Effects of using audiovisual aids (anatomic and surgical videos) in reducing anxiety of patients who will undergo modified radical mastectomy (MRM).

Innah Ma Therese C RACADIO; Minette M RAMEL; Ma Rollene R RAMOS; Margaret Corinne U RAMOS; Ellen Angele L RAPACON; Raymund Gerard D RAZON; Bianca Sophia S REGALA

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Effects of using audiovisual aids (anatomic and surgical videos) in reducing anxiety of patients who will undergo modified radical mastectomy (MRM).

Author: Innah Ma. Therese C. RACADIO ¹ ; Minette M. RAMEL ¹ ; Ma. Rollene R. RAMOS ¹ ; Margaret Corinne U. RAMOS ¹ ; Ellen Angele L. RAPACON ¹ ; Raymund Gerard D. RAZON ¹ ; Bianca Sophia S. REGALA ¹
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1. Faculty of Medicine and Surgery, University of Santo Tomas, Manila, Metro Manila, NCR, Philippines
Publication Type:Clinical Trials / Clinical Investigations
MeSH: Human; Female; Adult: 25-44 Yrs Old; Middle Aged: 45-64 Yrs Old; Audiovisual Aids; Breast Neoplasms; Control Groups; Neoplasms; Mastectomy, Radical; Mastectomy, Modified Radical; Volition; Female; Breast; Acquired Immunodeficiency Syndrome
From: Journal of Medicine University of Santo Tomas 2025;9(S1):25-33
CountryPhilippines
Abstract: OBJECTIVES
Patients undergoing modified radical mastectomy (MRM) often experience significant preoperative anxiety. Effective preoperative education could alleviate anxiety and improve patient outcomes. This research aimed to evaluate whether audiovisual aids during preoperative education correlated with decreased anxiety levels among female MRM patients, and it also aimed to investigate if enhanced preoperative education could lead to reduced anxiety and improved postoperative outcomes.
METHODS
A randomized controlled trial was conducted comparing anxiety levels in MRM patients receiving audiovisual aids versus verbal instructions. Purposive sampling selected female breast cancer patients scheduled for MRM. Data was collected using pre- and post-intervention questionnaires, and statistical analysis was used to test hypotheses.
RESULTS
There was no significant difference in pre-intervention anxiety levels between the control group (mean = 2.77 ± 0.32) and the experimental group (mean = 2.49 ± 0.27; t = 1.49, p = 0.176), indicating comparable baseline anxiety between groups. Following the intervention, the experimental group exhibited a significant reduction in anxiety (mean = 1.83 ± 0.20) compared to the control group (mean = 2.59 ± 0.16; t = 2.79, p = 0.046). Pearson correlation analysis revealed a moderate negative correlation between the use of audiovisual aids and preoperative anxiety levels (r = –0.643, p = 0.017), suggesting that audiovisual education was significantly associated with reduced preoperative anxiety among patients scheduled for MRM.
DISCUSSION
The study found that audiovisual aids significantly reduced anxiety levels in the experimental group but had no effect on the control group. This suggested that such interventions could be effective in reducing preoperative anxiety, particularly in females undergoing MRM. However, further research with larger and more diverse samples was needed to confirm these findings and explore influencing factors in clinical settings
CONCLUSION
The study findings suggested that incorporating audiovisual aids in preoperative education for MRM effectively reduced anxiety levels, warranting further research with larger and more diverse participant groups to validate these results