李秋香LEE, CHIU-HSIANG鄭庭恩JHENG, TING-ENTING-ENJHENG護理學系碩士班2026-10-282031-08-1020262026-07-08https://handle.ncl.edu.tw/11296/dj82yphttps://scholars.csmu.edu.tw/handle/123456789/34785背景： 心導管術為診斷及治療心血管疾病最正確及直接方法。然而，接受心導管術的患者有24%~72%會經歷不同的焦慮程度，86%接受心導管術患者會出現焦慮情緒，心導管術所產生的焦慮症狀可能造成患者的心理壓力以及冠狀動脈疾病惡化，影響整體健康和生活品質。目的： 本研究以擴增實境衛教影片探討改善心導管術患者焦慮之成效。方法： 本研究為隨機對照試驗(Randomized Controlled Trial)，研究對象為中部某醫學中心心臟內外科病房及復健科病房收案，主要是以經橈動脈接受心導管術檢查患者，收案人數共107人，對照組以常規照護提供紙本衛教單張進行心導管術衛教；實驗組以常規照護及使用擴增實境應用程式觀看心導管術衛教影片。以焦慮視覺類比量表(Visual Analogue Scale For Anxiety)，以下簡稱VAS-A、醫院焦慮與憂鬱量表-焦慮(The Hospital Anxiety And Depression Scale- Anxiety)，以下簡稱HADS-A以及測量生理指標，評估時機為心導管術前、措施介入後及心導管術完成後，探討擴增實境對患者焦慮程度及生理指標之影響。結果： 獨立樣本t檢定顯示，擴增實境介入後VAS-A(t = -2.472, p = .015)及HADS-A(t = -2.754, p = .007)焦慮分數變化量，證實擴增實境有效降低主觀焦慮；部分生理指標雖呈下降趨勢，但兩組間變化無統計顯著差異，顯示擴增實境對生理焦慮改善有限。重複測量變異數分析進一步驗證時間效應：無論接受擴增實境或常規衛教，VAS-A (F=18.817, p< .001)有顯著下降趨勢；在兩組的HADS-A重複測量變異數分析結果顯示，擴增實境實驗組於心導管術完成後焦慮低於對照組(F = 5.811, p= .018)。生理指標方面，心率(F=11.722, p< .001)與收縮壓(F=4.195, p= .018)結果顯示擴增實境介入措施具有影響之成效，舒張壓(F=1.160, p= .318)與呼吸(F= .677, p= .510)之無顯著效果。整體而言，擴增實境介入措施對於焦慮程度與心率、收縮壓之部分生理指標具有正向影響。討論與建議： 擴增實境衛教可作為心導管術前輔助性衛教工具，有助於改善患者VAS-A及HADS-A焦慮程度與心率、收縮壓之生理指標，顯示擴增實境於心導管術照護中具有臨床應用價值。建議未來可結合常規衛教，並於術前及門診階段推廣使用，降低對未知醫療程序的不安與恐懼，以提升照護品質與患者安全感。Background： Cardiac catheterization is the most accurate and direct method for the diagnosis and treatment of cardiovascular diseases. However, approximately 24%–72% of patients undergoing cardiac catheterization experience varying levels of anxiety, and up to 86% develop anxiety-related emotional distress. Anxiety associated with cardiac catheterization may increase psychological stress and exacerbate coronary artery disease, thereby negatively affecting patients' overall health and quality of life.Purpose： This study aimed to investigate the effectiveness of an augmented reality educational video intervention in reducing anxiety among patients undergoing cardiac catheterization.Methods： This study employed a randomized controlled trial (RCT) design. Participants were recruited from the cardiology medical and surgical wards and the rehabilitation ward of a medical center in central Taiwan. The study primarily included patients undergoing cardiac catheterization via the transradial approach, with a total of 107 participants enrolled. The control group received routine care and cardiac catheterization education using a paper-based educational leaflet, whereas the experimental group received routine care in addition to cardiac catheterization education through an augmented reality (AR) application featuring an educational video. Anxiety levels were assessed using the Visual Analogue Scale for Anxiety (VAS-A) and the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A). Physiological parameters were also measured. Assessments were conducted at three time points: before cardiac catheterization, immediately after the intervention, and after completion of the cardiac catheterization procedure. The study aimed to investigate the effects of augmented reality on patients’ anxiety levels and physiological parameters.Results： Independent-samples t-tests showed that the changes in VAS-A (t=-2.472, p= .015) and HADS-A (t=-2.754, p= .007) scores after the augmented reality intervention were significantly greater than those in the control group, indicating that the augmented reality intervention effectively reduced subjective anxiety. Although some physiological indicators showed a decreasing trend, no statistically significant between-group differences were observed, suggesting that the intervention had limited effects on physiological anxiety. Repeated-measures analysis of variance further demonstrated a significant time effect. Regardless of whether participants received the augmented reality intervention or routine education, VAS-A scores decreased significantly over time (F=18.817, p< .001). For HADS-A, the repeated-measures ANOVA showed that anxiety scores in the augmented reality group were significantly lower than those in the control group after completion of the cardiac catheterization procedure (F=5.811, p= .018). Regarding physiological indicators, significant effects of the augmented reality intervention were observed for heart rate (F= 11.722, p< .001) and systolic blood pressure (F=4.195, p= .018), whereas no significant effects were found for diastolic blood pressure (F=1.160, p= .318) or respiratory rate (F=0.677, p= .510). Overall, the augmented reality intervention had positive effects on reducing anxiety and improving selected physiological indicators, particularly heart rate and systolic blood pressure.Conclusion： Augmented reality-based education can serve as an effective adjunctive educational tool before cardiac catheterization. It was associated with improvements in anxiety, as measured by the VAS-A and HADS-A, as well as in selected physiological indicators, including heart rate and systolic blood pressure, demonstrating its potential clinical value in the care of patients undergoing cardiac catheterization. Future implementation of augmented reality education in combination with routine education during the preprocedural and outpatient stages is recommended to reduce patients' anxiety and fear of unfamiliar medical procedures, thereby improving the quality of care and enhancing patients' sense of security.擴增實境心導管術焦慮Augmented RealityCardiac CatheterizationAnxietythesis