Multimedia Information for Patients With Renal Biopsy

Study Overview
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Brief Summary
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This study takes place in the Divisions of Nephrology. Patients undergoing renal biopsy were randomized to control group or multimedia information intervention group. The control group received routine care, and the multimedia information intervention group received a multimedia information. After the pre-test, the two groups performed the 1 to 3 post-tests on pre-operation, post-operative day 1 and post-operative day 9. This study used questionnaires that including General Self-Efficacy Scale, Pain Visual Analogy Scale, Visual Analogue Scale for Anxiety, and Positive and Negative Affective Scale.

Detailed Description
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This study takes place in the Divisions of Nephrology at Chang Gung Memorial Hospitals. Patients undergoing renal biopsy were randomized to control group or multimedia information intervention group. The control group received routine care, and the multimedia information intervention group received a multimedia information. Multimedia information intervention is based on self-efficacy theory. The multimedia videos contain the information associated with renal biopsy, which including the purpose, indications, preparations for the examination, process, patient experience sharing, complications, precautions, home care and stress adjustment strategies. In addition, the investigator also provide face-to-face consultations on answers and clarifications for the content of the videos and telephone consultations to understand the self-care situation of patients on the third day after discharge. After the pre-test, the two groups performed the 1 to 3 post-tests on pre-operation, post-operative day 1 and post-operative day 9. This study used questionnaires that including General Self-Efficacy Scale, Pain Visual Analogy Scale, Visual Analogue Scale for Anxiety, and Positive and Negative Affective Scale. Generalized Estimating Equations (GEEs) will be used to o analyze data.

Official Title
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The Effects of Multimedia Information for Patients With Renal Biopsy

Conditions
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Pain, Anxiety, Hematuria

Intervention / Treatment
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* Other: multimedia information program of renal biopsy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients are at least 20 years old patients need to undergo a renal biopsy patients can communicate in Chinese or Taiwanese patients agree to participate in the research and sign the consent form patients have family members accompanying Exclusion Criteria: patients have undergone renal biopsy before patients have history of mental disorder patients use anticoagulants

Ages Eligible for Study
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Minimum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control Group<br>The control group received routine care | |
| Experimental: Multimedia information Group<br>The experimental group received a multimedia information | Other: multimedia information program of renal biopsy<br>* Multimedia information program is based on self-efficacy theory. The multimedia videos contain the information associated with renal biopsy, which including the purpose, indications, preparations for the examination, process, patient experience sharing, complications, precautions, home care and stress adjustment strategies.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| General Self-Efficacy Scale | A total of 10 items. A 4-point(1-4) scoring method was adopted. Higher scores indicate higher self-efficacy | pretest | 
| General Self-Efficacy Scale | A total of 10 items. A 4-point(1-4) scoring method was adopted. Higher scores indicate higher self-efficacy | post-operative day 9 | 
| Pain Visual Analogy Scale | It is an actual straight line of 100 mm, of which 0 mm means no pain at all and 100 mm means extreme pain. A higher score indicates greater pain intensity | pretest | 
| Pain Visual Analogy Scale | It is an actual straight line of 100 mm, of which 0 mm means no pain at all and 100 mm means extreme pain. A higher score indicates greater pain intensity. | pre-operation | 
| Pain Visual Analogy Scale | It is an actual straight line of 100 mm, of which 0 mm means no pain at all and 100 mm means extreme pain. A higher score indicates greater pain intensity. | post-operative day 1 | 
| Pain Visual Analogy Scale | It is an actual straight line of 100 mm, of which 0 mm means no pain at all and 100 mm means extreme pain. A higher score indicates greater pain intensity. | post-operative day 9 | 
| Visual Analogue Scale for Anxiety | It is an actual straight line of 100 mm, of which 0 mm means no anxiety at all and 100 mm means extreme anxiety. A higher score indicates greater severity of anxiety | pretest | 
| Visual Analogue Scale for Anxiety | It is an actual straight line of 100 mm, of which 0 mm means no anxiety at all and 100 mm means extreme anxiety. A higher score indicates greater severity of anxiety | pre-operation | 
| Visual Analogue Scale for Anxiety | It is an actual straight line of 100 mm, of which 0 mm means no anxiety at all and 100 mm means extreme anxiety. A higher score indicates greater severity of anxiety | post-operative day 1 | 
| Visual Analogue Scale for Anxiety | It is an actual straight line of 100 mm, of which 0 mm means no anxiety at all and 100 mm means extreme anxiety. A higher score indicates greater severity of anxiety | post-operative day 9 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Positive and Negative Affective Scale | It contains a total of 20 items with two subscales including positive affective subscale and negative affective subscale. A 4-point (1-4) scoring method is used. Higher scores represent higher levels of positive and negative affect | pretest | 
| Positive and Negative Affective Scale | It contains a total of 20 items with two subscales including positive affective subscale and negative affective subscale. A 4-point (1-4) scoring method is used. Higher scores represent higher levels of positive and negative affect | post-operative day 9 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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multimedia information, renal biopsy, self-efficacy, pain, anxiety, positive and negative affective, hematuria