Effects of Multimodal Care Bundle on Knowledge and Anxiety among Patients Undergoing Cardiac Catheterization

Abstract

Objective: To evaluate the effectiveness of a multimodal care bundle in two key areas: enhancing patients' knowledge about cardiac catheterization and reducing their anxiety about the procedure.

Study Design: A quasi-experimental one-group (pre-and-post) study

Place and Duration of Study: This study was conducted at the Cardiac Unit of a Tertiary Care Hospital, in Lahore, Pakistan, from 1st June to 30th November 2024.

Methods: A total of 100 participants undergoing cardiac catheterization for the first time, were selected using purposive sampling. Data were collected using a validated questionnaire and analyzed using SPSS version 27.

Results: Highly educated participants experienced significant preprocedural anxiety, primarily due to a lack of adequate knowledge. Overall, the mean Knowledge score improved significantly from 10.64 in the pre-test to 16.00 in the post-test, with an intermediate score of 5.36 two hours before the procedure (p<0.0001). Anxiety levels also showed substantial improvement, with mean scores of 6.52 in the pre-test, 6.63 two hours before the procedure, and 13.15 in the post-test.

Conclusion: The structured intervention significantly improves patients' knowledge and reduces anxiety levels associated with cardiac catheterization. The substantial increase in knowledge and marked decrease in anxiety scores highlight the importance of pre-procedural education and support in enhancing patient preparedness and emotional 
well-being.