Prevalence and patterns of anxiety and depression in patients undergoing elective percutaneous transluminal coronary angioplasty

Astin, Felicity; Jones, Kenneth Van Leer; Thompson, David R.

doi:10.1016/j.hrtlng.2005.05.002

Cited by 63 publications

(84 citation statements)

References 42 publications

(65 reference statements)

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“…7,8 Although PCIs are common and relatively low risk, many patients undergoing these treatments experience clinically relevant anxiety, with an estimated prevalence rate of 24% to 72%. [9][10][11][12][13][14] Anxiety involves feelings of fear, tension, or panic, or an expectancy that something unpleasant is going to happen, and has 2 closely related dimensions: state (a fluctuating response to stimuli) and trait (an enduring and predictable behavioral response). 15,16 State anxiety may be more clinically relevant for patients undergoing PCI because it is transitory in nature and amenable to nursing interventions.…”

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confidence: 99%

“…First, anxiety is often accompanied by physical symptoms that can be distressing, 19 such as chest pain, which patients may interpret as having a cardiac origin, which is distressing for the patient and difficult for health professionals to differentiate. Second, the physiologic changes associated with anxiety have been found to be detrimental to cardiac function, 10,17,[20][21][22][23][24] and higher than normal anxiety is predictive of several adverse outcomes in the hospital, including chest pain, rhythm disturbances, and poor recovery patterns. 9,23,[25][26][27] Finally, anxiety limits a patient's capacity to process 28 and retain information provided by health professionals, which is important to his/her well-being and ongoing health.…”

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Anxiety in patients undergoing percutaneous coronary interventions

2011

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Anxiety in patients undergoing percutaneous coronary interventions

2011

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“…Similarly Cebeci and Çelik (2011) [59] their findings suggested that the stress and anxiety of the intervention group on discharge decreased significantly compared with those of the control group. Moreover Astin et al (2005) [60] added that nurses usually do not mention essential issues about treatment because of workload and forgetfulness, or they might be reminded at the very last moments of the patients' discharge which hardly ever provide the continuance of the care. Therefore, their discharge issue should be revised.…”

Section: Discussionmentioning

confidence: 99%

Effect of Implementing Clinical Pathway Guidelines on Patients' Clinical Outcomes with Acute Coronary Syndrome

Ahmed¹

2017

AJNS

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Acute coronary syndrome refers to a range of potentially life-threatening conditions that affect the coronary artery blood supply to the heart. It is associated with increased patient mortality, length of hospital stay and health care costs. Clinical pathways are now one of the main tools that used to manage the quality in healthcare concerning the standardization of care processes. Hence, the aim of this study is to evaluate the effect of implementing a clinical pathway guideline on the clinical outcomes of patients with acute coronary syndrome. A quasi experimental research design was utilized in this study and it was conducted on 60 adult patients at the Cardiac Intensive Care Unit of Tanta University Hospital. The patients were divided into two groups (control and study group) 30 patients in each. The control group: non-clinical pathway group involved patients receiving the routine management regimen while the study group: clinical pathway group (CP group) involved patients who received management according to the clinical pathway guidelines. The findings of this study revealed that a significant changes among control and study group from admission to discharge regarding mean scores of body temperature, Pulse and respiration rate where P<0.05. There was significant increased mean score of central venous pressure among control group compared to study group on admission, after 2 hrs and on 2 nd day of admission with P=0.013, 0.007 and 0.001, respectively. The present study showed that low percentages (20.0 %) of control group had cardiogenic shock compared to none patient in the study group with a significant difference between two groups, where P=0.012. Insignificant difference was observed between control and study group regarding duration of stay in ICU and status of patients on discharge with P=0.075 and 0.206. Also it was noticed that the level of reduction of the mean of Hamilton Anxiety Score in the study group was higher than its level in the control group on discharge. It can be concluded that the established pathway achieved its goal of, improving physiological parameters and decreasing patient's complications, length of stay, and anxiety levels. Based on the findings of this study, the following recommendations are suggested; clinical pathway should be implemented routinely for patients with acute coronary syndrome. Integrating ACS clinical pathway into plan of care to replace the traditional nursing care plan.

