
- Merilainen M, Kyngas H, Ala-Kokko T. 24-hour intensive care: an observational study of an environment and events. Intensive Crit Care Nurs. 2010;26(5):246-53. doi: 10.1016/j.iccn.2010.06.003. [PubMed: 20656491].
- McKinley S, Gallagher R. Stressors and Anxiety in Patients Undergoing Coronary Artery Bypass Surgery. American Journal of Critical Care. 2007;16(3):248-57. doi: 10.4037/ajcc2007.16.3.248.
- Mamishi N, Sami B. Medical Surgical Nursing Cardiovascular Brunner and Suddarth. Tehran: Boshra Co; 2014.
- Yava A, Tosun N, Unver V, Cicek H. Patient and nurse perceptions of stressors in the intensive care unit. Stress Health. 2011;27(2):e36-47. doi: 10.1002/smi.1333. [PubMed: 27486622].
- Williams JB, Alexander KP, Morin J, Langlois Y, Noiseux N, Perrault LP, et al. Preoperative anxiety as a predictor of mortality and major morbidity in patients aged> 70 years undergoing cardiac surgery. The American journal of cardiology. 2013;111(1):137-42.
- Burg MM, Benedetto MC, Soufer R. Depressive symptoms and mortality two years after coronary artery bypass graft surgery (CABG) in men. Psychosom Med. 2003;65(4):508-10. doi: 10.1097/01.psy.0000077509.39465.79. [PubMed: 12883097].
- Talaei A, Toufani H, Hojat SK, Jami AZ. [Effect of familiarizing the patient with the personnerl and operating room on the day before surgery for preoperative anxiety]. Journal of Fundamentals of Mental Health. 2004;6(21-2):57-61. Persian.
- Bagherian R, Maroofi M, Seyed Zare F, Baghbanian A. Coping styles among post MI patients with depressive symptoms. Iranian Journal of Psychiatry and Clinical Psychology. 2011;16(4):432-42.
- Lee MD, Friedenberg AS, Mukpo DH, Conray K, Palmisciano A, Levy MM. Visiting hours policies in New England intensive care units: strategies for improvement. Crit Care Med. 2007;35(2):497-501. doi: 10.1097/01.CCM.0000254338.87182.AC. [PubMed: 17205012].
- Simon SK, Phillips K, Badalamenti S, Ohlert J, Krumberger J. Current practices regarding visitation policies in critical care units. Am J Crit Care. 1997;6(3):210-7. [PubMed: 9131200].
- Hasanzadeh F, Shamsoddini S, Moonaghi HK, Ebrahimzadeh S. [A comparison of face to face and video-based education on attitude related to diet and fluids adherence in hemodialysis patients]. The Horizon of Medical Sciences. 2011;17(3):34-43. Persian.
- Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003;1:14. doi: 10.1186/1477-7525-1-14. [PubMed: 12816545]. [PubMed Central: PMC161819].
- Fumagalli S, Boncinelli L, Lo Nostro A, Valoti P, Baldereschi G, Di Bari M, et al. Reduced cardiocirculatory complications with unrestrictive visiting policy in an intensive care unit: results from a pilot, randomized trial. Circulation. 2006;113(7):946-52. doi: 10.1161/CIRCULATIONAHA.105.572537. [PubMed: 16490836].
- Ahmadian R, Rahmani R, Rahimi A. Effect of scheduled visiting on hospital anxiety and depression of hospitalized acute coronary syndrome patient in cardiac careunit in Baqiyatallah hospital. Journal of Military Psychology. 2013;4(13):24-31.
- Yari-Bajelani B, Khaleghparast S, Imanipour M, Totonchi Z, Gholami A, Shahrabadi S. The effect of open visiting policy on sleep quality, anxiety, and patient satisfaction after coronary arteries bypass graft surgery. Iranian Journal of Cardiovascular Nursing. 2019;7(4):6-13.
- Bashti S, Aghamohammadi M, Heidarzadeh M. The Impact of Family Visits on the Level of Anxiety in Patients with Angina Pectoris Hospitalized in Intensive Care Units. JHC. 2016;18(2):161-9.
- White DB, Angus DC, Shields AM, Buddadhumaruk P, Pidro C, Paner C, et al. A Randomized Trial of a Family-Support Intervention in Intensive Care Units. N Engl J Med. 2018;378(25):2365-75. doi: 10.1056/NEJMoa1802637. [PubMed: 29791247].
- Whitcomb JJ, Roy D, Blackman VS. Evidence-based practice in a military intensive care unit family visitation. Nurs Res. 2010;59(1 Suppl):S32-9. doi: 10.1097/NNR.0b013e3181c3c028. [PubMed: 20010276].