Influence of Breathing Training Based on Multimedia Education Combined With CICARE Communication Mode on Patients With Coronary CTA

J Perianesth Nurs. 2025 Jul 4:S1089-9472(25)00049-8. doi: 10.1016/j.jopan.2025.02.011. Online ahead of print.

ABSTRACT

PURPOSE: Coronary computed tomography angiography (coronary CTA) is an important examination method for diagnosing coronary artery disease. This study aims to explore the effect of multimedia education-based breathing training combined with Connect, Introduce, Communicate, Ask, Respond, Exit (CICARE) communication mode on patients with coronary CTA.

DESIGN: Randomized Control Trial.

METHODS: The control group received routine inspection and education, whereas the intervention group underwent intervention with multimedia education and the CICARE communication mode. The operation time, physiological reactions, psychological state, incidence of adverse reactions caused by the iodine contrast agent, and image quality after examination were compared between the two groups. A total of 120 patients who underwent coronary CTA for suspected coronary artery disease in our hospital between May 2022 and May 2023 were selected, and the patients were divided into the intervention group and the control group using the random number method (60 cases in each group).

FINDINGS: The intervention group had a significantly shorter operation time compared with the control group (P < .05). While both groups showed an increase in systolic and diastolic blood pressure and heart rate 15 minutes before the examination, the intervention group exhibited lower increases (P < .05). Additionally, the incidence of adverse reactions to iodine contrast agents, as well as Hamilton Anxiety Scale and Hamilton Depression Scale scores, were lower in the intervention group (P < .05). The intervention group also had a higher qualified rate of imaging quality (P < .05).

CONCLUSIONS: Breathing training based on multimedia education combined with the CICARE communication mode is more effective than the conventional approach in shortening examination operation time, alleviating patients’ nervousness and anxiety, reducing the incidence of adverse reactions to iodinated contrast agents, and improving image quality.

PMID:40613807 | DOI:10.1016/j.jopan.2025.02.011