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“…Moreover, this is often coupled with sadness or depression over the loss of their previous good health, which may remain for months afterwards (8). Since occasional chest pains are reported as a reason for fear and anxiety, and anxiety is a factor known to negatively influence recovery after a cardiac event (22), patient pain could be reduced with suitable treatments. Although there is no consensus on the mechanisms underlying CPOP (Chronic Postoperative Pain), knowledge of predictors for increased risk of CPOP should be integrated into health care professionals' pain assessments of CABG patients.…”

Section: Discussionmentioning

confidence: 99%

Living Within Limits: Unpleasant Experiences From the Perspective of Patients After Cardiac Surgery, a Content Analysis Study

Pourghane

Hosseini

Mohammadi

et al. 2014

Jundishapur J Chronic Dis Care

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Background: Cardio vascular diseases (CVDs) are the main cause of death around the world and coronary artery bypass grafting (CABG) has proven to be the most effective treatment for ischemic coronary heart diseases when other treatments are ineffective. Despite the perceived improvement in the health of patients undergoing CABG, there are problems that result from operations after they are discharged from hospital. Provision of information is an integral part of most psychological interventions. Having a clearer understanding of patients' experiences will be helpful to healthcare workers with respect to patients' care and education planning. Caring science places more attention on the patient's everyday life from his/her perspective. Most of the studies conducted in Iran used a quantitative method or measured care needs according to pre-defined criteria. Objectives: The aim of this study was to explore the lived experiences of patients who have undergone cardiac surgery, in order to obtain a deeper understanding of what they experienced and what those who provide care for these patients experienced. Patients and Methods: A qualitative design, using a content analysis approach, was adapted to collect the data and analyze the experiences of 18 patients after cardiac surgery through a purposive sampling strategy. After the selection of the participants, semi structured interviews were held in order to collect the data. Scientific accuracy, and rigor of the data and research ethics were respected. Results: The data analysis revealed three main themes and 11 subthemes, categorized as conceptual and abstract, based on their nature: concern of going out therapeutic framework (Fear of the recurrence of heart attack, Fear of performing more activities than permitted, Fear of taking journeys, Fear of mass communication)/Tired of living within the confines of the therapeutic framework (Need to take various medications, Dietary restrictions, Limitations in function, Family fatigue)/Living between boundaries (Feeling caught between wanting to accept or reject treatment, Feeling caught between the sadness of having the disease and the joy of it not getting worse, Feeling caught between knowing and not knowing). Conclusions: Patients' experiences after cardiac surgery indicated the need for the consideration of holistic care and supportive intervention programs after surgery to promote recovery and a better quality of life following cardiac surgery.

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Prevalence and patterns of anxiety and depression in patients undergoing elective percutaneous transluminal coronary angioplasty

Cited by 63 publications

References 42 publications

Anxiety in patients undergoing percutaneous coronary interventions

Anxiety in patients undergoing percutaneous coronary interventions

Effect of Implementing Clinical Pathway Guidelines on Patients' Clinical Outcomes with Acute Coronary Syndrome

Living Within Limits: Unpleasant Experiences From the Perspective of Patients After Cardiac Surgery, a Content Analysis Study

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Prevalence and patterns of anxiety and depression in patients undergoing elective percutaneous transluminal coronary angioplasty

Cited by 63 publications

References 42 publications

Anxiety in patients undergoing percutaneous coronary interventions

Anxiety in patients undergoing percutaneous coronary interventions

Effect of Implementing Clinical Pathway Guidelines on Patients&apos; Clinical Outcomes with Acute Coronary Syndrome

Living Within Limits: Unpleasant Experiences From the Perspective of Patients After Cardiac Surgery, a Content Analysis Study

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Effect of Implementing Clinical Pathway Guidelines on Patients' Clinical Outcomes with Acute Coronary Syndrome