Sveva: development and evaluation of a supportive care model to reduce breast biopsy pre-operative anxiety: a randomized case-control study

Alessandra Miraglia Raineri, Stefania Pelagotti, Rosapia Lauro Grotto

Abstract


In order to assess the efficacy of the Supportive Care intervention used to reduce Pre-Operative Anxiety, a randomized case-control study has been performed at the Breast Unit of the Careggi Hospital in Florence, comparing a Supportive Care Group (taking part in a colloquium) to a Control Group receiving standard care. Interventions’ efficacy was tested in 2 ANCOVAs and in a 2-ways ANOVA. Women recruited from January 2015 to February 2015 completed: The Amsterdam Preoperative Anxiety and Information (Moreman et al., 1996), State-Trait Anxiety Inventory (Spielberg, 1983) and the The Mini -Module Depression (Sheehan, et al. 1998). In the first ANCOVA, Group produced a significant reduction of APAIS (p<0.01) and its Anxiety subscale (p<0.05), with a significant Trait Anxiety Covariate (p<0.01) (R2=0.16). In the second ANCOVA, Group was significant (p<0.01) and the Age Covariate was not (p>0.05) (R2=0.11). In the third 2-Ways ANOVA: Group x Depression over Pre-Operative Anxiety, Group was significant (p<0.01), (R2=0.10). In our experimental design, a Supportive Care colloquium was found to significantly reduce the level of Pre-Operative Anxiety in women undergoing Breast Biopsy when compared to Standard Care, even when the confounding effect of Trait Anxiety, Age and Depression were included in the models.

Keywords


Breast Biopsy; Pre-Operative Anxiety; Supportive Care; Need For Information; Trait Anxiety; Randomized case-control study.

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References


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DOI: https://doi.org/10.6092/2282-1619/2019.7.2169

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