Effects of Peer Education and Orientation Tour on Anxiety in Patient Candidates for Coronary Angiography

Abstract

Background: Coronary angiography is a stressful procedure for most patients. The physiological responses caused by anxiety during coronary angiography increase the likelihood of dysrhythmia, coronary artery spasm, and rupture. Objectives: This study compared the effects of peer education and an orientation tour on anxiety in patients who were candidates for coronary artery angiography. Patients and Methods: This single blind quasi-experimental study was conducted in 2014. A total of 177 patients who were candidates for coronary artery angiography were divided into three groups: a peer education group, an orientation tour group, and a control group. The patients in the peer education group were trained by a peer educator, and the patients in in the orientation tour group were trained by the researcher, who worked in the angiography unit. The DASS-21 questionnaire was used to measure the patients' anxiety levels before the intervention and two hours before undergoing the coronary angiography. The data were analyzed using a Chi-square test, analysis of variance, the Kruskal-Wallis, Wilcoxon, Mann-Whitney U tests, and an interquartile range. Results: The three groups did not significantly differ regarding the mean anxiety scores before the intervention. However, a significant difference was observed between the mean anxiety scores of the three groups after the intervention (P = 0.0001). In the peer education group, the mean anxiety score was 5.34 ± 2.52 and decreased to 3.69 ± 2.87 after the intervention (P = 0.0001). In the orientation tour group, the mean anxiety was 5.53 ± 3.49, which and changed to 3.10 ± 2.22 (P = 0.0001). However, the mean anxiety score significantly increased in the control group (5.66 ± 2.94 vs. 6.53 ± 3.43, P = 0.017). Conclusions: Both methods of peer education and orientation tour decreased the anxiety levels in patients undergoing coronary artery angiography. Therefore, these approaches should be carried out according to the hospital condition and facilities.

The effect of home care training on anxiety and vital signs levels in coronary artery bypass grafting patients: A Randomized Clinical Trial

“…Moreover, the results of this study showed that after the training of home care, the rate of heart rate, respiratory rate, and systolic and diastolic blood pressure of the intervention group decreased significantly, this finding indicates a positive effect of home care training on heart rate, respiratory rate and systolic and diastolic blood pressure in patients with coronary artery disease. This finding is consistent with the results of a study by Farsi et al (2015) that showed the effectiveness of peer education and orientation tour on patients' the hemodinamic indices (19). The study of Orujlu et al (2014) has also shown that nurses' educational interventions have been effective in reducing the vital signs of endoscopic candidate patients (20), which is consistent with the findings of this study, But this finding contradicts the results of a study by Maguire et al (21) and García Sierra et al (22), This difference may be due to differences in the study population.…”

Efficacy of education delivery through multimedia and text messaging on the psychological parameters of patients scheduled for coronary angiography: a single-blind randomized controlled clinical trial

“…Evidence shows that patients scheduled for coronary angiography often experience anxiety, stress, and depression [2,3]. Furthermore, having sufficient information about this invasive procedure can help control vital signs including systolic blood pressure, diastolic blood pressure, and the heart rate in patients awaiting coronary angiography [4,5]. According to the literature, mobile phone-based patient education can decrease the anxiety of patients scheduled for coronary angiography [6,7].…”

A Literature Review on Effects of Positioning and Early Ambulation on Coronary Angiography Complication

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