Impact of educational nursing program on reducing the level of anxiety and complications among patients undergoing cardiac catheterization

  • Abstract
  • Keywords
  • References
  • PDF
  • Abstract

    The current study

    Aimed: to identify the impact of implementing an educational nursing program on reducing the level of anxiety and complications among patients undergoing cardiac catheterization.

    Design: quasi-experimental design was used in this study. Setting: the Current study was conducted atAssiutUniversityHospital in the cardiac catheterization unit.

    Subjects: 60 adult patients, age between 20 – 65 years, male and female, thirty for each group (study and control). The group of patients who received educational nursing program was considered a study group, while who received a routine care was the control group. Tools: four.

    Tools: Structure Interview Questionnaire sheet, Hamilton Anxiety Rating Scale, Assessment of complications, & educational nursing program.

    Results: there was the statistically significant difference between both groups regarding the level of anxiety and incidence of local complications.

    Conclusion: giving written nursing program for patients more effective in decreasing level of anxiety for patients in the study group than the control group patients.

    Recommendations: Permanent attendance of a specialized nurse in the cardiac catheterization unit is of great importance to instruct and apply the guidelines of the patients. Simple illustration booklet and pamphlets must be adequate and available for patients with Arabic explanation that helps the patient how to live safely.





  • Keywords

    Anxiety; Cardiac Catheterization; and Educational Nursing Program.

  • References

      1. Adam. SK and Oshaving coronary artery bypass graft surgery. Heart and Lung;

        [1] American Heart Association Task Force on Practice Guidelines Writing Group to develop the focused update of the 2007 Guidelines for the management of patients with chronic stable angina. Circulation. PP. 116:2762-2772.

        [2] Anderson H. V, Shaw R.E, Brindis R.G, Kelin L.W., Mckay C.R, Kutcher M.A, Krona R. J, Wok M. J, Smith S.C, and Weintraub W. S, (2005): Relationship between Procedure Indication and Outcomes of Percutanous Coronary Intervention. PP: 112, 1786 – 1791

        [3] Azer, S. Z., Ahmed, N. M. & Abd-El Mohsen, S. A. (2015): Effect of Nursing Guideline Instructions on the Incidence of Post Cardiac Catheterization Complications. Egyptian Nursing Journal. V (11), N (2) Pp. 49-61.

        [4] ChairSK, & Thompson DR, (2003): Patient teaching prior to coronary angiography in Hong Kong: A pilot study. Journal of Clinical Nursing, 14:114-115.

        [5] Chulay, M., Burns, S., (2007) AACN Essentials of Progressive Care Nursing. McGraw-Hill Co. Pages 187-188.

        [6] Cupples SA, (1991): Effects of timing and reinforcement of pre-operative education on knowledge and recovery of patients having coronary artery bypass graft surgery. Heart and Lung; 20:654-660.

        [7] David Zieve, 2012, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

        [8] Davidson CJ, Bonow RO. (2011): Cardiac catheterization. In: Bonow RO, Mann DL, Zipes DP, and Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed.Philadelphia,Pa: Saunders Elsevier;chap 20

        [9] Delgado-Rodriguez M, Gomez-Ortega A, Sillero-Arenas M, et al. (2001): Epidemiology of surgical-site infections diagnosed after hospital discharge: a prospective cohort study. Infect Control Hosp Epidemiol 22:24–30.

        [10] Evans Cliff & Tippins Emma (2008): Foundations of Nursing an Integrated Approach. Chapter 4, PP: 75

        [11] HamiltonM. (1959): the assessment of the anxiety states by rating. Br J Med Psychol 32: 50 – 55.

        [12] Higgins M, Dunn SV, and Theobald K, (2001): Preparing for coronary angioplasty: The patients’ experiences. Australian Critical Care; 14(2):64-70.

        [13] Hurst, J. Willis; Fuster, Valentin; O'Rourke, Robert A. (2004). Hurst is the Heart. New York: McGraw-Hill, Medical Publishing Division. pp. 489–90. ISBN 0-07-142264-1.

        [14] Julian, D. G., Cowan, J. C. and McLenachan, J. M. (2005): Cardiology, 8th (ed)

        [15] Kaplow R & Hardin S (2007): Critical Care Nursing Synergy for optimal outcomes. Jones & Bartlett PublishersSudbury,MassachusettsBostonToronto.LondonSingapore. P.P (121- 124, 229-235).

        [16] Kern LS (2005): Postoperative arterial fibrillation: new directions in prevention and treatment, J Cardiovasc Nurs 19 (2): 103.

        [17] Kern M, (2011): Catheterization and angiography. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed.Philadelphia,Pa: Saunders Elsevier; chap 57.

