Efektifitas Edukasi Audio Visual Terhadap Kecemasan Pasien sebelum Tindakan Gastroscopy: Studi Systematic Review dan Meta-Analysis

Bayu Aji Sismanto; Nurhayati Khaier; Yeni Purnamasari; Yahya

doi:10.6594/t0h4zk13

Authors

Bayu Aji Sismanto PPNI, RS Primaya Bekasi Timur, HIPEGI Author
Nurhayati Khaier Akademi Keperawatan Manggala Keris Husada, Jakarta Indonesia Author
Yeni Purnamasari Rumah Sakit Umum Daerah Kabupaten Bekasi, Jawa Barat, Indonesia Author
Yahya Rumah Sakit Umum Kota Cilegon, Banten, Indonesia Author

DOI:

https://doi.org/10.6594/t0h4zk13

Abstract

Background: Gastroscopy is a diagnostic procedure to view organs visually using a lat connected to a monitor, the organs viewed are the esophagus, gastric and duodenum. Anxiety in patients before gastroscopy occurs due to fear by imagining. Education is carried out as a pre-action procedure to explain the actions that will be performed. Objective: We conducted a systematic review and meta-analysis to investigate the effect of audio-visual education on patient anxiety before gastroscopy. Results: Four articles were included in this study, audiovisual education significantly reduced patients' anxiety before gastroscopy using Visual analogue scale (VAS); one study used Anxiety and Stress Scale-42 (DASS-42) and one study used State Trait Anxiety Inventory (STAI). Based on a randomized control trial, it was found that education was effective in reducing anxiety by -4.38 (95% CI: -14.3796 to 5.6198), indicating insignificant results. And obtained I² value of 99.9607%, Q value of 1017.3516, and P value <0.0001 which means that heterogeneity is high. The range of results obtained was -26.7290 to 17.9692 with three negative results and one possible positive result (Khan, et.all, 2023) with a residual value of (± 2.4977) In the regression test results showed asymmetry in the flores plot (p < 0.0001) but did not show a rank correlation test (p = 0.7500). Clinical Implications: Audio-visual education is a potentially promising method for controlling anxiety in patients undergoing gastroscopy; however, its effect in controlling anxiety is controversial.

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References

Ali Asad Khan, Anam Ali, Ali Salman Khan, Yasir Shafi, Mohsin Masud, Fatima Irfan, dan Sajid Abaidullah Jurnal: Annals of Medicine: Effects of visual aid on state anxiety, fear and stress level in patients undergoing endoscopy: a randomized controlled Volume: 55 Nomor: 1 Halaman: 1234–1243 DOI: 10.1080/07853890.2023.2191000

Asad, A., Ali, A., Khan, A. S., Shafia, Y., Masud, M., Irfan, F., & Abaidullah, S. (2023). Effects of visual aid on state anxiety, fear, and stress level in patients undergoing endoscopy: A randomized controlled trial. Annals of Medicine, 55(1), 1234–12431

Francis, G. (2013). Replication, statistical consistency, and publication bias. Journal of Mathematical Psychology. link, 57, 153-169.

Khan AA, Ali A, Khan AS, Shafi Y, Masud M, Irfan F, Abaidullah S. Effects of visual aid on state anxiety, fear and stress level in patients undergoing endoscopy: a randomized controlled trial. Ann Med. 2023 Dec;55(1):1234-1243. doi: 10.1080/07853890.2023.2191000. PMID: 37078544; PMCID: PMC10124314.

Lakens, D. (2017). Equivalence tests: A practical primer for t-tests, correlations, and meta-analyses. Social Psychological and Personality Science. link, 1, 1-8.

Li J, Wang X, Liu J, Wang X, Li X, Wang Y, Ouyang W, Li J, Yao S, Zhu Z, Guo Q, Yu Y, Meng J, Zuo Y. Comparison of ciprofol (HSK3486) versus propofol for the induction of deep sedation during gastroscopy and colonoscopy procedures: A multi-centre, non-inferiority, randomized, controlled phase 3 clinical trial. Basic Clin Pharmacol Toxicol. 2022 Aug;131(2):138-148. doi: 10.1111/bcpt.13761. Epub 2022 Jun 10. PMID: 35653554; PMCID: PMC9543620.

Liu, Y. Y., Liu, Y. Q., & Petrini, M. A. (2018). Effect of information of patients’ coping style on pregastroscopy anxiety. Gastroenterology Nursing, 41(1), 47-56. https://doi.org/10.1097/SGA.0000000000000302

PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372. doi:10.1136/bmj.n71.

R Core Team (2021). R: A Language and environment for statistical computing. (Version 4.1) [Computer software]. Retrieved from https://cran.r-project.org. (R packages retrieved from MRAN snapshot 2022-01-01).

Sogabe, M., Okahisa, T., Fukuya, A., Kagemoto, K., Okada, Y., Adachi, Y., Kurihara, T., Nii, T., Teramae, S., Tanaka, H., Tomonari, T., Okamoto, K., Miyamoto, H., & Nakasono, M. (2020). Effects of audio and visual distraction on patients’ vital signs and tolerance during esophagogastroduodenoscopy: A randomized controlled trial. BMC Gastroenterology, 20, 122

Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., & Higgins, J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ, 366, l4898. doi:10.1136/bmj.l4898

The jamovi project (2022). jamovi. (Version 2.3) [Computer Software]. Retrieved from https://www.jamovi.org.

Van Houwelingen, H. C., Zwinderman, K. H., Stijnen, T. (1993). A bivariate approach to meta-analysis. Statistics in Medicine. link, 12, 2273-2284.

Viechtbauer, W. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software. link, 36, 1-48.