        [18] Kern, M. (2003): The Cardiac Catheterization Handbook, 4th (ed),London, Mosby.

        [19] Lewis SH, Heitkemper MM, Dirksen SR, (2004): Medical-Surgical Nursing: Assessing and mana gement of clinical problems, 6th (ed). Mosby.

        [20] Lewis SH, Heitkemper MM, Dirksen SR, (2004): Medical-Surgical Nursing: Assessing and management of clinical problems, 6th (ed). Mosby.London, Elsevier Saunders.

        [21] Lewis, R, et al., (2001): Ethanol-induced therapeutic myocardial infarction to treat hypertrophic obstructive cardiomyopathy. Crit Care Nurs 21(2):20.

        [22] Maier W, Buller R, Philipp M, Heuser I, (1988): The Hamilton, Anxiety Rating Scale: reliability, validity, and sensitivity to change in anxiety and depressive disorders. J Affect Disord (1988) 14(1): 61 – 68.

        [23] Margereson, C. and Riley, J. (2003): Cardiothoracic Surgical Nursing: Current Trends in Adult CareOxford: Blackwell Science.

        [24] Martin D, (1996): Pre-operative visits to reduce patient anxiety: a study. Nursing Standard; 10:33-38.

        [25] Morton PG & Fontaine DK, (2009): Critical Care nursing a holistic Approach, 9th (ed) Wolters Kluwer/ Lippincott Williams & Wilkins. P.P 223-230, 502- 522, 507-515, 568- 569, 578- 584.

        [26] Morton, P. G., Fontaine, D. K., Hudak, C. M. and Gallo, B. M. (2005): Critical Care Nursing: A Holistic Approach, 8th (ed).Philadelphia,PA, Lippincott Williams & Wilkins. P.P (448-291).

        [27] O’Grady, Eileen, (2007): A Nurse’s Guide to Caring for Cardiac Intervention Patients, John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex PO19 8SQ, England. Pp. 31: 51.

        [28] Paletta CE, Huang DB, and Fiore AC, et al. (2000): Major leg wound complications after saphenous vein harvest for coronary revascularization. Ann Thorac Surg; 70:492– 497.

        [29] Punder R, (2005): Nursing the Surgical Patient 2nd (ed) Edinburgh London New Yourk Oxford Philadelphia St Louis Sydney Toronto. P. P (4 61 233 263).

        [30] Rosendorff, C. (2005) Essential Cardiology: Principles and Practice, 2nd edn,Totowa,NJ, Humana Press.

        [31] Scott A, (2004): Managing anxiety in ICU patients: the role of pre-operative information provision. British Association of Critical Care Nurses, Nursing in Critical Care 9 (2):72-79.

        [32] Smeltzer, RN & Bare, B (2004): Textbook of Medical Surgical Nursing, 10 th (ed). P.P (733 – 772).

        [33] Spelman DW, Russo P, and Harrington G, et al. (2000): Risk factors for surgical wound infection and bacteraemia following coronary artery bypass surgery. Aust N Z J Surg; 70:47–51.

        [34] Swanton, R. H. (2003): Pocket Consultant Cardiology, 5th (ed),Oxford, Blackwell Publishing.

        [35] The American Heritage New Dictionary of Cultural Literacy (2005), 3rd (ed), Houghton Mifflin Company. Published by Houghton Mifflin Company.

        [36] Trick US, Scheckler WE, Tokars JI, et al. (2000): Modifiable risk factors associated with deep sternal site infection after coronary artery bypass grafting. J Thorac Cardiovasc Surg; 119:108–14.

        [37] Williams & Wilkins, (2006): Inc. Volume 24(1), January 2006, pp 28-35 PREVENTING SURGICAL-SITE INFECTIONS after Coronary Artery Bypass Graft: A Guide for the Home Health Nurse. Lippincott.

        [38] Williams Linda & Hopper Paula (2001): Understanding Medical-Surgical Nursing. 2nd (ed). Davis Company/Philadelphia. Chapter 4, PP: 343-345.

        [39] Ko Eun Lee, Yeon Jeong Seo, Gi Beom Kim, Hyo Soon An, Young Hwan Song, Bo Sang Kwon, Eun Jung Bae, and Chung Il Noh, (2016): Complications of Cardiac Catheterization in Structural Heart Disease. Korean Circ J.2016 Mar 46(2): Pp. 246–255.

        [40] Kaplow R & Hardin S (2007): Critical Care Nursing Synergy for optimal outcomes. Jones & Bartlett PublishersSudbury,MassachusettsBostonToronto.LondonSingapore. P.P (121- 124, 229-235).




Article ID: 15445
DOI: 10.14419/ijans.v7i2.15445

Copyright © 2012-2015 Science Publishing Corporation Inc. All rights reserved.